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2023 TMPPM Release Notes

Last updated on 2/28/2023

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 2022, see the 2022 Release Notes.

March 2023 TMPPM Release Notes

Handbook

Related Articles and Notes

Clinics and Other Outpatient Facility Services Handbook

Removed procedure code Q0139 from the table of section 6.2.2, "Renal Dialysis Facilities-Consolidated Billing."

 

February 2023 TMPPM Release Notes

Handbook

Related Articles and Notes

Behavioral Health and Case Management Services Handbook

2023 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin

Information posted December 30, 2022

Children’s Services Handbook: Medical services (Sections 1-2 and 4-8)

2023 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin

Information posted December 30, 2022

Added vaccine procedure code 90671, age restriction, and component to the table that indicates TVFC distribution, and removed the procedure code from the table that indicates non-TVFC distribution. Updated age restriction for vaccine procedure code 90756.

Children’s Services Handbook: THSteps Dental services (Section 3)

2023 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin

Information posted December 30, 2022

Updated address and fax for DentaQuest in subsection 3.2.7.2, "Children in Foster Care."

Removed duplicate text from title in the table header of section 3.2.5, "Children's Medicaid Dental Plan Choices."

Children’s Services Handbook: Appendix B: Immunizations

Added vaccine procedure code 90671, age restriction, and component to the table that indicates TVFC distribution, and removed from the table that indicates non-TVFC distribution. Updated age restriction for vaccine procedure code 90756.

Children’s Services Handbook: Appendix F: THSteps Quick Reference Guide

Added symbol to indicate vaccine procedue code 90671 is available through TVFC.

Clinics and Other Outpatient Facility Services Handbook

2023 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin

Information posted December 30, 2022

Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook

Diabetic Equipment and Supplies Benefits to Change for Texas Medicaid January 1, 2023

Information posted December 30, 2022

Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook

2023 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin

Information posted December 30, 2022

Health and Human Services Commission (HHSC) Family Planning Program Handbook

Updated language and links throughout the handbook.

Healthy Texas Women (HTW) Program Handbook

2023 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin

Information posted December 30, 2022

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook

2023 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin

Information posted December 30, 2022

Added vaccine procedure code 90671, age restriction, and component to the table that indicates TVFC distribution, and removed from the table that indicates non-TVFC distribution. Updated age restriction for vaccine procedure code 90756.

Outpatient Drug Services Handbook

Added new section with drug shortage information. Revised and added a table with HHS forms for specific drugs that may require prior authorization.

Some Criteria to Change for Onasemnogene Abeparvovec-xioi (Zolgensma) Effective February 1, 2023

Information posted December 16, 2022

Prior Authorization Criteria for Vutrisiran (Amvuttra) Effective February 1, 2023

Information posted January 6, 2023

Radiology and Laboratory Services Handbook

2023 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin

Information posted December 30, 2022

Vision and Hearing Services Handbook

2023 Healthcare Common Procedure Coding System (HCPCS) Special Bulletin

Information posted December 30, 2022

 

January 2023 TMPPM Release Notes

Handbook

Related Articles and Notes

Volume 1: Section 1: Provider Enrollment and Responsibilities

Changed “plan” to “program” for IEP.

Volume 1: Section 6: Claims Filing

Updated the federal holiday calendar in section 6.1.4.

Updated the claims filing calendars to remove 2021 and add 2023.

Volume 1: Appendix C: Acronym Dictionary

Changed “plan” to “program” for IEP.

Behavioral Health and Case Management Services Handbook

Attestation Form for Collaborative Care Model (CoCM) Services Beginning January 1, 2023

Information posted October 28, 2022

Changed 17 to 18 in section 5.2.3.6, "Psychosocial Rehabilitative Services."

Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook

Edited language in section 2.2.15.3, "Diaper Wipes.”

Added language for PA considerations to section 2.2.15.9.

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook

Evoked Response Tests and Neuromuscular Procedures Benefits to Change for Texas Medicaid January 1, 2023

Information posted November 11, 2022

Vestibular Evoked Myogenic Potentials (VEMP) Claims Reprocessing

Information posted October 26, 2022

Attestation Form for Collaborative Care Model (CoCM) Services Beginning January 1, 2023

Information posted October 28, 2022

School Health and Related Services (SHARS) Handbook

TMPPM Language Update for SHARS Reevaluation

Information posted December 30, 2022