Texas MedicaidHigh ImpactBilling Codes

First Quarter 2026 HCPCS Updates for the CSHCN Services Program

Published April 1, 2026Effective April 1, 2026

AI Summary

Texas Medicaid CSHCN Services Program is implementing Q1 2026 HCPCS updates effective April 1, 2026. Multiple codes are being added as benefits (pending rate hearings), added as non-covered, or discontinued entirely. Several new codes require prior authorization and have age restrictions.

Action Required

By April 1, 2026: Billing team must update system to add prior authorization requirements for codes A6548, C8007, and C8011. Implement age restrictions for C9818, J1164, J8502 (18+ years) and Q5162 (12+ years). Stop billing discontinued codes C9145, C9307, C9308, L6000, L6010, L6020 after March 31, 2026. Mark non-covered codes as non-billable in system. Claims will be denied without proper prior auth or for discontinued codes after cutoff date.

Affected Billing Codes

A6548C8007C8008C8009C8010C8011C8012C8013C9818G0681G0682G0683G0684J0463J1164J8502L2221Q5162A2040A2041A2042A2043A2044A2045A4318A4479A8005A8006A9294C1743C9309G0680J1098J1553J3404J9003J9183J9277J9278J9601L5992M0233M0234Q0238Q4418Q4419Q4421Q4422Q4423Q4424Q4425Q4426Q4427Q4428Q4429Q4435Q4436Q4437Q4438Q4439Q4440Q5161C9145C9307C9308L6000L6010L6020G0567J0681J7528

Plan Types

Medicaid

States

TX

Specialties

all-specialties