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2026 TMPPM Release Notes

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The following tables show the section and handbooks that were changed in the Texas Medicaid Provider Procedures Manual. The changes are listed in reverse chronological order (newest first).

For changes that were made in 2025, see the 2025 Release Notes

January 2026 TMPPM Release Notes
HandbookRelated Articles and Notes
Volume 1: Section 4: Client Eligibility

Providers May Use Mother's Medicaid ID When Submitting Claims for Newborns

Information posted December 1, 2025

Volume 1: Section 6: Claims Filing

Providers May Use Mother's Medicaid ID When Submitting Claims for Newborns

Information posted December 1, 2025

Updated claims filing deadline info for 2026.

Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook

TMPPM Update: Hospital Beds and Equipment

Information posted November 14, 2025

Medicaid Managed Care Handbook

Dual Demonstration MMP Program Ending on January 1, 2026

Information posted November 14, 2025

Outpatient Drug Services Handbook

Revised text in first sentence of section 6.42, "Elivaldogene Autotemcel (Skysona") from "ae" to "as is".)

Submitting Claims for HCCAD Skysona With U3 Modifier (Procedure Code J3590)

Information posted December 2, 2025

Changes to Hepatitis C Agents Drug Class Effective January 2026

Information posted November 26, 2025

Texas Medicaid Prior Authorization Update for Clofarabine Effective January 1, 2026

Information posted November 21, 2025

Removed all benefit information from section 6.73, "Interferon," from the Outpatient Drug Services handbook.

Removed duplicate text "lovotibeglogene autotemcel" in the fifth statement listed in section 6.114, "Sickle Cell Disease Gene Therapy."

Fixed indention at the beginning of some statements in the following sections: 10.3.1, "Background on Hepatitis C," 10.3.2, "HCV Screening and Testing," 10.3.3, "Treatment Coverage," 10.3.4, "Follow-Up After Treatment," 10.3.5, "Pregnant Clients," and 10.3.6, "Resources for Providers."

Replaced broken URL link for Synagis in the table of section 13.1, "Clinical Prior Authorization."

Replaced broken web page link for Prescriber Resources in section 10.3.6, "Resources for Providers."

Vision and Hearing Services HandbookUpdated payable provider type information for ear and throat examination procedure codes in section 2.2.3.7.4 to reflect current policy.