MedicaidReimbursementMedium impact
Reimbursement Rate Updates for MTP and Indian Health Procedure Codes Effective January 1, 2026
Texas Medicaid·TX·Fee Schedule
Effective date
Jan 1, 2026
We identified it
Jul 30, 2026
Summary
Texas Medicaid is implementing reimbursement rate changes for Medical Transportation Program (MTP) and Indian Health Services procedure codes effective January 1, 2026. Affected claims will be identified and reprocessed by TMHP, with adjustments appearing on future Remittance and Status Reports. Billing teams must access updated fee schedules and verify rates for these services.
Action Required
By December 15, 2025: Billing team must access the updated fee schedule spreadsheets for Medical Transportation Program (MTP) and Indian Health Services procedure codes from TMHP website (https://www.tmhp.com/news/2026-07-29-reimbursement-rate-updates-mtp-and-indian-health-procedure-codes-effective-january). Download and review all applicable rate changes. Update billing software with new reimbursement rates for MTP and Indian health services codes before January 1, 2026. Communicate rate changes to clinical staff and transporters billing MTP services. Monitor future Remittance and Status Reports for claim adjustments and reprocessing credits. For MCO members, contact the specific MCO to confirm whether they follow the same rate structure or have different procedures. Contact TMHP at 800-925-9126 or TMHP-CSHCN Services at 800-568-2413 if rate clarification is needed.