COVID-19 Testing in Pharmacy Reimbursable Through Medicaid Medical Claims System

Published on
April 30, 2021

On April 13, 2021, HHSC updated the fee-for-service medical claims system to allow for reimbursement to pharmacists and pharmacy providers for COVID-19 tests provided in the pharmacy setting. Pharmacies and pharmacists interested in administering COVID-19 tests to people enrolled in Medicaid must complete an enrollment application at For people enrolled in Medicaid managed care, pharmacies and pharmacists must enroll with the MCO in their service area. Contact the TMHP Contact Center at 1-800-925-9126 or e-mail TMHP Provider Relations to request assistance from the local TMHP provider relations representative in your area.