Skip to main content

Language Update for CSHCN Orthodontic Dental Services Effective April 1, 2026

Last updated on

On April 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will update the Children with Special Health Care Needs (CSHCN) Services Program Provider Manual in accordance with House Bill 4070, 89th Legislature, Regular Session, 2025. This update will align the CSHCN Services Program Provider Manual with Texas Health and Safety Code §431.024.

TMHP will add the following statements to the “Orthodontic Services” section of the CSHCN Services Program Provider Manual, Dental Handbook:

  • Orthodontic services should not be performed without an in-person examination and review of diagnostic imaging by a licensed dentist to ensure patient safety.
  • Dental providers must comply with mandated record retention and patient counseling standards.

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