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 2022, see the 2022 Release Notes. 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 2022, see the 2022 Release Notes.
2023 November CSHCN Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 3: Client Benefits and Eligibility | Updated URL in section 3.1.2. |
Chapter 5: Claims Filing, Third-Party Resources, and Reimbursement | TMHP to Update Place of Service Code 10 Information posted September 22, 2023 |
Chapter 10: Augmentative Communication Devices (ACDs) | Updated URL in section 10.3. |
Chapter 11: Blood Pressure Monitoring and Devices | 2024 International Classification of Diseases, Tenth Revision (ICD-10) Special Bulletin Information posted September 28, 2023 |
Chapter 15: Diabetic Equipment and Supplies | 2024 International Classification of Diseases, Tenth Revision (ICD-10) Special Bulletin Information posted September 28, 2023 |
Chapter 25: Laboratory Services | 2024 International Classification of Diseases, Tenth Revision (ICD-10) Special Bulletin Information posted September 28, 2023 |
Chapter 27: Neurostimulators and Neuromuscular Stimulators | 2024 International Classification of Diseases, Tenth Revision (ICD-10) Special Bulletin Information posted September 28, 2023 |
Chapter 31: Physician | 2024 International Classification of Diseases, Tenth Revision (ICD-10) Special Bulletin Information posted September 28, 2023 Removed diagnosis code tables for procedure codes 94640, 94644, and 94645 as these codes are no longer diagnosis restricted. Added additional diagnosis codes D8481, D84821, D84822, and D8489 for procedure codes 94642 and J2545. Added additional diagnosis codes to the tables for procedure codes J7605, J7608, J7622, J7622, J7631, J7639, J7644, and J7682. Added diagnosis code N130 to the table of section 31.2.21, "Extracorporeal Shock Wave Lithotripsy (ESWL)." Added diagnosis codes C563 and C7963 to the table of section 31.2.26.8, "Bevacizumab." Added diagnosis code C847A to the table of payable diagnoses in section 31.2.26.10, "Epirubicin Hydrochloride." Added diagnosis codes C563, C7963, and C847A to the limitations column for procedure code J9207 in section 31.2.26.5, "Injection Procedure Codes." Added diagnosis codes C563, C7963, and C847A to the table of section 31.2.26.18, "Trastuzumab." Added diagnosis codes M1909, M1919, and M1929 to the table of section 31.2.26.19, "Triamcinolone Acetonide." Added diagnosis codes I2720, I2721, I2722, I2723, I2724, I2729, I2783, and P2930 to the limitations column for procedure code J1325 in section 31.2.26.5, "Injection Procedure Codes." Added diagnosis codes K5650, K5651, K5652, K56600, K56601, K56609, K56690, K56691, K56699, K9130, K9131, and K9132 to the limitations column for procedure code J2323 in section 31.2.26.5, "Injection Procedure Codes." Added diagnosis codes D6800, D6801, D68020, D68021, D68022, D68023, D68029, D6803, D6804, D6809, D75821, D75822, D75828, D75829, D75838, and D7584 to the limitations column for procedure code J7197 in section 31.2.26.5, "Injection Procedure Codes." Added diagnoses M060A, M068A, M45A0, M45A1, M45A2, M45A3, M45A4, M45A5, M45A6, M45A7, M45A8, and M45AB to the table of section 31.2.26.14, "Infliximab, Inflectra, and Renflexis." Replaced broken link in section 31.2.25.13, "Respiratory Syncytial Virus (RSV) Prophylaxis" to the Vendor Drug website. |
October 2023 CSHCN Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 1: TMHP and HHSC Contact Information | TMHP Live Chat Support Implementing September 5, 2023 Information posted July 21, 2023 |
Chapter 4: Prior Authorizations and Authorizations | Replaced broken hyperlink for CSHCN PA for Medical Nutritional Products. |
Chapter 13: Certified Respiratory Care Practitioner (CRCP) | Reminder: TMHP Provider Enrollment and Management System (PEMS) Information posted September 1, 2023 |
Chapter 21: Home Health Services | Replaced broken prior authorization form hyperlink in section 21.3.5.1, "Prior Authorization for Medical Nutritional Counseling Services." |
Chapter 26: Medical Nutrition Services | Reminder: TMHP Provider Enrollment and Management System (PEMS) Information posted September 1, 2023 |
Chapter 31: Physician | Reminder: TMHP Provider Enrollment and Management System (PEMS) Information posted September 1, 2023 Procedure Code J1559 to Become a Benefit of CSHCN Information posted July 25, 2023 |
September 2023 CSHCN Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 14: Dental | Benefits for CSHCN Dental Preventive Services to Change September 1, 2023 Information posted August 25, 2023 |
Chapter 19: Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) | Benefits for CSHCN Dental Preventive Services to Change September 1, 2023 Information posted August 25, 2023 |
Chapter 25: Laboratory Services | Removed procedure codes 80305, 80306, and 80307 and their relationships from table in section 25.2.5.1. Updated language for submitting CLIA certification in section 25.1.1. |
Chapter 35: Renal Dialysis | Renal Dialysis Benefits to Change for CSHCN September 1, 2023 Information posted July 14, 2023 |
August 2023 CSHCN Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 15: Diabetic Equipment and Supplies | Diabetic Equipment and Supplies Benefits to Change for CSHCN Services Program August 1, 2023 Information posted June 16, 2023 |
Chapter 31: Physician | Second Quarter 2023 HCPCS Updates for the CSHCN Services Program Information posted June 31, 2023 |
July 2023 CSHCN Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 1: TMHP and HHSC Contact Information | Updated TMHP address in section 1.1.2. |
Chapter 3: Client Benefits and Eligibility | Changed TMHP address in section 3.4. |
Chapter 4: Prior Authorizations and Authorizations | Changed TMHP address in sections 4.3, 4.3.2, and 4.4.10. |
Chapter 5: Claims Filing, Third-Party Resources, and Reimbursement | Changed TMHP address in sections 5.1.1 and 5.2.7. |
Chapter 6: Remittance and Status (R&S) Reports | Changed TMHP address in section 6.1.4.4 |
Chapter 7: Appeals and Administrative Review | Changed TMHP address in section 7.3.3. |
Chapter 24: Hospital | Changed TMHP address in section 24.2. |
Chapter 31: Physician | Removed the limitation language that requires procedure code 99358 to be billed with appropriate physician E/M code for non-face-to-face prolonged services. Added limitation language regarding non-face-to-face prolonged services less than 30 minutes. Removed one per day limitation statements for procedure codes 96372 and 96374 in sections 31.2.25.6, "Vaccine Administration," and 31.2.26.2, "Injection Administration Billed by a Physician." |
Chapter 37: Speech-Language Pathology (SLP) Services | Updated language in 37.2.1. |
June 2023 CSHCN Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 5: Claims Filing, Third-Party Resources, and Reimbursement | Updated POS table to match national POS codes in the eOPM. |
Chapter 14: Dental | Information added April 14, 2023 Information posted April 28, 2023 |
Chapter 21: Home Health Services | Home Health Benefits for the CSHCN Services Program to Change on June 1, 2023 Information posted April 14, 2023 |
Chapter 31: Physician | Update to Physician Chapter in CSHCN Services Program Provider Manual Information posted May 30, 2023 Information posted April 28, 2023 |
Chapter 33: Prescribed Pediatric Extended Care Centers | Home Health Benefits for the CSHCN Services Program to Change on June 1, 2023 Information posted April 14, 2023 |
May 2023 CSHCN Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 14: Dental | Information posted March 17, 2023 Updated the benefit imitations for procedure code D4381 in section 14.2.6.6, "Periodontics." |
Chapter 20: Hearing Services | Information posted March 17, 2023 |
Chapter 25: Laboratory Services | Updated CLIA certification information in section 25.1.1. |
Chapter 31: Physician | First Quarter 2023 HCPCS Updates for the CSHCN Services Program Information posted March 30, 2023 Revised website link updated as www.aasm.org. |
April 2023 CSHCN Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 3: Client Benefits and Eligibility | Updated PAF link throughout handbook to be correct link and made language changes to update associated website from TMHP to HHS. |
Chapter 14: Dental | Update to TMPPM and CSHCN Services Program Provider Manual for Dental Procedure Code D2910 Information posted February 10, 2023 |
Chapter 16: Diagnostic Radiology Services | Removed procedure codes Q9956 and Q9957 from section 16.2.10.1. |
Chapter 25: Laboratory Services | Updated limitation for procedure code 88273 in section 25.2.5.2. |
Chapter 31: Physician | For consistency and accuracy, removed and updated some benefit limitation statements in section 31.2.18.6, "Prolonged Physician Services." |
March 2023 CSHCN Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 17: Durable Medical Equipment (DME) | Information posted January 27, 2023 |
January 2023 CSHCN Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 4: Prior Authorizations and Authorizations | Updated the filing deadline calendars in section 4.1. |
Chapter 5: Claims Filing, Third-Party Resources, and Reimbursement | Updated the holiday calendar in section 5.1.8; Updated the claims filing deadline calendar links in sections 5.1.8 and 5.5. |
Chapter 7: Appeals and Administrative Review | Updated the Authorization Filing Calendar in section 7.3. |
Chapter 31: Physician | Information posted November 11, 2022 Injection Procedure Codes J2020 and J2250 Now a Benefit of the CSHCN Services Program Information posted December 6, 2022 |