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Rate Packets

Title Proposed Effective Date Packet Updated Attachments
Notice of Public Hearing on Proposed Medicaid Payment Rates for Nursing Facility Services September 01, 2025
Notice of Public Hearing on Proposed Medicaid Payment Rates for Nursing Facility Services
Notice of Proposed Adjustments to Fees, Rates or Charges Healthcare Common Procedure Coding System (HCPCS) Q1 Drugs, Q1 TOS 9-J-L , Q1 Non-Drugs – G0138, Q2 Drugs March 01, 2025
Notice of Proposed Adjustments to Fees, Rates or Charges Healthcare Common Procedure Coding System (HCPCS) Q1 Drugs, Q1 TOS 9-J-L , Q1 Non-Drugs – G0138, Q2 Drugs
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review of the following: B(1) Collaborative Care Model - G0512, B(2) Dental, B(4) Q Codes, B(5) Sleep Studies, B(6) Certified Family Partners March 01, 2025
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review of the following: B(1) Collaborative Care Model - G0512, B(2) Dental, B(4) Q Codes, B(5) Sleep Studies, B(6) Certified Family Partners
Biennial Calendar Fee Review March 01, 2025
Biennial Calendar Fee Review
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Biennial Calendar Fee Review Attachments
Notice of Proposed Adjustments to the Texas State Plan Attachment 4.19-B pages March 01, 2025
Notice of Proposed Adjustments to the Texas State Plan Attachment 4.19-B pages
Notice of Proposed Adjustments to Fees, Rates or Charges Healthcare Common Procedure Coding System (HCPCS) C(3) – Q2 HCPCS Non-Drugs – TOS F C(4) – Q2 HCPCS Non-Drugs – TOS 2 March 01, 2025
Notice of Proposed Adjustments to Fees, Rates or Charges Healthcare Common Procedure Coding System (HCPCS) C(3) – Q2 HCPCS Non-Drugs – TOS F C(4) – Q2 HCPCS Non-Drugs – TOS 2
Notice of Public Hearing on Proposed Payment Rates for Medicaid Community Hospice Effective Retroactive to Oct. 1, 2024, and Proposed Rate Actions for Employment Readiness Services in the DBMD, HCS and TxHmL Waiver Programs January 01, 2025
Notice of Public Hearing on Proposed Payment Rates for Medicaid Community Hospice Effective Retroactive to Oct. 1, 2024, and Proposed Rate Actions for Employment Readiness Services in the DBMD, HCS and TxHmL Waiver Programs
Notice of Proposed Medicaid Payment Rates for the Ambulatory Surgical Center (ASC) Non-Surgical Codes December 01, 2024
Notice of Proposed Medicaid Payment Rates for the Ambulatory Surgical Center (ASC) Non-Surgical Codes
Notice of Proposed Medicaid Payment Rates for the Medical Transportation Program November 01, 2024
Notice of Proposed Medicaid Payment Rates for the Medical Transportation Program
Notice of Proposed Adjustments to SHARS Medicaid Reimbursement Rates October 01, 2024
Notice of Proposed Adjustments to SHARS Medicaid Reimbursement Rates
Notice of Proposed Adjustments to Fees, Rates, or Charges for the Title V Maternal and Child Health Fee-for-Services (MCH FFS) Program October 01, 2024 July 31, 2024
Notice of Proposed Adjustments to Fees, Rates, or Charges for the Title V Maternal and Child Health Fee-for-Services (MCH FFS) Program
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review of the following: B(3) Ophthalmological Services – 92065 October 01, 2024
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review of the following: B(3) Ophthalmological Services – 92065
Notice of Proposed Adjustments to Fees, Rates or Charges Healthcare Common Procedure Coding System (HCPCS) C(1) – Q2 HCPCS Drug – Q0224 C(2) – Q2 HCPCS Non-Drugs – M0224 October 01, 2024
Notice of Proposed Adjustments to Fees, Rates or Charges Healthcare Common Procedure Coding System (HCPCS) C(1) – Q2 HCPCS Drug – Q0224 C(2) – Q2 HCPCS Non-Drugs – M0224
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review of the following: A(2) COVID-19 End-Dated Codes October 01, 2024
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review of the following: A(2) COVID-19 End-Dated Codes
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review of the following: A(9) COVID-19 End-Dated Dental Codes September 30, 2024
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review of the following: A(9) COVID-19 End-Dated Dental Codes
Notice of Proposed Adjustments to Fees, Rates or Charges Healthcare Common Procedure Coding System (HCPCS) September 01, 2024
Notice of Proposed Adjustments to Fees, Rates or Charges Healthcare Common Procedure Coding System (HCPCS)
Notice of Proposed Adjustments to Fees, Rates, or Charges for Medicaid Biennial Calendar Fee Review of Clinical Labs COVID-19 Codes September 01, 2024
Notice of Proposed Adjustments to Fees, Rates, or Charges for Medicaid Biennial Calendar Fee Review of Clinical Labs COVID-19 Codes
Biennial Calendar Fee Review September 01, 2024
Biennial Calendar Fee Review
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Biennial Calendar Fee Review Attachments
Notice of Proposed Adjustments to Fees, Rates, or Charges for Biomarker Testing (SB989) September 01, 2024
Notice of Proposed Adjustments to Fees, Rates, or Charges for Biomarker Testing (SB989)
Notice of Proposed Adjustments to the Texas State Plan Attachment 4.19-B Pages September 01, 2024
Notice of Proposed Adjustments to the Texas State Plan Attachment 4.19-B Pages
Notice of Proposed Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) September 01, 2024
Notice of Proposed Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS)
Notice of Proposed Adjustments to Fees, Rates, or Charges for the Medical Policy Review of Renal Dialysis September 01, 2024
Notice of Proposed Adjustments to Fees, Rates, or Charges for the Medical Policy Review of Renal Dialysis
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review September 01, 2024
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review
Proposed rate actions for biennial fee review for Support Consultation and Financial Management Services Agency (FMSA) monthly fees September 01, 2024
Proposed rate actions for biennial fee review for Support Consultation and Financial Management Services Agency (FMSA) monthly fees
Notice of Proposed Adjustments to Fees, Rates, or Charges for the Breast and Cervical Cancer Screening Services (BCCS) Program September 01, 2024
Notice of Proposed Adjustments to Fees, Rates, or Charges for the Breast and Cervical Cancer Screening Services (BCCS) Program