Hospital Outpatient Imaging and Indian Health Services Fee Schedule Has Been Updated

Texas Medicaid MCOs are required to deliver all medically necessary services covered by Medicaid to their enrolled members. Administrative processes like prior authorization, precertification, referrals, claims, or encounter data submission may vary from traditional Medicaid (fee-for-service) and between different MCOs. Providers should reach out to the member’s specific MCO for more information.

On May 27, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) revised the static fee schedules for hospital outpatient imaging and Indian Health Services.

Check the updates on the Fee Schedule Archives page, dated March 11, 2025, at tmhp.com.

For details, contact the TMHP Contact Center at 800-925-9126.