The following tables show the section and handbooks that were changed in the CSHCN Services Program Provider Manual. The changes are listed in reverse chronological order (newest first).
To see the changes made in 2020, see the 2020 Release Notes.
December 2021 CSHCN Release Notes |
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Chapter |
Related Articles and Notes |
Updated website in section 3.5 from chipmedicaid.com to insurekidsnow.gov. |
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TPI Number Removed from CSHCN Services Program Forms and Instructions, Effective September 1, 2021 Updated URL for CSHCN Services Program Prior Authorization Request for Medical Nutritional Services in section 4.4.1. |
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Chapter 5: Claims Filing, Third-Party Resources, and Reimbursement |
Coming Soon: TPI Number to be Removed From Prior Authorization Forms and Claim Forms, Effective September 1, 2021 |
Removed reference to Texas Provider Identifier (TPI) in section 21.2.1.2, "Plan of Care (POC)." |
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Removed reference to Texas Provider Identifier (TPI) in section 23.2.1.3. |
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Replaced reference to provider identifier with NPI in section 24.3.1.1. |
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Replaced physician provider identifier with NPI; removed CSHCN Services Program provider identifier in section 25.4.2. TPI Number Removed from CSHCN Services Program Forms and Instructions, Effective September 1, 2021 |
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Changed provider identifier to NPI in section 29.1.1; changed CSHCN Provider Identifier to NPI in section 29.2.4. |
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Added references to National Provider Identifier (NPI) to section 31.2.38.4.4, "Reduction Mammaplasty." Added references to National Provider Identifier (NPI) to subsection 31.2.12.2.3, "Non-Face-to-Face Specialist or Subspecialist Telephone Consultations." |
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Removed the references to Texas Provider Identifier (TPI) in section 33.2.1.1, "Initial Prior Authorization Requests." |
November 2021 CSHCN Release Notes |
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Chapter |
Related Articles and Notes |
ICD-10 Special Bulletin |
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Statement updated regarding the extensions on allowed timeframes. |
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ICD-10 Special Bulletin |
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CSHCN Prior Authorization Request for Medical Nutritional Products Form and Instructions Effective November 1, 2021 Benefit Updates for CSHCN Medical Nutritional Products Effective November 1, 2021 |
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Third Quarter 2021 HCPCS Updates for the CSHCN Services Program |
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ICD-10 Special Bulletin |
October 2021 CSHCN Release Notes |
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No updates for October 2021. |
September 2021 CSHCN Release Notes |
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Chapter |
Related Articles and Notes |
Intraoperative Neurophysiology Monitoring Performed in Addition to Evoked Potential Tests for the CSHCN Services Program Revised casting limitation statement in section 31.2.10, "Casting." Removed procedure code 29220 from the “Body and upper extremity strapping” section, added procedure codes 29799 to the “Body and upper extremity strapping” section, and procedure code 29580 to the “Lower extremity strapping’ section in the table of section 31.2.10, "Casting." |
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Telemonitoring Benefits to Change for the CSHCN Services Program September 1, 2021 |
August 2021 CSHCN Release Notes |
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Chapter |
Related Articles and Notes |
Removed procedure code D1575 from this statement, "may be reimbursed for clients who are 1 year of age or older." |
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Added limitation statement for panniculectomy and abdominoplasty procedure codes 15830 and 15847 to subsection 31.2.38.7.3, "Panniculectomy and Abdominoplasty." |
July 2021 CSHCN Release Notes |
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Chapter |
Related Articles and Notes |
CSHCN Dental Handbook Update Effective July 1, 2021 |
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Developmental Screening and Mental Health Screening Tools Added for CSHCN |
June 2021 CSHCN Release Notes |
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---|---|
Chapter |
Related Articles and Notes |
Update to 2021 HCPCS Special Bulletin No. 19 for CSHCN Services Program Providers |
May 2021 CSHCN Release Notes |
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Chapter |
Related Articles and Notes |
Update to CSHCN Hospital and Physician Handbooks for Blood Factor Products |
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Chapter 14: Dental | Added procedure code J0121 to the table of section 14.2.8.6, "Other Procedures Payable to a Dentist Physician." |
Update to CSHCN Hospital and Physician Handbooks for Blood Factor Products |
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Removed procedure code J1560 from the tables of section 31.2.25.14, "Immune Globulins." Update to CSHCN Hospital and Physician Handbooks for Blood Factor Products |
April 2021 CSHCN Release Notes |
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Chapter |
Related Articles and Notes |
New TMHP Contact Page Feature for Submitting Complaints in 2021 |
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Chapter 14: Dental | Removed procedure code J0715 from the table of section 14.2.8.6, "Other Procedures Payable to a Dentist Physician." |
Update to CSHCN Provider Manual for First-Line Wound Care Therapy Procedure Code J1303 Age and Diagnosis Update for Ultomiris Removed procedure code 90650 from the table of section 31.2.24.7, "Vaccine and Toxoid Procedure Codes." |
March CSHCN Release Notes |
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Chapter |
Related Articles and Notes |
Benefits for Wound Care Management Services to Change for the CSHCN Services Program March 1, 2021 Updated Benefit Criteria for CSHCN Evoked Response Tests and Neuromuscular Procedures Effective March 1, 2021, Colorectal Cancer Screening Benefit Criteria to Change for CSHCN Services Program Added note statement about 42 day global period to section 31.2.38.9, "Unlisted Surgical Procedure Code Considerations."
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February 2021 CSHCN Release Notes |
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Chapter |
Related Articles and Notes |
2021 HCPCS Special Bulletin Revised and updated language for direct and indirect pulp caps in section 14.2.6.5.2, "Pulp Caps and Pulpotomy." |
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Chapter 19: Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) |
2021 HCPCS Special Bulletin |
2021 HCPCS Special Bulletin |
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2021 HCPCS Special Bulletin |
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2021 HCPCS Special Bulletin |
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2021 HCPCS Special Bulletin Growth Hormone Injection Benefits to Change for the CSHCN Services Program on February 1, 2021 Added note statement about 42 day global period to section 31.2.38.6, "Global Fees." |
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2021 HCPCS Special Bulletin |
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2021 HCPCS Special Bulletin |
January 2021 CSHCN Release Notes |
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Chapter |
Related Articles and Notes |
Updated filing deadline calendars and links in section 4.1, "General Information." |
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Chapter 5: Claims Filing, Third-Party Resources, and Reimbursement |
Updated filing deadline calendars and links in sections 5.1.8, "Claims Filing Deadlines," and 5.5, "Correction and Resubmission (Appeal) Time Limits." |
Updated filing deadline calendars and links in sections 7.3, "Claim Appeals," and 7.6, "Authorization and Filing Deadline Calendars." |
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Benefit Criteria to Change for CSHCN Expendable Medical Supplies |
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Benefit Criteria to Change for CSHCN Vaccines |