Texas Medicaid MNT coverage: codes, telehealth and limits
The short answerTexas Medicaid pays licensed dietitians for MNT in the Comprehensive Care Program, for clients 20 and under with a physician's prescription, and in Healthy Texas Women. Each rolling year allows 4 units of 97802 and 12 of 97803. Telehealth takes modifier 95 for audio and video. Managed care plans can add stricter rules.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Texas. Public policy, not the member's benefits.
Texas Medicaid
CCP and Healthy Texas Women · Texas
| 97802 | Listed (4 units per rolling year) [1][2] |
|---|---|
| 97803 | Listed (12 units per rolling year) [1][2] |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Comprehensive Care Program (CCP) clients 20 and under, and the Healthy Texas Women program. [1][2] |
| Diagnoses | In CCP, obesity alone is not a benefit without a comorbid condition. [1] |
| Other codes | 97804 (8 units per rolling year) and S9470 (4 visits per rolling year; in Healthy Texas Women, 1 visit a year without prior authorization). [1][2] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | 95 for synchronous audio and video; 93 for audio only where allowed. [1] |
| Visit limits | Per rolling year: 97802 4 units; 97803 12 units; 97804 8 units; S9470 4 visits. Healthy Texas Women uses the same unit limits. [1][2] |
| Referral and prior auth | CCP: prescribed by a physician. [1] |
| Managed care plans | Plans can add stricter rules. Community First Health Plans limits MNT to diabetes, renal disease and kidney transplant from August 3, 2026; that is its rule, not a statewide one. [3] |
- TMHP: TMPPM Children's Services Handbook, Medical Nutrition Counseling Services (CCP), Sept 2026 (PDF), checked September 28, 2026
- TMHP: TMPPM Healthy Texas Women Program Handbook, Sept 2026 (PDF), checked September 28, 2026
- Community First Health Plans: MNT coding and billing guidance (one Texas Medicaid plan, eff. Aug 3, 2026), checked September 28, 2026
Check a Medicaid claim against the row
Before a Texas Medicaid claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see. More on the Texas Medicaid coverage guide.