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2021 Healthcare Common Procedure Coding System Annual Update Coming January 2021

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Note: New benefits that are adopted by Texas Medicaid must complete the rate hearing process to receive public comment on proposed Texas Medicaid reimbursement rates. After the rate hearing, expenditures must be approved before the rates are adopted by Texas Medicaid.

Effective January 1, 2021, for dates of service on or after January 1, 2021, TMHP will apply the 2021 Healthcare Common Procedure Coding System additions, changes, and deletions.

Deleted procedure codes will no longer be benefits of Texas Medicaid or the Children with Special Health Care Needs (CSHCN) Services Program.

The information will be available on this website on January 1, 2021.

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.