Note: An HHSC rate hearing is required for Texas Medicaid reimbursement rates. Once rates are adopted, providers will be notified of the implementation date and reprocessing efforts.
The 2021 Healthcare Common Procedure Coding System (HCPCS) additions and deletions that are effective for dates of service on or after January 1, 2021, are now available in the 2021 HCPCS Special Bulletin No. 19, on the Rate and Code Updates - HCPCS Updates page of tmhp.com. Deleted procedure codes are no longer benefits of Texas Medicaid or the Children with Special Health Care Needs (CSHCN) Services Program.
The Texas Medicaid Provider Procedures Manual and CSHCN Services Program Provider Manual will reflect the 2021 HCPCS changes in the February 2021 release.
For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.