Skip to main content

Updated Texas Health Steps Quick Reference Guide Available February 1, 2025

Last updated on

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.

The updated Texas Health Steps Quick Reference Guide will be available on February 1, 2025. Influenza vaccine (procedure codes 90630 and 90654) will be removed from the Immunizations Administered column as it is no longer a benefit of Texas Medicaid.

The updated guide will be available on the Texas Health Steps web page.

For more information, call the TMHP Contact Center at 800-925-9126.