Proposed Rate Packets

Notice: HHSC has received inquiries regarding a future date for a rate hearing related to proposed rates for a new Medicaid autism services benefit.  HHSC is currently working to align the policy, rate, and actuarial assumptions and to evaluate the considerable public comment we received on the draft policy. We are also updating the potential fiscal impact based on additional available utilization data from other states, the Texas policy framework, and other relevant factors. HHSC does not have a date scheduled for a hearing at this time, but when a hearing date is selected, we will publish a notice in the Texas Register and a corresponding Rate Packet on the Rate Analysis website, consistent with federal and state public notice requirements.  If you have any questions or would like additional information, please contact us at RADAcuteCare@hhsc.state.tx.us

Title Proposed Effective Date Packet Updated Documents
Notice Of Proposed Prospective Reimbursement For Rural Hospitals Participating In Medicaid September 01, 2021
Biennial Calendar Fee Review September 01, 2020
Notice of Proposed Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates September 01, 2020
  • Notice of Proposed Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates
Proposed Payment Rates for Pediatric Care Facility Special Reimbursement Class September 01, 2020 October 19, 2020
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) June 25, 2020
Proposed Medicaid Payment Rates for Small and Large State-Operated Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions April 21, 2020
  • Proposed Medicaid Payment Rates for Small and Large State-Operated Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) April 14, 2020
  • Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19)
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) April 10, 2020
  • Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19)
Biennial Calendar Fee Review April 01, 2020
Notice of Proposed Adjustments to Fees, Rates or Charges for Percutaneous Liver Biopsy Medical Policy April 01, 2020
  • Notice of Proposed Adjustments to Fees, Rates or Charges for Percutaneous Liver Biopsy Medical Policy
Notice of Proposed Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates April 01, 2020
  • Notice of Proposed Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates
Notice of Proposed Adjustments to Fees, Rates or Charges for Continuous Glucose Monitoring Medical Policy April 01, 2020
  • Notice of Proposed Adjustments to Fees, Rates or Charges for Continuous Glucose Monitoring Medical Policy
Proposed Medicaid Payment Rates for Small and Large State-Operated Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions April 01, 2020
  • Proposed Medicaid Payment Rates for Small and Large State-Operated Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions
Notice of Proposed Adjustments to Fees, Rates or Charges for Fetal Magnetic Resonance Imaging (MRI) Medical Policy April 01, 2020
Notice of Adjustments to Fees, Rates or Charges for the Special Fee Review Related to Coronavirus Disease 2019 (COVID-19) April 01, 2020
Public Notice - Texas State Plan for Medical Assistance Amendment April 01, 2020
Public Notice - Texas State Plan for Medical Assistance Amendment March 18, 2020
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) March 13, 2020
  • Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19)
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) March 01, 2020
  • Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19)
Additional Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) March 01, 2020
  • Additional Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19)
Notice of Adjustments to Fees, Rates or Charges for the Special Fee Review Related to Coronavirus Disease 2019 (COVID-19) March 01, 2020
Public Notice - Texas State Plan for Medical Assistance Amendment February 04, 2020
Notice of Proposed Adjustments to Fees, Rates or Charges for the Quarterly Healthcare Common Procedure Coding System (HCPCS) Update for 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel February 04, 2020
Notice of Proposed Payment Rates for Residential Care and Proxy Rates for STAR+PLUS Assisted Living February 01, 2020
  • Notice of Proposed Payment Rates for Residential Care and Proxy Rates for STAR+PLUS Assisted Living
Biennial Calendar Fee Review January 01, 2020