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2022 TMPPM Release Notes

Last updated on 1/4/2023

The following tables show the section and handbooks that were changed in the Texas Medicaid Provider Procedures Manual. The changes are listed in reverse chronological order (newest first).

For changes that were made in 2021, see the 2021 Release Notes.

December 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Volume 1: Appendix A: State, Federal, and TMHP Contact Information	TPI Number Removed From Claim Forms, EDI Forms, and Instructions: Transition Period Ending November 30, 2021 Information posted November 12, 2021
Volume 1: Appendix C: Acronym Dictionary	TPI Number Removed From Claim Forms, EDI Forms, and Instructions: Transition Period Ending November 30, 2021 Information posted November 12, 2021
Outpatient Drug Services Handbook	Prior Authorization Criteria to Be Added for Ciltacabtagene Autoleucel (Carvykti) Procedure Code Q2056 Information posted November 4, 2022 Prior Authorization Criteria to Change for Crizanlizumab-tmca (Adakveo) Effective December 1, 2022 Information posted October 14, 2022
School Health and Related Services (SHARS) Handbook	Clarification for Some SHARS Benefit Information Information posted November 9, 2022

November 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Behavioral Health and Case Management Services Handbook	2022 ICD-10 Special Bulletin
Children’s Services Handbook: Appendix B: Immunizations	Reimbursement Rate Updates for Some Texas Medicaid Procedure Codes Effective July 1, 2020 Information posted November 3, 2020
Children’s Services Handbook: Medical services (Sections 1-3 and 5-9)	Reimbursement Rate Updates for Some Texas Medicaid Procedure Codes Effective July 1, 2020 Information posted November 3, 2020
Children’s Services Handbook: THSteps Dental services (Section 4)	TMPPM Update for Therapeutic Dental Procedure Codes D9248 and D9612 Information posted September 16, 2022
Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook	2022 ICD-10 Special Bulletin Third Quarter 2022 HCPCS Updates for Texas Medicaid Information posted September 30, 2022
Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook	Added date of service language to section 4.1.14.
Inpatient and Outpatient Hospital Services Handbook	2022 ICD-10 Special Bulletin
Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook	2022 ICD-10 Special Bulletin Reimbursement Rate Updates for Some Texas Medicaid Procedure Codes Effective July 1, 2020 Information posted November 3, 2020
Outpatient Drug Services Handbook	Additional Criteria for Prior Authorization of Onasemnogene Abeparvovec-xioi (Zolgensma) Information posted September 23, 2022 Third Quarter 2022 HCPCS Updates for Texas Medicaid Information posted September 30, 2022 Age and Diagnosis Restriction Updates for Cabotegravir and Rilpivirine (Cabenuva) and Pegaspargase (Oncaspar) Information posted September 30, 2022
Radiology and Laboratory Services Handbook	Third Quarter 2022 HCPCS Updates for Texas Medicaid Information posted September 30, 2022
School Health and Related Services (SHARS) Handbook	Moved section Random Moment Time Study (RMTS) after section 2.7.2.5, Quarterly Certification of Funds. Reorganized information within some sections, updated provider type information in some tables, and made minor language revisions to some statements. Changed "school district" to LEA. Added Student Population column to the Audiology procedure code table. Created tables for some statements within the sections Audiology Services, Nursing Services, Occupational Therapy Services, Speech Therapy Services, Personal Care Services, Physical Therapy Services, and Psychological Services. Modifier 93 added to the procedure code table Synchronous Telephone (Audio-Only) Technology. Modifier 95 added to the procedure code table Synchronous Audiovisual Technology.
Vision and Hearing Services Handbook	2022 ICD-10 Special Bulletin

October 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Volume 1: Section 6: Claims Filing	Updated Instructions and Resubmission Guidelines for UB-04 CMS 1450 Paper Claims Information posted July 1, 2022 Removed 1- from phone numbers.
Volume 1: Section 7: Appeals	TPI Number Removed From Claim Forms, EDI Forms, and Instructions, Effective September 1, 2021 Information posted September 1, 2021 Removed 1- from phone numbers.
Behavioral Health and Case Management Services Handbook	Fixed typos; Removed 1- from phone numbers.
Children’s Services Handbook: Medical services (Sections 1-3 and 5-9)	Reminder: TMHP Provider Enrollment and Management System (PEMS) Information posted September 7, 2022
Clinics and Other Outpatient Facility Services Handbook	Reminder: TMHP Provider Enrollment and Management System (PEMS) Information posted September 7, 2022
Medicaid Managed Care Handbook	Removed 1- from phone numbers. Changed language in section 2.1.3.2 to be Service Coordination instead of service management; changed TMHP to MCO in table in section 8. TPI Number Removed From Claim Forms, EDI Forms, and Instructions, Effective September 1, 2021 Information posted September 1, 2021
Outpatient Drug Services Handbook	Update to TMPPM Outpatient Drug Services Handbook October 2022 Information posted September 23, 2022
School Health and Related Services (SHARS) Handbook	SHARS Benefits to Change for Texas Medicaid October 1, 2022 Information posted August 12, 2022

September 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Volume 1: Section 5: Fee-for-Service Prior Authorizations	TPI Number Removed from Medicaid Prior Authorization Forms, Instructions, and Consent Forms, Effective September 1, 2021 Information posted September 1, 2021
Volume 1: Section 6: Claims Filing	New Occurrence Span Code and Revenue Code for Acute Hospital Care at Home Programs Information posted July 8, 2022
Volume 1: Section 8: Third Party Liability (TPL)	Update to "Reminder: TPI Number to be Removed From Prior Authorization Forms, Claim Forms and Instructions, Effective September 2, 2021" Information posted September 1, 2021
Ambulance Services Handbook	Emergency Triage, Treat, and Transport Benefits for Ambulance Services Effective September 1, 2022 Information posted August 4, 2022 Added language about emergency transport to facility criteria to section 2.2.1.
Behavioral Health and Case Management Services Handbook	Changes to Case Management for Children and Pregnant Women, Including Teleservices, Effective September 1, 2022 Information posted July 18, 2022 HB4: Behavioral Health Services Delivered by Telemedicine or Telehealth Effective September 1, 2022 Information posted July 15, 2022 Changed hours in section 3.1.2; removed CPW address and letter request from section 3.2; updated service and contact code information in table in section 3.3; removed DSHS from section 3.3.1; changed contact information in section 3.4.1.
Children’s Services Handbook: Appendix F: THSteps Quick Reference Guide	Benefit Criteria to Change for Vaccine Services Effective September 1, 2022 Information posted July 15, 2022
Children’s Services Handbook: Medical services (Sections 1-3 and 5-9)	Texas Health Steps Preventive Care Medical Checkups Through Synchronous Audiovisual or Synchronous Telephone (Audio-only) to Be Allowed During a State of Disaster Information posted July 15, 2022 Benefit Criteria to Change for Vaccine Services Effective September 1, 2022 Information posted July 15, 2022 HB4 PT, OT, ST, and Related Durable Medical Equipment Services: Telehealth and Exclusions Information posted July 15, 2022 Telehealth Services for the Early Childhood Intervention Program Information posted July 15, 2022 Medical Nutrition Counseling Policy Updated to Allow Procedure Code S9470 Through Synchronous Telephone (Audio-Only) Technologies Delivery Information posted July 15, 2022
Clinics and Other Outpatient Facility Services Handbook	Benefit Criteria to Change for Vaccine Services Effective September 1, 2022 Information posted July 15, 2022
Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook	HB4 PT, OT, ST, and Related Durable Medical Equipment Services: Telehealth and Exclusions Information posted July 15, 2022
Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook	Synchronous Audiovisual Telemedicine Delivery for Certain Physician Evaluation and Management Procedure Codes Effective September 1, 2022 Information posted July 15, 2022
Healthy Texas Women (HTW) Program Handbook	Telemedicine and Telehealth Services for the HTW and HTW Plus Programs Information posted July 15, 2022 Benefit Criteria to Change for Vaccine Services, Effective September 1, 2022 Information posted July 15, 2022
Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook	Benefit Criteria to Change for Vaccine Services Effective September 1, 2022 Information posted July 15, 2022 Negative Pressure Wound Therapy to Become a Benefit Effective September 1, 2022 Information posted July 15, 2022 Synchronous Audiovisual Telemedicine Delivery for Certain Physician Evaluation and Management Procedure Codes Effective September 1, 2022 Information posted July 15, 2022 Update to “TMPPM Update for Initial Hospital Care Visit” Web Article Information posted July 20, 2022
Outpatient Drug Services Handbook	Prior Authorization Criteria to Change for Some CAR T-Cell Infusion Therapies Effective September 1, 2022 Information posted August 19, 2022 Brexanolone (Zulresso) Age Limitation Expanded Effective September 1, 2022 Information posted July 29, 2022 Indications for Abatacept (Orencia) to Change for Texas Medicaid September 1, 2022 Information posted August 5, 2022 Procedure Code J3031 to Become a Payable Benefit Effective September 1, 2022 Information posted July 12, 2022
Physical Therapy, Occupational Therapy, and Speech Therapy Services Handbook	HB4 PT, OT, ST, and Related Durable Medical Equipment Services: Telehealth and Exclusions Information posted July 15, 2022
Telecommunication Services Handbook	Telemedicine and Telehealth Benefit Information to Be Updated September 1, 2022 Information posted July 15, 2022

August 2022 TMPPM Manual Release Notes
Handbook	Related Articles and Notes
Volume 1: Section 1: Provider Enrollment and Responsibilities	Beginning April 7, 2022, Occupational Therapist Providers Can Enroll as Groups and Performing Providers Within a Group Information posted April 1, 2022 Reminder: TMHP Provider Enrollment and Management System (PEMS) Information posted March 1, 2022
Volume 1: Section 2: Texas Medicaid Fee-for-Service Reimbursement	Update to “Reminder: TPI Number to be Removed from Prior Authorization Forms, Claims Forms and Instructions, Effective September 1, 2021” Information posted September 1, 2021
Volume 1: Section 4: Client Eligibility	Update to “Reminder: TPI Number to be Removed from Prior Authorization Forms, Claims Forms and Instructions, Effective September 1, 2021” Information posted September 1, 2021
Volume 1: Section 6: Claims Filing	Update to “Reminder: TPI Number to be Removed from Prior Authorization Forms, Claims Forms and Instructions, Effective September 1, 2021” Information posted September 1, 2021
Volume 1: Section 7: Appeals	Update to “Reminder: TPI Number to be Removed from Prior Authorization Forms, Claims Forms and Instructions, Effective September 1, 2021” Information posted September 1, 2021
Volume 1: Appendix A: State, Federal, and TMHP Contact Information	Update to “Reminder: TPI Number to be Removed from Prior Authorization Forms, Claims Forms and Instructions, Effective September 1, 2021” Information posted September 1, 2021
Ambulance Services Handbook	Replaced provider identifier with NPI + taxonomy code in sections 2.1 and 2.4.3.2, replaced provider identifier with NPI in sections 2.4.1 and 2.4.4.2.
Behavioral Health and Case Management Services Handbook	Update to “Reminder: TPI Number to be Removed from Prior Authorization Forms, Claims Forms and Instructions, Effective September 1, 2021” Information posted September 1, 2021
Children’s Services Handbook: Medical services (Sections 1-3 and 5-9)	Reminder: TMHP Provider Enrollment and Management System (PEMS) Information posted March 1, 2022 Replaced references to Texas Provider Identifier (TPI) with references to National Provider Identifier (NPI).
Children’s Services Handbook: THSteps Dental services (Section 4)	TMPPM Update for Dental Procedure Code D0470 Information posted June 17, 2022 Replaced reference to Texas Provider Identifier (TPI) and provider identifier with a reference to National Provider Identifier (NPI). Added limitation statement to the Limitations section of the table for procedure code D8670.
Clinics and Other Outpatient Facility Services Handbook	End-Stage Renal Disease Procedure Code E1629 to Become a Benefit Information posted July 22, 2022 Replaced reference to Texas Provider Identifier (TPI) and provider identifier with a reference to National Provider Identifier (NPI).
Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook	Prior Authorization Forms are Being Updated Effective September 1, 2021 Information posted August 24, 2021 Updated maximum limit for codes E1050, E1060, E1070, E1100, E1110 in table in section 2.2.17.31.
Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook	Prior Authorization Forms are Being Updated Effective September 1, 2021 Information posted August 24, 2021
Healthy Texas Women (HTW) Program Handbook	Reminder: TMHP Provider Enrollment and Management System (PEMS) Information posted March 1, 2022
Home Health Nursing and Private Duty Nursing Services Handbook	Replaced reference to provider identifier with a reference to National Provider Identifier (NPI).
Inpatient and Outpatient Hospital Services Handbook	Update to “Reminder: TPI Number to be Removed from Prior Authorization Forms, Claims Forms and Instructions, Effective September 1, 2021” Information posted September 1, 2021
Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook	Update to “Reminder: TPI Number to be Removed from Prior Authorization Forms, Claims Forms and Instructions, Effective September 1, 2021” Information posted September 1, 2021 Replaced references to Texas Provider Identifier (TPI) with references to National Provider Identifier (NPI).
Outpatient Drug Services Handbook	Specialist Requirements Removed for Some CADs Effective August 1, 2022 Information posted July 15, 2022 Second Quarter 2022 HCPCS Updates for Texas Medicaid Information posted June 22, 2022 Prior Authorization Criteria Added for Tezepelumab-ekko (Tezspire) Procedure Code J2356 Effective August 1, 2022 Information posted July 22, 2022 Diagnosis Restriction for Afamelanotide Implant for Texas Medicaid Information posted June 17, 2922 Renumbered some sections and moved the Vitamin and Mineral Products section. Added new section for Mosquito Repellent. Removed the Amifostine section with procedure code J0207.
Radiology and Laboratory Services Handbook	Coming Soon: TPI Number to be REmoved from Prior Authorization Forms and Claim Forms, Effective September 1, 2021 Information posted July 20, 2021
Telecommunication Services Handbook	Replaced reference to Texas Provider Identifier (TPI) with a reference to National Provider Identifier (NPI).
Vision and Hearing Services Handbook	Update to “Reminder: TPI Number to be Removed from Prior Authorization Forms, Claims Forms and Instructions, Effective September 1, 2021” Information posted September 1, 2021

July 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Volume 1: Section 1: Provider Enrollment and Responsibilities	Added information for CPW taxonomy and removed extra bullet mark in section 1.1.4.
Volume 1: Section 6: Claims Filing	Moved information from UB 04 CMS 1450 Paper claims instructions block 57 to block 81 in section 6.6.3.
Children’s Services Handbook: Appendix B: Immunizations	Added asterisk to indicate that vaccine procedure code 90756 is administered through TVFC.
Children’s Services Handbook: Medical services (Section 1-3 and 5-9)	Added asterisk to indicate that vaccine procedure code 90756 is administered through TVFC.
Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook	Limitation Update for Diabetic Equipment and Supplies Procedure Code A4245 Information posted June 17, 2022
Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook	Changed VDP website to refer to LARC subsection in 2.2.6.1.
Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook	Corrected typo of last digit for procedure code 67142 and changed 67145 in subsection 9.2.47.2.1, “Other Eye Surgery Procedures.” Removed AT modifier usage language for procedure code 90989.
Outpatient Drug Services Handbook	Update to TMPPM Outpatient Drug Services Handbook for Ravulizumab-cwvz (Ultomiris) Information posted June 24, 2022 New Treatment Indications for Some CAR T-Cell Infusion Therapies Effective July 1, 2022 Information posted June 3, 2022 Update to Outpatient Drug Services Handbook for Aducanumab-avwa (Aduhelm) Information posted June 17, 2022 Treatment Indications to Change for Ferric Carboxymaltose Effective July 1, 2022 Information posted May 20, 2022
Physical Therapy, Occupational Therapy, and Speech Therapy Services Handbook	TMPPM Update to Physical Therapy, Occupational Therapy, and Speech Therapy Handbook Information posted May 13, 2022 Updated Physical Therapy Group type to Physical/Occupational Therapy Group type.

June 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Volume 1: Section 1: Provider Enrollment and Responsibilities	Provider Enrollment and Management System (PEMS) Post-Deployment Update Information posted April 25, 2022
Volume 1: Section 6: Claims Filing	Provider Enrollment and Management System (PEMS) Post-Deployment Update Information posted April 25, 2022 Added EVV claims filing information to sections 6.1, 6.1.1; Added a new subsection about electronic claims filing for EVV claims to section 6.2. Updated claims filing holiday calendar.
Behavioral Health and Case Management Services Handbook	The Collaborative Care Model to Become a Benefit of Texas Medicaid June 1, 2022 Information posted April 15, 2022
Children’s Services Handbook: THSteps Dental Services (Section 4)	Update to TMPPM and CSHCN Services Program Provider Manual for Dental Procedure Codes D9910 and D9951 Information posted April 15, 2022
Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook	Push-Rim Activated Power Assist Wheelchair (PAPAW) System Procedure Code E0986 to Become a Benefit Effective June 1, 2022 Information posted April 15, 2022
Inpatient and Outpatient Hospital Services Handbook	Added a new table subheader to revenue code table in section 4.5.5 for Pulmonary Function procedure codes 460 and 469.
Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook	The Collaborative Care Model to Become a Benefit of Texas Medicaid June 1, 2022 Information posted April 15, 2022
Outpatient Drug Services Handbook	Updates to the Texas Medicaid Provider Procedure Manual, Outpatient Drug Services Handbook Information posted May 20, 2022 In the table of section 1.3, "Program Contact Information," the contacts and program names were updated. Some sections renumbered and reorganized. New section added for the Clinician-Administered Drug Search and reference was also added to the CAD search on the VDP website. LARC manufacturer name changes made to Merck updated throughout the section. Updated web links in section 11.1.5, "Medicaid Managed Care and CHIP Claims Processing," and section 12.1, "Clinical Prior Authorization."
Telecommunication Services Handbook	Added new section with patient site language for RHCs, and added RHC to the bulleted list for distant site providers.

May 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Volume 1: Section 1: Provider Enrollment and Responsibilities	Updates made based on quality review to capture changes from PEMS processes.
Children’s Services Handbook: THSteps Dental services (Section 4)	Prior authorization and benefit information language updated in sections 3.2.24.4, “Premature Termination of Comprehensive Orthodontic Treatment," 3.2.29.3.6, “Premature Termination of Orthodontic Services," and 3.2.24.5, "Other Orthodontic Services.” TMPPM Update for Texas Health Steps Restorative Dental Services Information posted March 11, 2022
Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook	TMPPM Update for Hospital Beds and Equipment Procedure Codes E0188 and E0189 Information posted March 11, 2022
Outpatient Drug Services Handbook	Added procedure codes C9086 and J0490 to the section 7.59, “Lupus Treatment Agents.” First Quarter 2022 HCPCS Updates for Texas Medicaid Information posted April 1, 2022 Pegfilgrastim-cbqv (Udenyca) to be Diagnosis Restricted Effective May 1, 2022 Information posted April 1, 2022

April 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Volume 1: Section 1: Provider Enrollment and Responsibilities	Reminder: TMHP Provider Enrollment and Management System (PEMS) Information posted March 1, 2022
Children’s Services Handbook: Medical services (Sections 1-3 and 5-9)	Update to TMPPM and CSHCN Services Program Provider Manual for Dental Procedure Code D2951 Information posted February 11, 2022
Clinics and Other Outpatient Facility Services Handbook	Telemedicine and Telehealth Services Provided by Rural Health Clinics Information posted February 28, 2022 TMPPM Update to for Tuberculosis Services Information posted February 11, 2022
Healthy Texas Women (HTW) Program Handbook	QW Modifier Required for Procedure Code 87801 Information posted February 7, 2022
Inpatient and Outpatient Hospital Services Handbook	Non-Emergent Emergency Room Visits for Rural Hospitals Pricing Percentage Rate Reduced, Effective September 1, 2021 Information posted October 26, 2021
Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook	Gene Expression Profiling Procedure Code 81520 to Become a Benefit Effective April 1, 2022 Information posted February 11, 2022
Outpatient Drug Services Handbook	Age and Diagnosis Restriction Updates for Drug Procedure Codes and Update to Outpatient Drug Services Handbook Information posted March 18, 2022 TMPPM Update for Monoclonal Antibodies Benralizumab, Mepolizumab, and Reslizumab Information posted March 25, 2022
Radiology and Laboratory Services Handbook	QW Modifier Required for Procedure Code 87801 Information posted February 7, 2022

March 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Volume 1: Section 1: Provider Enrollment and Responsibilities	Coming Soon: TMHP Provider Enrollment and Management System (PEMS) Information posted November 5, 2021 Added information about electronic claims processing to section 1.3 to help providers avoid disenrollment.
Children’s Services Handbook: Appendix B: Immunizations	Pneumococcal Vaccine Procedure Codes 90671 and 90677 to Become Benefits of Texas Medicaid March 1, 2022 Information posted January 14, 2022
Children’s Services Handbook: Appendix F: THSteps Quick Reference Guide	Pneumococcal Vaccine Procedure Codes 90671 and 90677 to Become Benefits of Texas Medicaid March 1, 2022 Information posted January 14, 2022
Children’s Services Handbook: Medical services (Sections 1-3 and 5-9)	Pneumococcal Vaccine Procedure Codes 90671 and 90677 to Become Benefits of Texas Medicaid March 1, 2022 Information posted January 14, 2022
Clinics and Other Outpatient Facility Services Handbook	Renal Dialysis Benefits to Change Effective March 1, 2022 Information posted January 14, 2022
Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook	Updated Limitation for Procedure Code A4247 Information posted January 14, 2022 Benefit Criteria to Change for IV Therapy Equipment and Supplies Effective March 1, 2022 Information posted January 14, 2022
Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook	Prior Authorization Criteria for Surgical Implantation of HNS Effective March 1, 2022 Information posted January 14, 2022 Benefit Criteria for Evoked Response Tests and Neuromuscular Procedures to be Added Effective March 1, 2022 Information posted January 14, 2022 Pneumococcal Vaccine Procedure Codes 90671 and 90677 to Become Benefits of Texas Medicaid March 1, 2022 Information posted January 14, 2022
Outpatient Drug Services Handbook	Prior Authorization Criteria for Anifrolumab-fnia (Saphnelo) and Belimumab (Benlysta) Information posted February 4, 2022 Prior Authorization Criteria to Change for Omalizumab (Xolair) Effective March 1, 2022 Information posted February 11, 2022 Prior Authorization Criteria for Enzyme Replacement Therapy (ERT) Procedure Code C9085 Effective March 1, 2022 Information posted February 4, 2022
Radiology and Laboratory Services Handbook	Laser Interstitial Thermal Therapy to Require Prior Authorization Effective March 1, 2022 Information posted January 14, 2022

February 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Volume 1: Section 6: Claims Filing	Added new bullet to section 6.1.6 for 2022 Claims Filing Deadline Calendar.
Volume 1: Section 7: Appeals	Removed Credit Balance Refund Worksheet from forms table in section 7.5.
Children’s Services Handbook: Medical services (Sections 1-3 and 5-9)	Coming Soon: TMHP Provider Enrollment and Management System (PEMS) Information posted November 5, 2021 HHSC Release of Autism Services Benefits Effective February 1, 2022 Information posted July 30, 2021
Children’s Services Handbook: THSteps Dental services (Section 4)	HCPCS Special Bulletin Information posted December 30, 2021
Clinics and Other Outpatient Facility Services Handbook	HCPCS Special Bulletin Information posted December 30, 2021 In the THSteps Dental Services table, replaced procedure code D8050 with D8010, and D8060 with D8020 in section 4.1.2, "Services, Benefits, Limitations, and Prior Authorization."
Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook	HCPCS Special Bulletin Information posted December 30, 2021
Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook	HCPCS Special Bulletin Information posted December 30, 2021
Healthy Texas Women (HTW) Program Handbook	HCPCS Special Bulletin Information posted December 30, 2021
Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook	Coming Soon: TMHP Provider Enrollment and Management System (PEMS) Information posted November 5, 2021 HCPCS Special Bulletin Information posted December 30, 2021 Language related to Asthma Education and Prevention Programs updated to address the new Asthma Management Guidelines.
Outpatient Drug Services Handbook	Revised and updated language for omalizumab in section 7.55, "Monoclonal Antibodies." HCPCS Special Bulletin Information posted December 30, 2021 Prior Authorization Criteria for Aducanumab-avwa (Aduhelm) Effective February 1, 2022 Information posted January 21, 2022
Radiology and Laboratory Services Handbook	HCPCS Special Bulletin Information posted December 30, 2021
Telecommunication Services Handbook	Coming Soon: TMHP Provider Enrollment and Management System (PEMS) Information posted November 5, 2021
Vision and Hearing Services Handbook	HCPCS Special Bulletin Information posted December 30, 2021

January 2022 TMPPM Release Notes
Handbook	Related Articles and Notes
Volume 1: Section 1: Provider Enrollment and Responsibilities	Coming Soon: TMHP Provider Enrollment and Management System (PEMS) Information posted November 5, 2021 Updated Provider Education information in section 1.9 to align with most recent webpage update and training processes. Replaced webpage info in section 1.7.13 to update invalid link.
Behavioral Health and Case Management Services Handbook	Replaced DSHS with HHSC in section 5.1.2.
Children’s Services Handbook: Appendix E: Hearing Screening Information	Updated broken link and revised the journal name as Journal of Early Hearing Detection and Intervention 2019 Position Statement at "Year 2019 JCIH Position Statement" (usu.edu) in Appendix E.1.3 Evaluation using Texas Pediatric Protocol for Audiology.
Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook	Changes made to table in section 2.2.12.5. Replaced description for procedure code A9276 to be "30 units*, per 30 days." Added footer at the bottom to add information for asterisk that says "One unit = one-day supply."
Healthy Texas Women (HTW) Program Handbook	Added procedure codes J2315, Q9991, and Q9992 to the Substance Abuse section in the table in section 2.3.10.
Inpatient and Outpatient Hospital Services Handbook	Added University of Texas Southwestern Medical Center (UTSW) to section 3.7.4.18.