Reimbursement Rate Updates for CSHCN Dental Procedure Codes

Starting March 1, 2025, the Children with Special Health Care Needs (CSHCN) Services Program will raise its payment rates for specific dental procedure codes that are performed after the listed date. The adjustments will be posted following the public rate hearing conducted on November 12, 2024.

TMHP has declared that these modified rates remain a component of their continuous initiative to improve dental service payment equality under the CSHCN Services Program. The new revisions could affect healthcare organizations that specialize in treating children with special health needs.

Healthcare professionals together with stakeholders can access the official Dental Spreadsheet to review the modified reimbursement rates that show all procedural adjustments. The new payment rates introduce improvements to service accessibility and enhance payments to match modern standards.

To obtain more information, providers should connect with the TMHP-CSHCN Services Program Contact Center at 800-568-2413.