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HCPCS Annual Update Coming January 2026

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On January 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will apply the 2026 Healthcare Common Procedure Coding System (HCPCS) additions, changes, and deletions. The updates will be effective for dates of service on or after January 1, 2026.

Deleted procedure codes will no longer be benefits of Texas Medicaid or the Children with Special Health Care Needs (CSHCN) Services Program.

Note: New benefits that are adopted by Texas Medicaid must undergo the rate hearing process to receive public comment on proposed reimbursement rates. After the rate hearing, Texas Medicaid must approve the expenditures before the rates can be adopted.

The 2026 information will be available on tmhp.com on January 1, 2026.

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