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October 2021 Fourth Quarter NCCI Updates

Last updated on

Effective October 1, 2021, the fourth quarter 2021 National Correct Coding Initiative (NCCI) updates will be implemented for claims processed by TMHP for Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program.

Providers may refer to the Centers for Medicare & Medicaid Services (CMS) website at for the updated Medicaid NCCI rules, relationships, and general information. A link to the CMS Medicaid NCCI website is also available on the Rate and Code Updates – NCCI Updates web page on

Providers are encouraged to monitor the CMS website regularly for updates to the Medicaid NCCI rules and guidelines.

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