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Reimbursement Rate Updates for Certain CSHCN HCPCS Procedure Codes Effective September 1, 2026

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Effective for dates of service on or after September 1, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will implement reimbursement rate updates for certain Healthcare Common Procedure Coding System (HCPCS) procedure codes for the Children with Special Health Care Needs (CSHCN) Services Program.

Providers can view the third quarter HCPCS updates in the following spreadsheets:

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