MedicaidReimbursementMedium impact
Reimbursement Rate Updates for Dental Services Procedure Codes Effective September 1, 2026
Texas Medicaid·TX · Dentistry, Pediatrics·Fee Schedule
Effective date
Sep 1, 2026
We identified it
Sep 3, 2026
Summary
Texas Medicaid & Healthcare Partnership (TMHP) has updated reimbursement rates for dental services procedure codes effective September 1, 2026, for the Children with Special Health Care Needs (CSHCN) Services Program. Billing teams must obtain the revised rates from the Dental Services spreadsheet and update their systems to ensure accurate claim submissions for all dates of service on or after September 1, 2026.
Action Required
By August 31, 2026: Billing team must download and review the updated Dental Services spreadsheet from TMHP to identify specific procedure code rate changes. Update billing software fee schedules for all dental procedure codes affected by the rate revision. Verify that claims with dates of service on or after September 1, 2026 are billed at the new rates. Contact TMHP at 800-925-9126 if clarification is needed on which codes were updated. Failure to apply correct rates will result in underpayment or claim denials.