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MedicaidReimbursementMedium impact

Reimbursement Rate Updates for Office Setting Skin Substitute Procedure Codes Effective June 1, 2026

Texas Medicaid·TX · Dermatology, Plastic Surgery, Wound Care +1 more·Billing
Effective date
Jun 1, 2026
We identified it
May 14, 2026
Days to comply

Summary

Texas Medicaid will implement new reimbursement rates for office setting skin substitute procedure codes effective June 1, 2026. The updated rates were presented at a February 2026 public hearing and are available in a spreadsheet on the TMHP website.

Action Required

Action needed
Before June 1, 2026: Billing team must access the Office Setting Skin Substitute Procedure Codes spreadsheet on TMHP website to review new reimbursement rates. Update billing system with new rates for affected skin substitute codes. For questions, contact TMHP at 800-925-9126. MCO providers should verify rates with specific managed care organizations as procedures may differ.