Reimbursement Rate Updates for Medical Transportation Program (MTP) Procedure Code S0215

Date: January 27, 2026

Attention: All Providers

Effective date: January 1, 2026

Call to action: Texas Children’s Health Plan (TCHP) informs providers that, effective for dates of service on or after January 1, 2026, Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program will implement reimbursement rate changes and updates for Medical Transportation Program (MTP) procedure code S0215.

To view the updates, access the Medical Transportation Program Procedure Code spreadsheet.

Claims Reprocessing

Texas Medicaid & Healthcare Partnership (TMHP) will identify and reprocess any claims that have been affected by this update. If there are any adjustments to claims reimbursement amounts, they will appear on future Remittance and Status (R&S) Reports.

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.

Next steps: 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.