Texas MedicaidLow ImpactReimbursement

Reimbursement Rate Updates for Procedure Code T1015 Effective January 1, 2026

Published March 27, 2026Effective January 1, 2026

AI Summary

Texas Medicaid is implementing reimbursement rate changes for procedure code T1015 (Indian Health Services) effective January 1, 2026. TMHP will automatically identify and reprocess affected claims, with adjustments appearing on future R&S reports.

Action Required

Before January 1, 2026: Billing team should review future R&S reports for any automatic claim adjustments related to T1015 reimbursement changes. Contact TMHP at 800-925-9126 if questions arise about reprocessed claims. No immediate action required as TMHP will handle reprocessing automatically.

Affected Billing Codes

T1015

Plan Types

Medicaid

States

TX

Specialties

all-specialties