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
Reimbursement Rate Changes and Updates for Certain Texas Medicaid Procedure Codes
Date: April 2, 2025
Attention: Providers
Effective for dates of service on or after January 1, 2025
Call to action: The purpose of this communication is to inform providers that effective for dates of service on or after January 1, 2025, reimbursement rate changes and updates for the procedure codes that were presented at the public rate hearing on February 14, 2025, will be implemented.
The Texas Medicaid & Healthcare Partnership (TMHP) will reprocess any affected claims that are identified. Providers are not required to appeal the claims unless the claims are denied for additional reasons after reprocessing is completed.
The following topics were covered at the hearing:
2025 Healthcare Common Procedure Coding System (HCPCS) Review for the following:
