Rate Packets

Title	Proposed Effective Date	Attachments
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19)	December 28, 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) 12-28-2021-adj-fee-hcpcs-covid19.pdf (136.3 KB)
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19)	December 08, 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) 12-08-2021-adj-qrtly-hcpcs-covid19.pdf (148 KB)
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19)	October 29, 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) 10-29-2021-notice-adjfeesratescharges-hcpcs-covid19.pdf (123.32 KB)
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	October 20, 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 10-20-2021-adj-qtrly-hcpcs-updates-covid19.pdf (129.07 KB)
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 10-01-2021-apr-drg-grouper38_0_0_0.pdf (609.76 KB)
Proposed Rate Actions for Federal Fiscal Year 2022 Medicaid Community Hospice	October 01, 2021	Proposed Rate Actions for Federal Fiscal Year 2022 Medicaid Community Hospice 10-01-2021-proposed-rate-actions-ffy2022-medicaid-comm-hospice.pdf (1.15 MB)
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	Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) 09-22-2021-qtr-hcpcs-covid19-fee-review.pdf (111.82 KB)
Public Notice - Texas State Plan for Medical Assistance Amendment	September 11, 2021	Public Notice - Texas State Plan for Medical Assistance Amendment 09-11-2021-op-pni-financial-included.pdf (20.04 KB)
Notice of Proposed Adjustments to Fees, Rates or Charges for Allergy Testing	September 01, 2021	Notice of Proposed Adjustments to Fees, Rates or Charges for Allergy Testing 09-01-2021-allergy-testing-policy-fee-review.pdf (281.1 KB)
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 Policy Review of Cervical Total Disc Replacement 09-01-2021-cervical-total-disc-policy-fee-review.pdf (518.73 KB)
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 Policy Review of Cytogenomic Constitutional (genome-wide) Microarray Analysis 09-01-2021-cma-policy-fee-review.pdf (251.78 KB)
Biennial Calendar Fee Review	September 01, 2021	Biennial Calendar Fee Review 09-01-2021-biennialcalendarfeereview.pdf (114.84 KB) , Biennial Calendar Fee Review Attachments 09-01-2021-biennialcalendarfeereview-att.zip (2.95 MB)
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 Diabetic Equipment & Supplies 09-01-2021-diabetic-equipment-supplies-policy-fee-review.pdf (442.37 KB)
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 Medicaid Policy Review of Hep B Vaccine 09-01-2021-hep-b-vaccine-policy-fee-review.pdf (263.75 KB)
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 Prostate Surgeries 09-01-2021-prostate-surgeries-policy-fee-review.pdf (529.65 KB)
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 Subcutaneous Implantable Cardio Defibrillator Policy 09-01-2021-s-icd-policy-fee-review.pdf (547.49 KB)
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) 09-01-2021-policy-hcpcs.pdf (467.25 KB)
Notice of Proposed Adjustments to Fees, Rates or Charges for Medical Policy Review of TAP Blocks	September 01, 2021	Notice of Proposed Adjustments to Fees, Rates or Charges for Medical Policy Review of TAP Blocks 09-01-2021-tap-blocks-policy-fee-review.pdf (465.28 KB)
Proposed Payment Rate for Pediatric Long-term Care Facility Reimbursement	September 01, 2021	Proposed Payment Rate for Pediatric Long-term Care Facility Reimbursement 09-01-2021-pediatric-ltc-facility-reimbursement.pdf (75.71 KB)
Notice of Proposed Change to the Calculation of Potentially Preventable Readmission Performance for the Hospital Quality Based Program	September 01, 2021	Notice of Proposed Change to the Calculation of Potentially Preventable Readmission Performance for the Hospital Quality Based Program 09-01-2021-prposed-change-calc-potential-prevent--readmiss-perf-for-hosp-quality-based-prog.pdf (108.81 KB)
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 Rural Hospital Diagnostic Radiology Services and Clinical Diagnostic Laboratories 09-01-2021-adj-fee-rural-hosp-diag-radiology-clinic-diag-lab.pdf (1.35 MB)
Notice of Proposed Adjustments to Payment Rates for Rural Hospital Outpatient Services	September 01, 2021	Notice of Proposed Adjustments to Payment Rates for Rural Hospital Outpatient Services 09-01-2021-adj-pmnt-rates-outpatient-srvcs.pdf (332.68 KB)
Proposed Rate Actions for FY 2020-21 Quarter 4 Biennial Fee Review	September 01, 2021	Proposed Rate Actions for FY 2020-21 Quarter 4 Biennial Fee Review 09-01-2021-proposed-rate-actions-2021-qtr4-biennial-fee-review.pdf (123.8 KB)
Notice Of Proposed Prospective Reimbursement For Rural Hospitals Participating In Medicaid	September 01, 2021	Notice Of Proposed Prospective Reimbursement For Rural Hospitals Participating In Medicaid 09-01-2021-prospective-reimbursement-rural-hospitals-in-medicaid.pdf (622.35 KB) , Notice Of Proposed Prospective Reimbursement For Rural Hospitals Participating In Medicaid Attachment 09-01-2021-prospective-reimbursement-rural-hospitals-in-medicaid-attch-rate-vis.pdf (3.73 MB)
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	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 8-12-2021-hcpcs-update-covid-19-vaccine-admin.pdf (119.13 KB)