Texas MedicaidHigh ImpactBilling Codes
Coming July 2026: Second Quarter HCPCS Updates to Texas Medicaid Procedure Codes
Published May 16, 2026Effective July 1, 2026
AI Summary
Texas Medicaid will implement HCPCS procedure code updates on July 1, 2026, including additions, revisions, and discontinuations. Discontinued codes will no longer be covered benefits, while new codes won't be reimbursed until HHSC reviews them and holds rate hearings.
Action Required
By July 1, 2026: Billing team must review and update billing systems to remove discontinued HCPCS codes from Texas Medicaid claims. Monitor TMHP communications for specific code lists and benefit changes. Do not submit claims with discontinued codes as they will be denied. For new codes, wait for HHSC approval and rate implementation before billing.
Plan Types
Medicaid
States
TX
Specialties
all-specialties