Texas MedicaidMedium ImpactBilling Codes
FQHC and RHC Reimbursement for CoCM Services
Published April 21, 2026Effective June 1, 2026
AI Summary
CMS discontinued procedure code G0512 for FQHC and RHC Collaborative Care Model services effective January 1, 2026. Texas Medicaid now allows these provider types to bill codes 99492, 99493, 99494, and G2214 for CoCM services effective June 1, 2026, with automatic reprocessing of affected claims submitted before that date.
Action Required
FQHC and RHC billing teams must update billing systems to use codes 99492, 99493, 99494, and G2214 instead of discontinued code G0512 for Collaborative Care Model services. Contact TMHP at 800-925-9126 for questions and monitor future Remittance and Status Reports for automatic claim reprocessing adjustments.
Affected Billing Codes
G0512994929949399494G2214
Plan Types
Medicaid
States
TX
Specialties
family-medicine, internal-medicine, general-practice, psychiatry