Tag - Medicaid Provider Procedures Manual

Update to Children’s Services Handbook THSteps Medical Checkups

Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details. Beginning February 1, 2019, TMHP will update the Texas Medicaid Provider Procedures Manual, Volume 2, Children’s Services Handbook, subsection 5.3.6 “Texas Health Steps Medical Checkups,” to remove the referral indicator requirement and...