Overview
Effective March 1, 2015, HHSC implemented a new managed care program for certain clients dually enrolled in Medicare and Medicaid (dual-eligibles) – the Texas Dual Eligibles Integrated Care Demonstration Project. The program is a joint venture between the CMS and HHSC and is designed to better align the financial incentives of Medicare and Medicaid and to improve coordination of care for dual-eligibles. The program is voluntary and open to eligible beneficiaries in the following counties: Bexar, Dallas, El Paso, Harris, Hidalgo and Tarrant.
Payment Rate Information
Revised rates for FY2023 (.pdf) (MCO contracts effective 01/01/2024)-These rates are pending CMS Approval.
Effective 09/01/2023 (.pdf) These rates are pending CMS Approval.
Effective 09/01/2022 (.pdf) These rates are pending CMS Approval.
Effective 03/01/2022 (.pdf) These rates are pending CMS Approval.
Effective 01/01/2022 (.pdf) These rates are pending CMS Approval.
Effective 09/01/2021 (.pdf) These rates are pending CMS Approval.
Effective 03/01/2021 (.pdf)
Effective 09/01/2020 (.pdf) These rates are pending CMS Approval.
Effective 04/01/2020 (.pdf) These rates are pending CMS Approval.
Effective 03/01/2020 (.pdf)
Effective 09/01/2019 (.pdf)
Effective 03/01/2019 (.pdf)
Effective 09/01/2018 (.pdf)
Revised Rates for FY 2018 (.pdf) (08/01/2018)
Effective 03/01/2018 (.pdf)
Effective 09/01/2017 (.pdf)
Effective 09/01/2016 (.pdf)
Effective 06/01/2016 (.pdf)
Effective 09/01/2015 (.pdf)
Effective 03/01/2015 (.pdf)