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Correction to “Reimbursement Rate Changes and Updates for Certain Texas Medicaid Procedure Codes Effective March 1, 2026”

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This is a correction to the article titled “Reimbursement Rate Changes and Updates for Certain Texas Medicaid Procedure Codes Effective March 1, 2026,” which was published on this website on February 9, 2026.

The original article featured incorrect information in the Hearing Aids, Male Genital System Surgery, Musculoskeletal System Surgery, and Radiology TOS 4-I-T Rural Hospitals spreadsheets. The affected spreadsheets have been updated and now feature the correct reimbursement information.

Effective for dates of service on or after March 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will implement the reimbursement rate changes and updates for the procedure codes that were presented at the public rate hearing on November 10, 2025.

The following topics were covered at the November 10, 2025, public rate hearing:

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.