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Texas Medicaid requires modifier U8 when an FQHC bills a contraceptive device purchased through 340B

Texas
Updated Jun 30, 2026Official sourceVendor-reportedTexas Medicaid & Healthcare Partnership (TMHP)

The July 2026 Texas Medicaid Provider Procedures Manual says an FQHC seeking reimbursement for an IUD or implantable contraceptive capsule must submit the family-planning service and device codes on the same claim. The device may be reimbursed in addition to the FQHC encounter payment and is not subject to FQHC limitations; providers must use modifier U8 when the device was purchased through the 340B Drug Pricing Program, while modifier FP is reserved for the annual family-planning examination.

This statewide billing instruction does not prove any particular health center's 340B participation, acquisition price, savings, or treatment of other drugs.

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#texas#medicaid#fqhc#340b#u8#claims#family-planning
Cite this analysis

FQHC Talent. (2026, June 30). Texas Medicaid requires modifier U8 when an FQHC bills a contraceptive device purchased through 340B. Linked evidence: Texas Medicaid & Healthcare Partnership (TMHP). Retrieved September 20, 2026, from https://www.fqhctalent.com/intel/tx-medicaid-340b-u8-fqhc-billing-baseline-july-2026

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