Texas MedicaidHigh ImpactReimbursement
Correction to “Reimbursement Rate Updates for Certain HCPCS Procedure Codes Effective January 1, 2026, for Texas Medicaid”
Published June 9, 2026Effective January 1, 2026
AI Summary
Texas Medicaid has corrected reimbursement rates for certain HCPCS procedure codes effective January 1, 2026, with updates to multiple service type spreadsheets including Radiology and Surgery. TMHP will automatically reprocess affected claims and adjustments will appear on future R&S Reports.
Action Required
Immediately: Billing team should review the updated TMHP spreadsheets for Ambulatory Surgical Center, Clinical Diagnostic Laboratory, Dental, Drugs, DME, Non-Drugs, Radiation Therapy, Radiology, and Surgery services to identify specific HCPCS codes with rate changes. Monitor future R&S Reports for automatic claim reprocessing adjustments. Contact TMHP at 800-925-9126 for questions about specific rate changes.
Plan Types
Medicaid
States
TX
Specialties
all-specialties