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Texas MedicaidMedicaid · Billing Codes · Billing · TX · Family Medicine, Internal Medicine, General Practice +1 moreMedium impact

FQHC and RHC Reimbursement for CoCM Services

Effective date
Jun 1, 2026
Identified
Apr 21, 2026

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.

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What to do

Action · 2 steps
01FQHC 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.
02Contact TMHP at 800-925-9126 for questions and monitor future Remittance and Status Reports for automatic claim reprocessing adjustments.

Codes mentioned

G0512994929949399494G2214

Original notice

FQHC and RHC Reimbursement for CoCM Services
tmhp.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Texas Medicaid policiesTX policy changesFamily MedicineInternal MedicineGeneral PracticePsychiatryCode G0512Code 99492Code 99493Code 99494Code G2214

Summaries are AI-assisted. Always confirm against the original payer notice.

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