MedicaidReimbursementMedium impact
Reimbursement Rate Updates for Radiation Oncology Procedure Codes Effective January 1, 2026
Texas Medicaid·TX · Oncology, Radiology·Billing
Effective date
Jan 1, 2026
We identified it
May 20, 2026
Summary
Texas Medicaid and CSHCN Services Program is implementing reimbursement rate updates for radiation oncology procedure codes effective January 1, 2026. TMHP will automatically identify and reprocess affected claims, with adjustments appearing in future Remittance and Status Reports.
Action Required
By January 1, 2026: Billing team should review the Radiation Oncology Procedure Codes spreadsheet on TMHP website to understand new reimbursement rates. Monitor future Remittance and Status Reports for automatic claim adjustments. Contact TMHP at 800-925-9126 or TMHP-CSHCN at 800-568-2413 with questions. No immediate system changes required as TMHP will automatically reprocess affected claims.