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 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)
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
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) July 30, 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)
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 June 08, 2021
Notice of Proposed Medicaid Payment Rates for the Medical Transportation Program June 01, 2021
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to COVID-19 Monoclonal Administration May 26, 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) May 26, 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)
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) May 06, 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)
Notice of Proposed Adjustments to Fees, Rates, or Charges for Medicaid Biennial Calendar Fee Review of the following: Long Acting Reversible Contraceptives (LARCs) April 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 April 01, 2021
Proposed Payment Rates for Home and Community-Based Services – Adult Mental Health (HCBS-AMH) Supported Home Living (SHL) and Youth Empowerment Services (YES) Waiver In-Home Respite April 01, 2021
Biennial Calendar Fee Review March 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Digital Breast Tomosynthesis March 01, 2021
  • Notice of Proposed Adjustments to Fees, Rates or Charges for Digital Breast Tomosynthesis
Notice of Proposed Adjustments to Fees, Rates or Charges for Telemonitoring Update March 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Healthcare Common Procedure Coding System (HCPCS) March 01, 2021
  • Notice of Proposed Adjustments to Fees, Rates or Charges for Healthcare Common Procedure Coding System (HCPCS)
  • Notice of Proposed Adjustments to Fees, Rates or Charges for Healthcare Common Procedure Coding System (HCPCS) Attachments
Notice of Proposed Adjustments to Fees, Rates or Charges for Nutritional (Enteral) Products, Supplies, and Equipment - Home Health & CCP: Immobilized Lipase Cartridge March 01, 2021
Notice of Proposed Adjustments to Fees, Rates or Charges for Wound Care March 01, 2021