Policy UpdatesMedicaidApril 26, 2024

Procedure code 96372 benefit update

Effective for dates of service on or after January 1, 2024, injectable medication administration procedure code 96372 may be reimbursed to Texas Health Steps medical providers for services rendered in the office, outpatient hospital, and birthing center settings.

Specific details concerning these changes are in the notification issued by the Texas Medicaid & Healthcare Partnership (TMHP) at https://www.tmhp.com/news/2024-01-11-provider-type-and-places-service-update-procedure-code-96372-effective-january-1.

What if I need assistance?

For additional support, visit the Contact Us section at the bottom of the provider website for the appropriate contact or call Provider Services at 833-731-2162.

Medicaid coverage provided by Wellpoint Insurance Company to members in the Medicaid Rural Service Area and the STAR Kids program and Wellpoint Texas, Inc. to all other Wellpoint members in Texas.

TXWP-CD-055114-24

PUBLICATIONS: May 2024 Provider Newsletter