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Reimbursement Rate Updates for Certain CSHCN HCPCS Drug Procedure Codes Effective January 1, 2024

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Effective for dates of service on or after January 1, 2024, reimbursement rate updates for the 2024 annual Healthcare Common Procedure Coding System (HCPCS) drug procedure codes will be implemented for the Children with Special Health Care Needs (CSHCN) Services Program.

The Texas Medicaid & Healthcare Partnership (TMHP) will reprocess any affected claims that are identified. Providers are not required to appeal the claims unless they are denied for additional reasons after reprocessing is completed.

To view the updates, access the Drug Procedure Codes spreadsheet.

For more information, call the TMHP Contact Center at 800-925-9126.