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 2024, see the 2024 Release Notes.
August 2025 CSHCN Services Program Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 14: Dental | Second Quarter 2025 HCPCS Updates for the CSHCN Services Program Information posted July 1, 2025 |
Chapter 25: Laboratory Services | Claims Reprocessing and QW Modifier Required for CLIA Procedure Code 87430 Information posted July 30, 2025 CLIA Updates and Claims Reprocessing for Some Procedure Codes Information posted July 30, 2025 |
Chapter 28: Orthotic and Prosthetic Devices | New Prosthesis Benefits for the CSHCN Services Program Effective July 1, 2025 Information posted July 25, 2025 |
Chapter 35: Renal Dialysis | Second Quarter 2025 HCPCS Updates for the CSHCN Services Program Information posted July 1, 2025 |
July 2025 CSHCN Services Program Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 19: Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) | Modifiers U1 and U2 Required for Certain Claims Submitted with Procedure Code T1015 by RHC Providers Information posted June 20, 2025 Grammatical updates made. Changed some wording to lowercase and capitalized all letters in the acronym for LPN and LVN. In section 19.2.4, "Behavioral Health Services," capitalization update made within table title, abbreviated licensed professional counselor and licensed marriage and family therapist as it is spelled out in a previous section. |
Chapter 28: Orthotic and Prosthetic Devices | Added letter "O" to the acronym to align with the full spell out of the name Thoracic-Hip-Knee-Ankle Orthoses (THKAO). |
June 2025 CSHCN Services Program Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 14: Dental | First Quarter 2025 HCPCS Updates for the CSHCN Services Program Information posted March 31, 2025 |
Chapter 17: Durable Medical Equipment (DME) | First Quarter 2025 HCPCS Updates for the CSHCN Services Program Information posted March 31, 2025 |
Chapter 28: Orthotic and Prosthetic Devices | First Quarter 2025 HCPCS Updates for the CSHCN Services Program Information posted March 31, 2025 |
Chapter 31: Physician | Removal of Certain Drugs from the CSHCN Services Program Provider Manual on June 13, 2025 Information posted April 18, 2025 First Quarter 2025 HCPCS Updates for the CSHCN Services Program Information posted March 31, 2025 |
Chapter 35: Renal Dialysis | First Quarter 2025 HCPCS Updates for the CSHCN Services Program Information posted March 31, 2025 |
Appendix A: Acronyms | Updated acronym list to match currently in use acronyms. |
May 2025 CSHCN Services Program Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 14: Dental | Dental Implant Services Procedure Codes No Longer a Benefit for CSHCN Services Program Information posted March 7, 2025 |
Chapter 31: Physician | First Quarter 2025 HCPCS Updates for the CSHCN Services Program Information posted March 31, 2025 |
April 2025 CSHCN Services Program Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 15: Diabetic Equipment and Supplies | Policy updated to update the long descriptions of procedure codes A4231, A4253, A4256, A6257, and A9150 to align with the current coding book. Diabetic Supply Updates for the CSHCN Services Program Effective April 1, 2025 Information posted February 21, 2025 |
Chapter 18: Expendable Medical Supplies | Update to Expendable Medical Supplies Chapter in the CSHCN Services Program Provider Manual Information posted February 14, 2025 |
March 2025 CSHCN Services Program Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 14: Dental | Replaced broken website link for the American Cleft Palate - Craniofacial Association. In the table of subsection 14.2.6.7.3, "Fixed Prosthodontics," removed "Limitations" in the title as there are not any limitations within the table. Removed procedure code J2510 from the policy as it is being made not a benefit for Texas Medicaid. |
Chapter 31: Physician | Replaced broken website link for the American Cleft Palate - Craniofacial Association. |
February 2025 CSHCN Services Program Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 2: Provider Enrollment and Responsibilities | Reporting for Collection of Information on Hospital Costs Related to Immigration Status Information posted August 28, 2024 |
Chapter 14: Dental | Information posted December 31, 2024 |
Chapter 25: Laboratory Services | Information posted December 31, 2024 |
Chapter 28: Orthotic and Prosthetic Devices | Information posted December 31, 2024 |
Chapter 31: Physician | Information posted December 31, 2024 |
Chapter 40: Vision Services | Information posted December 31, 2024 |
January 2025 CSHCN Services Program Provider Manual Release Notes | |
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Chapter | Related Articles and Notes |
Chapter 4: Prior Authorizations and Authorizations | Updated the claims filing deadline calendar in section 4.1. |
Chapter 5: Claims Filing, Third-Party Resources, and Reimbursement | Updated the filing deadline and holiday calendars in section 5.1.8. |
Chapter 7: Appeals and Administrative Review | Updated the claims filing deadline calendar in sections 7.3 and 7.6. |
Chapter 31: Physician | For procedure code J9025, added diagnosis code C9200, and for procedure code J1303, added diagnosis code G360 to the table of section 31.2.26.5, "Injection Procedure Codes." |