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 09-01-2025-proposed-pmnt-rates-nf-services.pdf (128.63 KB)
Notice of Proposed Adjustments to SHARS Medicaid Reimbursement Rates	October 01, 2024		Notice of Proposed Adjustments to SHARS Medicaid Reimbursement Rates 10-01-2024-shars-medicaid-reimb-rates.pdf (136.78 KB)
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 10-01-2024-adj-fee-rates-charges-mch-ffs.pdf (1.56 MB)
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 09-30-2024-covid-19-end-dated-dental-codes.pdf (227.9 KB)
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) 09-01-2024-policy-hcpcs.pdf (174.12 KB)
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 09-01-2024-clincal-labs-covid-19.pdf (165.54 KB)
Biennial Calendar Fee Review	September 01, 2024		Biennial Calendar Fee Review 09-01-2024-biennialcalendarfeereview.pdf (132.18 KB) , Biennial Calendar Fee Review Attachments 09-01-2024-biennialcalendarfeereview-att.zip (5.4 MB)
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) 09-01-2024-biomarker-testing-sb989.pdf (203.88 KB)
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 09-01-2024-texas-state-plan-attachment-419b.pdf (320.1 KB)
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) 09-01-2024-qrtly-policy-hcpcs.pdf (244.32 KB)
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 09-01-2024-renal-dialysis.pdf (159.08 KB)
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 09-01-2024-policy-fee-review.pdf (399.48 KB)
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 09-01-2024-notice-pub-hearing-proposed-pmnt-rates-fmsa-mnthly-fee.pdf (138.9 KB)
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 09-01-2024-bccs-program.pdf (1.49 MB)
Notice of Proposed Implementation of 3MTM All Patient Refined-Diagnosis Related Groups (APR-DRG) Grouper 41 Relative Weights (RW), Mean Length of Stay (MLOS) and Day Threshold	September 01, 2024		Notice of Proposed Implementation of 3MTM All Patient Refined-Diagnosis Related Groups (APR-DRG) Grouper 41 Relative Weights (RW), Mean Length of Stay (MLOS) and Day Threshold 09-01-2024-3mtm-apr-drg-grper-41-rw-mlos-day-thrshold.pdf (73.15 KB) , Notice of Proposed Implementation of 3MTM All Patient Refined-Diagnosis Related Groups (APR-DRG) Grouper 41 Relative Weights (RW), Mean Length of Stay (MLOS) and Day Threshold Attachments 09-01-2024-3mtm-apr-drg-grper-41-rw-mlos-day-thrshold-att.zip (5.88 MB)
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review of the following: A(10) Physician Administered Drug- 90611	May 01, 2024		Notice of Proposed Adjustments to Fees, Rates or Charges for the Medical Policy Fee Review of the following: A(10) Physician Administered Drug- 90611 05-01-2024-physician-administered-drug.pdf (207.94 KB)
Notice of Proposed Adjustments to Fees, Rates or Charges for the Medicaid Biennial Calendar Fee Review of the following: Long Acting Reversible Contraceptives (LARCs)	April 01, 2024		Notice of Proposed Adjustments to Fees, Rates or Charges for the Medicaid Biennial Calendar Fee Review of the following: Long Acting Reversible Contraceptives (LARCs) 04-01-2024-biennial-cal-fee-review-larcs.pdf (437.58 KB)
Notice of Proposed Adjustments to Fees, Rates or Charges for the Special Review of the HCBS-AMH Peer Support Services	March 01, 2024		Notice of Proposed Adjustments to Fees, Rates or Charges for the Special Review of the HCBS-AMH Peer Support Services 03-01-2024-hcbs-amh-peer-spprt-srvcs.pdf (180.77 KB)
Biennial Calendar Fee Review	March 01, 2024		Biennial Calendar Fee Review 03-01-2024-biennialcalendarfeereview.pdf (163.8 KB) , Biennial Calendar Fee Review 03-01-2024-biennialcalendarfeereview-attach.zip (5.72 MB)
Notice of Proposed Adjustments to Fees, Rates or Charges Healthcare Common Procedure Coding System (HCPCS)	March 01, 2024		Notice of Proposed Adjustments to Fees, Rates or Charges Healthcare Common Procedure Coding System (HCPCS) 03-01-2024-policy-hcpcs.pdf (268 KB)
Notice of Proposed Adjustments to Fees, Rates or Charges for the Policy Fee Review of the VDP Crosswalk Cleanup	March 01, 2024		Notice of Proposed Adjustments to Fees, Rates or Charges for the Policy Fee Review of the VDP Crosswalk Cleanup 03-01-2024-adj-fee-rates-vdp-crosswlk-cleanup.pdf (163.73 KB)
Notice of Proposed Adjustments to the Texas State Plan Attachment 4.19-B	March 01, 2024		Notice of Proposed Adjustments to the Texas State Plan Attachment 4.19-B 03-01-2024-adj-plan419b.pdf (349.61 KB)
Notice of Proposed Adjustments to the Texas State Plan Attachment 4.19-B pages	March 01, 2024		Notice of Proposed Adjustments to the Texas State Plan Attachment 4.19-B pages 03-01-2024-adj-plan-att-419b-epsdt-cdtf-dmepos-clin-diag-lab-fee-phy-fees.pdf (325.58 KB)
Notice of Proposed Adjustments to Fees, Rates, or Charges for Medicaid Biennial Calendar Fee Review of Clinical Labs COVID-19 Codes	March 01, 2024		Notice of Proposed Adjustments to Fees, Rates, or Charges for Medicaid Biennial Calendar Fee Review of Clinical Labs COVID-19 Codes 03-01-2024-clincal-labs-covid-19.pdf (165.54 KB)
Notice of Proposed Adjustments to Fees, Rates or Charges for 2024 Annual Healthcare Common Procedure Coding System (HCPCS)	January 02, 2024		Notice of Proposed Adjustments to Fees, Rates or Charges for 2024 Annual Healthcare Common Procedure Coding System (HCPCS) 01-02-2024-annual-hcpcs-rate.pdf (224.58 KB)