Texas MedicaidMedium ImpactReimbursement
Reimbursement Rate Changes and Updates for Certain Texas Medicaid Procedure Codes Effective March 1, 2026
Published February 26, 2026Effective March 1, 2026
AI Summary
Texas Medicaid will implement new reimbursement rates for K codes and Physician Administered Drugs (Non-Oncology) effective March 1, 2026. These rate changes were determined at a public hearing held on November 10, 2025.
Action Required
Before March 1, 2026: Billing team must contact TMHP Contact Center at 800-925-9126 to obtain specific rate information for K codes and Physician Administered Drugs (Non-Oncology). Update billing system with new reimbursement rates for Texas Medicaid claims. For managed care patients, contact each specific MCO for their updated rates and procedures as they may differ from fee-for-service rates.
Plan Types
Medicaid
States
TX
Specialties
all-specialties