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Reimbursement Rates for the 2022 Annual HCPCS Procedure Codes Implemented for the CSHCN Services Program

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Effective June 28, 2022, for dates of service on or after January 1, 2022, reimbursement rates for some 2022 Healthcare Common Procedure Coding System (HCPCS) procedure codes will be implemented for the Children with Special Health Care Needs (CSHCN) Services Program.

Effective for Dates of Service On or After January 1, 2022

The annual HCPCS procedure codes that will be implemented are listed in the following tables:

The Texas Medicaid & Healthcare Partnership (TMHP) will automatically reprocess affected claims if any are identified; providers are not required to appeal the claims unless they are denied for additional reasons after the claims reprocessing is complete.

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