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Reimbursement Rate Update for CSHCN Procedure Code E1032 Effective April 1, 2025

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Effective for dates of service on or after April 1, 2025, the Texas Medicaid and Healthcare Partnership (TMHP) will update the reimbursement rate for durable medical equipment (DME) (procedure code E1032) for the Children with Special Health Care Needs (CSHCN) Services Program.

Prior Authorization is required for procedure code E1032.

To view the updates, access the DME Procedure Code E1032 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-CSHCN Services Program Contact Center at 800-568-2413.