Texas Medicaid Announces Reimbursement Rate Changes Effective March 1, 2026

Feb 23, 2026

2 minutes

Texas Medicaid Announces Reimbursement Rate Changes Effective March 1, 2026

The Texas Medicaid & Healthcare Partnership (TMHP) has announced reimbursement rate changes and updates for specific Medicaid procedure codes, effective for dates of service on or after March 1, 2026.

The following topics were covered at the November 10, 2025, public rate hearing:

Calendar Fee Review for the following:

First Quarter 2025 Healthcare Common Procedure Coding System (HCPCS) Review for the following:

Second Quarter 2025 HCPCS Review for the following:

Medical Policy

Office Setting Skin Substitute

If you have questions, call 800-568-2413.

Services

Credentialing

Credentialing is the rigorous process of verifying a healthcare provider’s qualifications, including their education, training, licenses, and clinical experience. This service ensures that practitioners meet the high standards required by insurance networks and hospitals to provide care and receive reimbursement.

Billing & Collection

Billing and Collection service involves confirming a patient’s insurance coverage, active status, and specific benefits before their appointment. By identifying co-pays, deductibles, and required prior authorizations upfront, staff can prevent claim denials and help patients understand their financial responsibilities.

Eligibility Verification

Eligibility verification is the process of verifying a patient’s health insurance coverage and benefits to determine what services are covered and the level of coverage available. This process is essential for healthcare providers to ensure that they receive proper reimbursement for services rendered and that patients are not left with unexpected medical bills.

Revenue Cycle Management

RCM is the financial process that manages the entire lifecycle of a patient’s account, from the initial appointment scheduling to the final balance payment. It integrates eligibility, coding, billing, and collections into a single, cohesive workflow aimed at maximizing a practice's profitability.

Post Tabs

Latest

Popular

What Is The Payment Posting Process In Medical Billing? A Step by Step Guide

March 6, 2026

What Are the Benefits of EFT in Medical Billing? Faster, Cleaner Payments

March 6, 2026

What Is Provider Credentialing? Explained in Detail

February 28, 2026

1 2 3 … 175 Next »

Testimonials

It has been a wonderful experience working with Sean. He made the credentialing process a breeze with his knowledge and communication skills. I highly recommend Capline.

I

Islamorada Dentistry

Rylan is wonderfull representetive, and very quick to complete all his task. We recomend his services, great company and great costumer service. We give him a 5 star.

D

Dentricity Dental Berkeley

Myra Claire was exceptionally professional and efficient in ushering me through the credentialing process! She maintained communication and was very responsive when I had questions! Very pleased!