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2026 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 2025, see the 2025 Release Notes.

2026 July CSHCN Services Program Provider Manual Release Notes
ChapterRelated Articles and Notes
Chapter 4: Prior Authorizations and AuthorizationsUpdated reference and link in section 4.4.6.
Chapter 31: PhysicianAdded limitation statement related to reimbursement for wound debridement and Unna boot strapping to section 31.2.43.1.1, "Compression." Made grammatical and formatting updates in subsection 31.2.43.2.2, "Application of Metabolically Active Skin Equivalents and Wound Preparation."
Chapter 40: Vision ServicesMinor updates to language.
2026 June CSHCN Services Program Provider Manual Release Notes
ChapterRelated Articles and Notes
Chapter 14: DentalIn the table of subsection 14.2.6.9, "Adjunctive General Services," the limitation was updated for procedure code D9952 to "may be reimbursed once per lifetime, any provider."
Chapter 17: Durable Medical Equipment (DME)

Update to Seating Assessment Benefits for the CSHCN Services Program Effective May 1, 2026

Information posted May 8, 2026

Chapter 27: Neurostimulators and Neuromuscular Stimulators

First Quarter 2026 HCPCS Updates for the CSHCN Services Program

Information posted March 31, 2026

Chapter 28: Orthotic and Prosthetic Devices

First Quarter 2026 HCPCS Updates for the CSHCN Services Program

Information posted March 31, 2026

Chapter 31: Physician

June 2026 CSHCN Services Program Provider Manual Updates for “Physician” Chapter

Information posted April 17, 2026

Procedure Code Q5135 Updated to Include Valid Diagnosis Code M0529

Information posted May 29, 2026

Chapter 34: Radiation Therapy Services

Update to the CSHCN Services Program Provider Manual for Radiation Therapy Services

Information posted April 17, 2026

Chapter 41: TMHP Electronic Data Interchange (EDI)Removed information about Secure Sockets Layer (SSL) and Virtual Private Network (VPN) connections and replaced it with Single File Transfer Protocol (SFTP).
2026 May CSHCN Services Program Provider Manual Release Notes
ChapterRelated Articles and Notes
Chapter 1: TMHP and HHSC Contact InformationUpdated contact information and fixed a broken URL.
Chapter 3: Client Benefits and EligibilityUpdated URL throughout handbook for the CSHCN Services Program Physician/Dentist Assessment Form.
Chapter 14: DentalReplaced link for the First Dental Home webpage in subsection 14.2.3.5, "First Dental Home."
Chapter 28: Orthotic and Prosthetic Devices

First Quarter 2026 HCPCS Updates for the CSHCN Services Program

Information posted March 31, 2026

Added "this list is not all inclusive" to the statement in section 28.4.2, "Prostheses Procedure Codes," as not all of the procedure codes within the table are payable to all provider types.

April 2026 CSHCN Services Program Provider Manual Release Notes
ChapterRelated Articles and Notes
Chapter 14: Dental

Language Update for CSHCN Orthodontic Dental Services Effective April 1, 2026

Information posted January 30, 2026

Update to TMPPM and the CSHCN Services Program Provider Manual for Texas Health Steps and CSHCN Dental Anesthesia Services

Information posted January 30, 2026

Chapter 20: Hearing ServicesRemoved procedure code descriptions for 92636 and 92637 from section 20.2.5.
Chapter 31: Physician

Limitation Update to the CSHCN Services Program Provider Manual for Immune Globulins

Information posted January 30, 2026

In the table of section 31.2.26.19, "Tocilizumab-aazg (Tyenne)" moved diagnosis code M0259 to the beginning of the table to be in numeric order.

March 2026 CSHCN Services Program Provider Manual Release Notes
ChapterRelated Articles and Notes
Chapter 14: Dental2026 HCPCS Special Bulletin
Chapter 16: Diagnostic Radiology Services2026 HCPCS Special Bulletin
Chapter 18: Expendable Medical Supplies2026 HCPCS Special Bulletin
Chapter 19: Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC)2026 HCPCS Special Bulletin
Chapter 20: Hearing Services2026 HCPCS Special Bulletin
Chapter 24: HospitalRemoved procedure code J1642 from table in section 24.3.7.1.
Chapter 25: Laboratory Services2026 HCPCS Special Bulletin
Chapter 27: Neurostimulators and Neuromuscular Stimulators2026 HCPCS Special Bulletin
Chapter 31: Physician2026 HCPCS Special Bulletin
Chapter 34: Radiation Therapy Services2026 HCPCS Special Bulletin
Chapter 35: Renal Dialysis

2026 HCPCS Special Bulletin

Removed end-dated procedure codes J0606, J0887, J1642, and J0636.

February 2026 CSHCN Services Program Provider Manual Release Notes
ChapterRelated Articles and Notes
Chapter 17: Durable Medical Equipment (DME)

CSHCN Update for Durable Medical Equipment Handbook Effective February 1, 2026

Information posted December 5, 2025

Chapter 36: Respiratory Equipment and Supplies

CSHCN Update for Durable Medical Equipment Handbook Effective February 1, 2026

Information posted December 5, 2025

January 2026 CSHCN Services Program Provider Manual Release Notes
ChapterRelated Articles and Notes
Chapter 4: Prior Authorizations and AuthorizationsUpdated claims filing deadline calendar links.
Chapter 5: Claims Filing, Third-Party Resources, and ReimbursementUpdated claims filing holiday calendar and claims filing deadline calendar links.
Chapter 7: Appeals and Administrative ReviewUpdated claims filing deadline calendar links.
Chapter 41: TMHP Electronic Data Interchange (EDI)

TMHP EDI Onboarding and Testing Changes Effective December 31, 2025

Information posted December 23, 2025