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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Payer
Molina Healthcare Texas
Effective
Jul 30, 2025
Line of business
Medicaid
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.

CodeOther Molina Healthcare Texas policies
G0402Policies naming G0402
G0438Policies naming G0438
G0439Policies naming G0439

All Molina Healthcare Texas policies · Molina Healthcare Texas prior authorization CPT list

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.