MedicaidCoverageMedium impact
Update to the CSHCN Services Program Provider Manual for Radiation Therapy Services
Texas Medicaid·TX · Oncology, Radiology·General
Effective date
Jun 1, 2026
We identified it
Apr 18, 2026
Summary
The CSHCN Services Program Provider Manual is being updated to clarify that specific radiation therapy procedures including special dosimetry, hyperthermia treatments, and medical physics consultations are NOT covered benefits. This language will replace the current table of non-covered radiation therapy procedure codes in the June 2026 manual edition.
Action Required
By June 2026: Billing teams treating pediatric patients with special health care needs must review the updated CSHCN Services Program Provider Manual Chapter 34 and verify that special dosimetry, hyperthermia treatments, and medical physics consultations are not billed to the CSHCN program. Update billing protocols to ensure these services are billed to alternative coverage sources or as patient responsibility.