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Reimbursement Rate Changes and Updates for MTP Procedure Code T2003 Effective November 1, 2024

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Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

Effective for dates of service on or after November 1, 2024, reimbursement rate changes and updates for medical transportation program (MTP) procedure code T2003, which were presented as a special review at the public rate hearing on November 12, 2024, will be implemented for Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program.

The Texas Medicaid & Healthcare Partnership (TMHP) will reprocess any affected claims that are identified. Providers are not required to appeal the claims unless the claims are denied for additional reasons after reprocessing is completed.

To view the updates, access the Medical Transportation Program Procedure Codes spreadsheet.

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.