Flu Season Alert!Alerta de temporada de influenza:
Don’t let germs win this season – protect yourself and your family!
The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!
¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!
La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más
Home Sleep Study Test Procedure Code 95800 to Become a Benefit of Texas Medicaid
Date: February 7, 2025
Attention: All Providers
Effective date: March 1, 2025
Call to action: The purpose of this communication is to inform providers that effective for dates of service on or after March 1, 2025, a new home sleep study test, procedure code 95800, will become a benefit of Texas Medicaid for clients who are 18 years of age or older.
Procedure code 95800 applies to a device that measures three or more channels, including pulse oximetry, actigraphy, and peripheral arterial tone (PAT).
How this impacts providers:Procedure code 95800 is limited to one study per day, any provider, and two tests per rolling year, any provider, and may be reimbursed to the following provider types and places of service:
Place of Service
Provider Type
Office
Physician, Portable X-Ray, Radiological and Physiological Lab
Outpatient Hospital
Hospital, Portable X-Ray, Radiological and Physiological Lab, Rural Emergency Hospital
Next steps: Providers should share this communication with their staff.
