On April 1, 2021, TMHP will implement the first quarter 2021 Healthcare Common Procedure Coding System (HCPCS) additions, revisions, and discontinuations, which will be effective for dates of service on or after April 1, 2021.
Discontinued procedure codes will no longer be considered benefits of the Children with Special Health Care Needs (CSHCN) Services Program.
Added procedure codes will not be reimbursed until the codes are reviewed and a rate hearing is held. Providers will be notified of any benefit changes in a future article. Providers can refer to the CSHCN Services Program Provider Manual for current benefit information.
For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.