MedicaidReimbursementMedium impact
Reimbursement Rate Updates for HCPCS Drug Procedure Code J7601 Effective January 1, 2025
Texas Medicaid·TX·Billing
Effective date
Jan 1, 2025
We identified it
Jun 5, 2026
Summary
Texas Medicaid (TMHP) is implementing reimbursement rate changes for HCPCS drug procedure code J7601 effective January 1, 2025. TMHP will automatically identify and reprocess affected claims, with adjustments appearing in future Remittance and Status Reports.
Action Required
By January 1, 2025: Billing team should review the Drug Procedure Code J7601 spreadsheet on TMHP website to understand new reimbursement rates. Monitor future Remittance and Status Reports for automatic claim adjustments. No immediate system changes required as TMHP will automatically reprocess affected claims.