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Reimbursement Rate Updates for HCPCS Drug Procedure Code J8502 Effective April 1, 2026

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The Texas Medicaid & Healthcare Partnership (TMHP) has revised the reimbursement rates for Healthcare Common Procedure Coding System (HCPCS) drug procedure code J8502 for the Children with Special Health Care Needs (CSHCN) Services Program.

The new rate is effective for all claims with dates of service on or after April 1, 2026.

Providers can view the updates in the Drug Procedure Code J8502 spreadsheet.

Claims Reprocessing

TMHP will identify and reprocess any claims that have been affected by this update. Any adjustments to claims reimbursement amounts will appear in future Remittance and Status (R&S) Reports.

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