Rate Packets

Notice: As published in the February 19th, 2021 issue of the Texas Register (pages 1300-1301), Texas HHSC will hold a public hearing to accept commentary on the proposed payment rates for the Medical Policy Review of Autism Services. Information on the hearing is also available on the HHSC Communications & Events page.  Specific rate proposals will be posted in a rate packet on this website on or after March 5, 2021.  For questions regarding this hearing please contact HHSC PFD Acute Care at PFDAcuteCare@hhs.texas.gov.

Title Proposed Effective Date Packet Updated Documents
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) October 06, 2020
Proposed Payment Rates for Medicaid Community Hospice and Home and Community-Based Services – Adult Mental Health October 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) September 08, 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
Biennial Calendar Fee Review September 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) August 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) 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)
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
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
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
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