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2025 CSHCN Release Notes

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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

April 2025 CSHCN Services Program Provider Manual Release Notes
ChapterRelated 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
ChapterRelated 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: PhysicianReplaced broken website link for the American Cleft Palate - Craniofacial Association.
February 2025 CSHCN Services Program Provider Manual Release Notes
ChapterRelated 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

2025 HCPCS Special Bulletin

Information posted December 31, 2024

Chapter 25: Laboratory Services

2025 HCPCS Special Bulletin

Information posted December 31, 2024

Chapter 28: Orthotic and Prosthetic Devices

2025 HCPCS Special Bulletin

Information posted December 31, 2024

Chapter 31: Physician

2025 HCPCS Special Bulletin

Information posted December 31, 2024

Chapter 40: Vision Services

2025 HCPCS Special Bulletin

Information posted December 31, 2024

January 2025 CSHCN Services Program Provider Manual Release Notes
ChapterRelated Articles and Notes
Chapter 4: Prior Authorizations and AuthorizationsUpdated the claims filing deadline calendar in section 4.1.
Chapter 5: Claims Filing, Third-Party Resources, and ReimbursementUpdated the filing deadline and holiday calendars in section 5.1.8.
Chapter 7: Appeals and Administrative ReviewUpdated the claims filing deadline calendar in sections 7.3 and 7.6.
Chapter 31: PhysicianFor 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."