SHARS: Texas Medicaid Provider Procedures Manual

Stasia ViatorMedicaid

Referred to often as the TMPPM, the Texas Medicaid Provider Procedures Manual is a comprehensive guide for Texas Medicaid providers. It contains information about Texas Medicaid policies, and procedures including SHARS.

The TMPPM is updated monthly on the TMHP website at to include revisions to policies and procedures that went into effect in the prior month. The manual is available in portable document format (PDF) as a complete book and as individual sections and handbooks. A hypertext markup language (HTML) version is also be available.

The current version of the manual always appears prominently on the Texas Medicaid Provider Procedures Manual web page. All previously published annual editions of the TMPPM have been archived. Users can access the archives through links on the TMPPM  web page.

Providers can determine what has changed each month by following the Release Notes link on the TMPPM web page. The release notes include the sections and handbooks that have changed for the current month and the nature of the changes. Most changes have been previously announced in news articles on the TMHP website, and, where appropriate, the release notes link to prior website articles.

Publishing the manual monthly has eliminated the need for the Texas Medicaid Bulletin, which was discontinued following the publication of the September/October 2012 Texas Medicaid Bulletin, No. 243. Special bulletins, such as the annual Healthcare Common Procedure Coding System (HCPCS) bulletin, which is published in January of each year, will continue to be published on an as-needed basis.

Click on the link below to view the TMPPM and download a copy of the March 2023 posting.

Texas Medicaid Provider Procedures Manual — March 2023 (