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
Proposed Rate Actions for Fiscal Year 2022-23 Quarter 1 Biennial Fee Review March 01, 2022
Notice of Proposed Adjustments to Fees, Rates, or Charges for Medicaid Policy Review of Autism Services February 01, 2022
Proposed Rate Actions for Personal Attendant Services in Community Living Assistance and Support Services (CLASS), and Community Attendant Services, Family Care, and Primary Home Care (CAS/FC/PHC) January 01, 2022
Proposed Rate Actions for Federal Fiscal Year 2022 Medicaid Community Hospice October 01, 2021
Notice of Proposed Implementation of 3M All Patient Refined Diagnosis Related Groups (APR-DRG) Grouper 38 Relative Weights (RW), Mean Length of Stay (MLOS) and Day Threshold October 01, 2021
  • Notice of Proposed Implementation of 3M All Patient Refined Diagnosis Related Groups (APR-DRG) Grouper 38 Relative Weights (RW), Mean Length of Stay (MLOS) and Day Threshold
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 22, 2021
Public Notice - Texas State Plan for Medical Assistance Amendment September 11, 2021
Proposed Rate Actions for FY 2020-21 Quarter 4 Biennial Fee Review September 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Policy Review of Cervical Total Disc Replacement September 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Diabetic Equipment & Supplies September 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Subcutaneous Implantable Cardio Defibrillator Policy September 01, 2021
Notice of Proposed Adjustments to Fees, Rates, or Charges for Rural Hospital Diagnostic Radiology Services and Clinical Diagnostic Laboratories September 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Policy Review of Cytogenomic Constitutional (genome-wide) Microarray Analysis September 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Medicaid Policy Review of Hep B Vaccine September 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Healthcare Common Procedure Coding System (HCPCS) September 01, 2021
  • Notice of Proposed Adjustments to Fees, Rates or Charges for Healthcare Common Procedure Coding System (HCPCS)
Proposed Payment Rate for Pediatric Long-term Care Facility Reimbursement September 01, 2021
Notice of Proposed Adjustments to Payment Rates for Rural Hospital Outpatient Services September 01, 2021
Notice Of Proposed Prospective Reimbursement For Rural Hospitals Participating In Medicaid September 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Allergy Testing September 01, 2021
Biennial Calendar Fee Review September 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Prostate Surgeries September 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Medical Policy Review of TAP Blocks September 01, 2021
Notice of Proposed Change to the Calculation of Potentially Preventable Readmission Performance for the Hospital Quality Based Program September 01, 2021
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) Vaccine Administration August 12, 2021
Proposed Rates for Day Habilitation and Respite in HCS and TxHmL August 01, 2021