Texas MedicaidMedium ImpactReimbursement
Reimbursement Rate Updates for Certain CSHCN Procedure Codes Effective June 1, 2026
Published May 20, 2026Effective June 1, 2026
AI Summary
The Children with Special Health Care Needs (CSHCN) Services Program is updating reimbursement rates for multiple procedure codes effective June 1, 2026. The changes affect various service categories including dialysis, surgical procedures, physician-administered drugs, medical supplies, and telehealth services.
Action Required
Before June 1, 2026: Billing team must review the CSHCN reimbursement rate spreadsheets for affected procedure codes and update billing system with new rates. Contact TMHP-CSHCN Services Program Contact Center at 800-568-2413 for specific rate information. Update fee schedules in practice management system to reflect new CSHCN rates.
Plan Types
Medicaid
States
TX
Specialties
oncology, ophthalmology, ent, nephrology, all-specialties