Texas MedicaidMedium ImpactPrior Auth
DME Procedure Codes E1033 and E1034 Now Benefits of the CSHCN Services Program
Published February 28, 2026Effective April 1, 2025
AI Summary
DME wheelchair parts procedure codes E1033 and E1034 are now covered benefits under the CSHCN Services Program effective April 1, 2025, with a reimbursement rate of $148.98 each. Prior authorization is mandatory for these codes - claims will be denied without it.
Action Required
Before April 1, 2025: Billing team must update system to require prior authorization for codes E1033 and E1034 under CSHCN Services Program. Submit CSHCN Prior Authorization form with medical necessity documentation. Claims will not be reimbursed without prior authorization. Contact TMHP-CSHCN at 800-568-2413 for questions.
Affected Billing Codes
E1033E1034
Plan Types
Medicaid
States
TX
Specialties
pm-r, pediatrics, neurology