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Limitation Update to the CSHCN Services Program Provider Manual for Immune Globulins

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On April 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will update the Children with Special Health Care Needs (CSHCN) Services Program Provider Manual, Chapter 31, “Physician,” subsection 31.2.26.13, “Immune Globulins.”

TMHP will make the following update:

If procedure codes J1571, J1573, and 90371 are billed on the same date of service by any provider, only one may be reimbursed.

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