Texas MedicaidHigh ImpactBilling Codes
Second Quarter NCCI Updates Effective April 1, 2026
Published March 31, 2026Effective April 1, 2026
AI Summary
Texas Medicaid is implementing second quarter NCCI (National Correct Coding Initiative) updates effective April 1, 2026, which will change code bundling rules and billing relationships. Providers must monitor the CMS Medicaid NCCI website for the updated rules to ensure proper billing and avoid claim denials.
Action Required
By April 1, 2026: Billing team must review updated NCCI rules on the CMS Medicaid NCCI website and update billing software to reflect new code bundling relationships. Monitor the TMHP Rate and Code Updates page regularly for ongoing changes. Contact TMHP at 800-925-9126 for questions. Failure to comply with new NCCI rules will result in claim denials.
Plan Types
Medicaid
States
TX
Specialties
all-specialties