Texas MedicaidMedium ImpactAdministrative

Updated Texas Health Steps QRG Available January 30, 2026

Published January 31, 2026Effective January 30, 2026

AI Summary

Texas Health Steps Quick Reference Guide will be updated on January 30, 2026 to include COVID-19 vaccine procedure code 91323 in the Immunizations Administered table. This affects providers billing Texas Medicaid for pediatric COVID-19 vaccinations.

Action Required

By January 30, 2026: Billing team should download the updated Texas Health Steps Quick Reference Guide from the TMHP website and verify that COVID-19 vaccine code 91323 is properly configured in billing system for Texas Medicaid pediatric patients. Contact specific MCOs for any administrative requirements that may differ from fee-for-service Medicaid.

Affected Billing Codes

91323

Plan Types

Medicaid

States

TX

Specialties

pediatrics, family-medicine, general-practice

Updated Texas Health Steps QRG Available January 30, 2026 | Texas Medicaid | PolicyChanges.app