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MedicaidReimbursementLow impact

Reimbursement Rate Updates for Procedure Code T1015 Effective January 1, 2026

Texas Medicaid·TX·Billing
Effective date
Jan 1, 2026
We identified it
Mar 27, 2026
Days to comply

Summary

Texas Medicaid is implementing reimbursement rate changes for procedure code T1015 (Indian Health Services) effective January 1, 2026. TMHP will automatically identify and reprocess affected claims, with adjustments appearing on future R&S reports.

Action Required

Action needed
Before January 1, 2026: Billing team should review future R&S reports for any automatic claim adjustments related to T1015 reimbursement changes. Contact TMHP at 800-925-9126 if questions arise about reprocessed claims. No immediate action required as TMHP will handle reprocessing automatically.

Affected Billing Codes

T1015