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
Quarterly Reimbursement Rate Updates for Some HCPCS Drug Procedure Codes
Date: June 24, 2025
Attention: All Providers
Subject: Quarterly Reimbursement Rate Updates for Some HCPCS Drug Procedure Codes
Effective date: April 1, 2025
Call to action: The purpose of this communication is to inform providers that effective for dates of service on or after April 1, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) changed the reimbursement rates for some Healthcare Common Procedure Coding System (HCPCS) drug procedure codes that were updated during the first quarter of 2025.
TMHP will identify and reprocess any affected claims. Providers do not need to appeal these claims unless TMHP denies them for additional reasons after reprocessing is completed.
