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Date: June 25, 2025
Attention: Rural Health Centers (RHCs) Providers
Call to action: The purpose of this communication is to inform providers that beginning June 5, 2025, for dates of service on or after January 1, 2024, rural health centers (RHCs) that submit certain claims with procedure code T1015 must include:
The Texas Health and Human Services Commission (HHSC) will use these modifiers to better determine how patients use services that are provided in the RHC setting.
TMPPM Manual Update
The Texas Medicaid & Healthcare Partnership (TMHP) will update the following sections in the Texas Medicaid Provider Procedures Manual (TMPPM), Clinics and Other Outpatient Facility Services Handbook to include the U1 and U2 modifiers:
CSHCN Provider Manual Update
TMHP will also add the U1 and U2 modifiers to the Children with Special Health Care Needs (CSHCN) Services Program Provider Manual, Chapter 19: Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC), subsection 19.2.1, “General Medical Services.”
Next step for providers: Providers should share this communication with their staff.
If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.
For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.