Reimbursement Rate Changes and Updates for Texas Medicaid Procedure Codes Effective March 1

Date: February 7, 2025

Attention: All Providers

Effective dates: March 1, 2025

Call to action: The purpose of this communication is to inform providers that effective for dates of service on or after March 1, 2025, reimbursement rate changes and updates for second quarter 2024 Healthcare Common Procedure Coding System (HCPCS) procedure codes that were presented at the public rate hearing on December 4, 2024, will be implemented. 

To view the updates, access the Second Quarter 2024 HCPCS Non-Drugs TOS 2 spreadsheet. 

Next step for providers: Providers should share this communication with their staff. 

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org. 

For access to all provider alerts,log into:
www.texaschildrenshealthplan.org/provideralerts.