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Removal of Certain Drugs from the CSHCN Services Program Provider Manual on June 13, 2025

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On June 13, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) will remove the following procedure codes from the CSHCN Services Program Provider Manual, subsection 31.2.26.5, “Injection Procedure Codes”:

  • Procedure code J0691 – currently does not have a rebate-eligible National Drug Code (NDC).
  • Procedure code J9313 – will no longer have a rebate-eligible NDC, effective June 1, 2025.

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