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February 7, 2025Reimbursement Rate Changes and Updates for Texas Medicaid Procedure CodesFebruary 7, 2025Reimbursement Updates for Certain Renal Dialysis Drugs Effective January 1, 2025February 7, 2025Correction to Cytogenetics Testing Diagnosis Codes in 2024 ICD-10More AlertsHome Prosthetics Codes Prior Authorization Requirements Attention: Prosthetics, DME providers, orthopedists, podiatrists, PCPs Effective Date: June 3, 2020 Call to action: Texas Children’s Health Plan (TCHP) aligns with Texas Medicaid Provider Procedures Manual (TMPPM) and requires prior authorization for prosthetics procedures codes. How this impacts providers: Provider offices should utilize the Standard Prior Authorization Form for prosthetics. References: TCHP Prior Authorization RequirementsTCHP Prosthetics Guidelines Next steps for providers: Providers should reference the prosthetic procedure codes according to TMPPM section 2.2.19.2 Prior Authorization and Documentation Requirements. If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.For access to all provider alerts,log into: www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.