Texas MedicaidMedium ImpactBilling Codes
FQHC and RHC Home Telemonitoring Providers Must Use Procedure Code S9110 With Modifier U3
Published May 5, 2026Effective January 1, 2026
AI Summary
Starting January 1, 2026, FQHCs and RHCs providing home telemonitoring services must use procedure code S9110 with modifier U3 instead of the discontinued code G0511 when billing Texas Medicaid. TMHP will automatically reprocess affected claims and has waived filing and appeal deadlines.
Action Required
Before January 1, 2026: FQHC and RHC billing teams must update billing systems to use procedure code S9110 with modifier U3 for home telemonitoring services instead of discontinued code G0511. Update encounter forms and staff training for Texas Medicaid claims. No action needed for claims already submitted as TMHP will automatically reprocess them.
Affected Billing Codes
S9110G0511
Plan Types
Medicaid
States
TX
Specialties
family-medicine, internal-medicine, general-practice