Texas MedicaidMedium ImpactCoverage

Procedure Codes J1271 and 90661 to Become Benefits for HHSC FPP Services

Published March 14, 2026Effective May 1, 2026

AI Summary

Effective May 1, 2026, procedure codes J1271 (physician-administered drug) and 90661 (vaccine administration) will become covered benefits under the Texas HHSC Family Planning Program for Medicaid clients of all ages. Billing teams can now submit claims for these services to Texas Medicaid FPP.

Action Required

Before May 1, 2026: Billing team must update system to enable billing of codes J1271 and 90661 for Texas HHSC Family Planning Program Medicaid clients. Update encounter forms and staff training materials to reflect these new covered benefits. Verify system can process these codes for FPP clients of all ages.

Affected Billing Codes

J127190661

Plan Types

Medicaid

States

TX

Specialties

family-medicine, internal-medicine, ob-gyn, general-practice