MedicaidBilling CodesHigh impact
Third Quarter NCCI Updates Effective July 1, 2026
Texas Medicaid·TX·General
Effective date
Jul 1, 2026
We identified it
Jun 20, 2026
Summary
Texas Medicaid will implement third quarter National Correct Coding Initiative (NCCI) updates on July 1, 2026, affecting code edit relationships and bundling rules. Providers must monitor the CMS Medicaid NCCI web page for updated coding rules and relationships that determine which codes can be billed together.
Action Required
By July 1, 2026: Billing team must review and update billing system with new NCCI code edit relationships from the CMS Medicaid NCCI web page. Monitor CMS website regularly for ongoing updates to prevent claim denials from incorrect code combinations. Contact TMHP at 800-925-9126 for questions about traditional Medicaid or specific MCOs for managed care members.