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Indian Health Services

Methodology / Rules

Reimbursement rules applicable to Indian Health Services are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter J, Division 33, Rule 8620.

The fee schedules and any periodic adjustment(s) to the fee schedules are published in banner messages contained in provider Remittance and Status (R&S) reports, Medicaid Bulletin articles, web postings, provider manual, fee schedules or other provider notification.

Payment Rate Information

Payment rate information is published by procedure code in the applicable Texas Medicaid Fee Schedule located on the Texas Medicaid & Healthcare Partnership (TMHP) website(see Fee Schedules).

Rate History

Calendar Year 2010 -- $289

Calendar Year 2009 -- $268

Calendar Year 2008 -- $253

Calendar Year 2007 -- $256

Calendar Year 2006 -- $242

Calendar Year 2005 -- $223

Calendar Year 2004 -- $216

10/16/2003 - 12/31/2004 -- $206 as T1015

04/15/2003 - 10/15/2003 -- $172 as 92002X