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2021 CSHCN Release Notes

Last updated on 10/15/2021

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.

October CSHCN Release Notes

No updates for October 2021.

 

September CSHCN Release Notes

Chapter

Related Articles and Notes

Chapter 31: Physician

Intraoperative Neurophysiology Monitoring Performed in Addition to Evoked Potential Tests for the CSHCN Services Program
Information posted August 13, 2021

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."

Chapter 38: Telecommunication Services

Telemonitoring Benefits to Change for the CSHCN Services Program September 1, 2021
Information posted July 16, 2021

 

August 2021 CSHCN Release Notes

Chapter

Related Articles and Notes

Chapter 14: Dental

Removed procedure code D1575 from this statement, "may be reimbursed for clients who are 1 year of age or older."

Chapter 31: Physician

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

Chapter

Related Articles and Notes

Chapter 14: Dental

CSHCN Dental Handbook Update Effective July 1, 2021
Information posted May 14, 2021

Chapter 31: Physician

Developmental Screening and Mental Health Screening Tools Added for CSHCN
Information posted June 4, 2021

 

June 2021 CSHCN Release Notes

Chapter

Related Articles and Notes

Chapter 31: Physician

Update to 2021 HCPCS Special Bulletin No. 19 for CSHCN Services Program Providers
Information posted April 9, 2021

 

May 2021 CSHCN Release Notes

Chapter

Related Articles and Notes

Chapter 2: Provider Enrollment and Responsibilities

Update to CSHCN Hospital and Physician Handbooks for Blood Factor Products
Information posted April 9, 2021

Chapter 14: Dental Added procedure code J0121 to the table of section 14.2.8.6, "Other Procedures Payable to a Dentist Physician."

Chapter 24: Hospital

Update to CSHCN Hospital and Physician Handbooks for Blood Factor Products
Information posted April 9, 2021

Chapter 31: Physician

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
Information posted April 9, 2021

 

April 2021 CSHCN Release Notes

Chapter

Related Articles and Notes

Chapter 2: Provider Enrollment and Responsibilities

New TMHP Contact Page Feature for Submitting Complaints in 2021
Information posted January 29, 2021

Chapter 14: Dental Removed procedure code J0715 from the table of section 14.2.8.6, "Other Procedures Payable to a Dentist Physician."

Chapter 31: Physician

Update to CSHCN Provider Manual for First-Line Wound Care Therapy
Information posted March 19, 2021

Procedure Code J1303 Age and Diagnosis Update for Ultomiris
Information posted March 1, 2021

Removed procedure code 90650 from the table of section 31.2.24.7, "Vaccine and Toxoid Procedure Codes."

 

March CSHCN Release Notes

Chapter

Related Articles and Notes

Chapter 31: Physician

Benefits for Wound Care Management Services to Change for the CSHCN Services Program March 1, 2021
Information posted February 19, 2021

Updated Benefit Criteria for CSHCN Evoked Response Tests and Neuromuscular Procedures
Information posted January 29, 2021

Effective March 1, 2021, Colorectal Cancer Screening Benefit Criteria to Change for CSHCN Services Program
Information posted January 15, 2021

Added note statement about 42 day global period to section 31.2.38.9, "Unlisted Surgical Procedure Code Considerations."

 

 

February 2021 CSHCN Release Notes

Chapter

Related Articles and Notes

Chapter 14: Dental

2021 HCPCS Special Bulletin
Information posted January, 2021

Revised and updated language for direct and indirect pulp caps in section 14.2.6.5.2, "Pulp Caps and Pulpotomy."

Chapter 19: Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC)

2021 HCPCS Special Bulletin
Information posted January, 2021

Chapter 20: Hearing Services

2021 HCPCS Special Bulletin
Information posted January, 2021

Chapter 25: Laboratory Services

2021 HCPCS Special Bulletin
Information posted January, 2021

Chapter 27: Neurostimulators and Neuromuscular Stimulators

2021 HCPCS Special Bulletin
Information posted January, 2021

Chapter 31: Physician

2021 HCPCS Special Bulletin
Information posted January, 2021

Growth Hormone Injection Benefits to Change for the CSHCN Services Program on February 1, 2021
Information posted December 18, 2020

Added note statement about 42 day global period to section 31.2.38.6, "Global Fees."

Chapter 38: Telecommunication Services

2021 HCPCS Special Bulletin
Information posted January, 2021

Chapter 40: Vision Services

2021 HCPCS Special Bulletin
Information posted January, 2021

 

January 2021 CSHCN Release Notes

Chapter

Related Articles and Notes

Chapter 4: Prior Authorizations and Authorizations

Updated filing deadline calendars and links in section 4.1, "General Information."

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."

Chapter 7: Appeals and Administrative Review

Updated filing deadline calendars and links in sections 7.3, "Claim Appeals," and 7.6, "Authorization and Filing Deadline Calendars."

Chapter 18: Expendable Medical Supplies

Benefit Criteria to Change for CSHCN Expendable Medical Supplies
Information posted November 13, 2020

Chapter 31: Physician

Benefit Criteria to Change for CSHCN Vaccines
Information posted November 13, 2020