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Texas MedicaidMedicaid · Coverage · General · TX · Family Medicine, Internal Medicine, Pediatrics +1 moreMedium impact

June 2026 CSHCN Services Program Provider Manual Updates for “Physician” Chapter

Act
by Jun 15, 2026
Effective date
Jun 15, 2026
Identified
Apr 18, 2026

Summary

Effective June 15, 2026, CPT code 99360 will be removed from the CSHCN Services Program Provider Manual's Physician chapter as it is not a covered benefit. This affects critical care services and prolonged physician services sections in the manual.

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What to do

by Jun 15, 2026 · 4 steps
01Billing team must stop billing CPT code 99360 for all CSHCN Services Program patients.
02Remove code 99360 from billing software templates for critical care services and prolonged physician services.
03Update encounter forms to remove references to this code for CSHCN patients.
04Contact TMHP-CSHCN at 800-568-2413 with questions.

Codes mentioned

99360

Original notice

June 2026 CSHCN Services Program Provider Manual Updates for “Physician” Chapter
tmhp.com · Always check the source before changing claims.
View original ↗

Related changes

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June 2026 TMPPM Update for Newborn ServicesMediumEffective Jun 1, 2026 · GeneralBrowse every Texas Medicaid change in the policy list

Related policy hubs

Texas Medicaid policiesTX policy changesFamily MedicineInternal MedicinePediatricsCritical CareCode 99360

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