Molina Healthcare Texas policy
Annual Wellness Visit sooner than 11 months following Initial (IPPE) Policy
Annual Wellness Visit sooner than 11 months following Initial (IPPE) Policy is a public Molina Healthcare Texas policy (effective Jul 30, 2025). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
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- Effective
- Jul 30, 2025
- Line of business
- Medicaid
- States
- AZ, IA, ID, NE, OH, SC, TX, WI
- Source
- www.molinahealthcare.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Molina Healthcare Texas policies |
|---|---|
| G0402 | Policies naming G0402 |
| G0438 | Policies naming G0438 |
| G0439 | Policies naming G0439 |
All Molina Healthcare Texas policies · Molina Healthcare Texas prior authorization CPT list