TMHP - 2007 HCPCS Updates

2007 HCPCS Rates for Type of Service 4, I, T, 2, and 8 Procedure Codes
Information posted December 3, 2007: On October 30, 2007, type of service 4, I, T, 2, and 8 procedure codes were assigned reimbursement rates at a public rate hearing. The benefits and limitations for these codes were listed in the January 2007 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin, No. 200. Click on the title to view the details.

Correction to “2007 HCPCS Rates” Article for Procedure Code 1-S0180
Information posted November 12, 2007: This is a correction to information published in the January 2007 HCPCS Special Bulletin, No. 200. The bulletin incorrectly indicated that procedure code 1-S0180 is a benefit of the Children with Special Health Care Needs (CSHCN) Services Program. Effective for dates of service on or after January 1, 2007, procedure code 1-S0180 is not a benefit of the CSHCN Services Program. In addition, an article entitled, “2007 HCPCS Rates” was published on this website on October 1, 2007, which included procedure code 1-S0180. The article should have indicated that procedure code 1-S0180 is not a benefit of the CSHCN Services Program. For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.

Reimbursement Rates Assigned to Additional 2007 HCPCS Procedure Codes
Information posted October 15, 2007: On September 11, 2007, the procedure codes listed below were assigned reimbursement rates at a public rate hearing. The benefits and limitations for these codes were listed in the January 2007 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin, No. 200. Click on the title to view the details.

2007 HCPCS Rates
Information posted October 1, 2007: On September 4, 2007, the procedure codes for physician-administered drugs/biologicals, durable medical equipment, prosthetics, orthotics, and supplies were assigned reimbursement rates at a public rate hearing. The benefits and limitations for these codes were listed in the January 2007 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin, No. 200. Click on the title to view the details.

Type of Service Correction for Procedure Code 37210
Information posted September 3, 2007: This is a correction to information published in the 2007 Special HCPCS Bulletin, No. 200, on page 8. The bulletin incorrectly indicates that the total component (type of service [TOS] 4), the technical component (TOS T), and the interpretation/professional component (TOS I) are valid types of service for procedure code 37210 and may be considered for reimbursement. Click on the title to view the corrected information.

Correction to “2nd Qtr 2007 HCPCS Benefit Changes—Texas Medicaid”
Information posted August 20, 2007: This is a correction to a website article that was published on June 25, 2007, titled, “2nd Quarter 2007 HCPCS Benefit Changes—Texas Medicaid.” Information that was not included in the original article has been added. Click on the title to view the details.

Correction to “2nd Qtr 2007 HCPCS Benefit Changes—CSHCN Services Program”
Information posted August 20, 2007: This is a correction to a website article published on June 25, 2007, titled, “2nd Quarter 2007 HCPCS Benefit Changes—CSHCN.” Information that was not included in the original article has been added. Click on the title to view the details.

2nd Quarter 2007 HCPCS Benefit Changes—CSHCN
Information posted June 25, 2007: Second quarter 2007 Healthcare Common Procedure Coding System (HCPCS) additions, changes, and deletions that are effective for dates of service on or after July 1, 2007, for the Children with Special Health Care Needs (CSHCN) Services Program are now available on the 2007 HCPCS webpage of the TMHP website at www.tmhp.com. Deleted procedure codes will no longer be benefits of the CSHCN Services Program effective for dates of service on or after July 1, 2007. Click on the title to view the details.

2nd Quarter 2007 HCPCS Benefit Changes—Texas Medicaid
Information posted June 25, 2007: Second quarter 2007 Healthcare Common Procedure Coding System (HCPCS) additions, changes, and deletions that are effective for dates of service on or after July 1, 2007, for the Texas Medicaid Program are now available. Deleted procedure codes will no longer be benefits of the Texas Medicaid Program effective for dates of service on or after July 1, 2007. Click on the title to view the details.

Second Quarter HCPCS Update Is Coming
Information posted May 7, 2007: On July 1, 2007, TMHP will implement second quarter 2007 Healthcare Common Procedure Coding System (HCPCS) additions, changes, and deletions that are effective for dates of service on or after July 1, 2007. Deleted procedure codes will no longer be benefits of the Texas Medicaid and Children with Special Health Care Needs (CSHCN) Services Programs. Click on the title to view the details.

Additional 1st Quarter HCPCS Revisions for the CSHCN Services Program
Information posted April 2, 2007: On April 1, 2007, TMHP will implement first quarter 2007 Healthcare Common Procedure Coding System (HCPCS) additions, changes, and deletions that are effective for dates of service on or after April 1, 2007, for the Children with Special Health Care Needs (CSHCN) Services Program. Click the title to view the details.

Additional 1st Quarter HCPCS Revisions for the Texas Medicaid Program
Information posted April 2, 2007: On April 1, 2007, TMHP will implement first quarter 2007 Healthcare Common Procedure Coding System (HCPCS) additions, changes, and deletions that are effective for dates of service on or after April 1, 2007, for the Texas Medicaid fee-for service and Medicaid Managed Care programs. Click the title to view the details.

HCPCS First Quarter Updates
Information posted February 23, 2007: On April 1, 2007, TMHP will implement first quarter 2007 Healthcare Common Procedure Coding System (HCPCS) additions, changes, and deletions effective for dates of service on or after April 1, 2007. Deleted procedure codes will no longer be benefits of the Texas Medicaid, Medicaid Managed Care, and Children with Special Health Care Needs (CSHCN) Services Programs. Details of these changes will be available on the TMHP website at www.tmhp.com under the 2007 HCPCS webpage beginning April 1, 2007, and will also be included in the May/June 2007 Texas Medicaid Bulletin, No. 204 and the May 2007 CSHCN Provider Bulletin, No. 62. For more information, visit the TMHP website at www.tmhp.com or call the TMHP Contact Center at1-800-925-9126 or the TMHP-CSHCN Contact Center at 1-800-568-2413. Note: This article will be published in a banner messages at a later date.

2007 HCPCS Update Rate Hearing Website
Information posted February 5, 2007: As a reminder, the Texas Medicaid Program is adopting a number of procedure codes during the 2007 HCPCS implementation that must go through the rate hearing process, as required by Chapter 32 of the Human Resources Code, §32.0282, and Title 1 of the Texas Administrative Code, §355.201, which require public hearings to receive comments on Medicaid payment rates. A special 2007 HCPCS webpage has been created to provide updates as reimbursement rates are established. The webpage is located on the TMHP website at www.tmhp.com. Providers are encouraged to monitor the 2007 HCPCS website regularly for these updates. Click the title for more information.

January 2007 HCPCS Special Bulletin, No. 200
Information posted December 29, 2006: Click on the title to view the HCPCS Special Bulletin.