MedicaidBilling CodesMedium impact
FQHC and RHC Reimbursement for CoCM Services
Texas Medicaid·TX · Family Medicine, Internal Medicine, General Practice +1 more·Billing
Effective date
Jun 1, 2026
We identified it
Apr 21, 2026
Summary
CMS discontinued procedure code G0512 for FQHC and RHC Collaborative Care Model services effective January 1, 2026. Texas Medicaid now allows these provider types to bill codes 99492, 99493, 99494, and G2214 for CoCM services effective June 1, 2026, with automatic reprocessing of affected claims submitted before that date.
Action Required
FQHC and RHC billing teams must update billing systems to use codes 99492, 99493, 99494, and G2214 instead of discontinued code G0512 for Collaborative Care Model services. Contact TMHP at 800-925-9126 for questions and monitor future Remittance and Status Reports for automatic claim reprocessing adjustments.