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Reimbursement Rate Updates for HCBS-AMH Procedure Codes Effective September 1, 2025

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Updated reimbursement rates for Home and Community-Based Services – Adult Mental Health (HCBS-AMH) procedure codes were presented at public rate hearing on July 16, 2025, and approved by the Texas Health and Human Services Commission.

On September 1, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) implemented the new rates for dates of service on or after September 1, 2025

Providers can view the updates in the following spreadsheet: Home and Community-Based Services Adult Mental Health

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

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.