Texas MedicaidMedium ImpactReimbursement
Update to “Correction to ‘Reimbursement Rate Changes and Updates for Certain Texas Medicaid Procedure Codes Effective September 1, 2025’”
Published January 15, 2026Effective September 1, 2025
AI Summary
Texas Medicaid corrected reimbursement rates for cardiovascular services at rural hospitals, with multiple procedure categories getting updated rates effective September 1, 2025. TMHP will automatically reprocess affected claims and adjustments will appear on future remittance reports.
Action Required
No immediate action required - TMHP will automatically identify and reprocess affected claims. Monitor future Remittance and Status (R&S) Reports for reimbursement adjustments. Contact TMHP at 800-925-9126 for questions about specific procedure code rate changes.
Plan Types
Medicaid
States
TX
Specialties
cardiology, gastroenterology, nephrology, laboratory, diagnostic-imaging, all-specialties