MedicaidAdministrativeMedium impact
Updated Texas Health Steps QRG Available January 30, 2026
Texas Medicaid·TX · Pediatrics, Family Medicine, General Practice·General
Effective date
Jan 30, 2026
We identified it
Jan 31, 2026
Summary
Texas Health Steps Quick Reference Guide will be updated on January 30, 2026 to include COVID-19 vaccine procedure code 91323 in the Immunizations Administered table. This affects providers billing Texas Medicaid for pediatric COVID-19 vaccinations.
Action Required
By January 30, 2026: Billing team should download the updated Texas Health Steps Quick Reference Guide from the TMHP website and verify that COVID-19 vaccine code 91323 is properly configured in billing system for Texas Medicaid pediatric patients. Contact specific MCOs for any administrative requirements that may differ from fee-for-service Medicaid.