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Reimbursement Rate Changes

August 29, 2017

Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.

Effective for dates of services on or after September 1, 2017, reimbursement rate changes and updates for Texas Medicaid Therapy Services will be implemented.

To read more about these changes, please click here.