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
Special Review of Clinical Laboratory Services October 01, 2015
Healthcare Common Procedure Coding System (HCPCS) Updates October 01, 2015
Gardasil 9 (90651) October 01, 2015
Small and Large, State Operated Intermediate Care Facilities for Individuals with an Intellectual Disability and Related Conditions September 01, 2015
  • Small and Large, State Operated Intermediate Care Facilities for Individuals with an Intellectual Disability and Related Conditions
24 Hour Residential Child Care and Supervised Independent Living Program and Sub-Acute Inpatient Treatment Program September 01, 2015
  • 24 Hour Residential Child Care and Supervised Independent Living Program and Sub-Acute Inpatient Treatment Program
Truman W. Smith Children's Care Center September 01, 2015
Hospital Inpatient Services September 01, 2015
Rural Hospital Outpatient General Services September 01, 2015
Therapy Services September 01, 2015
Community Care September 01, 2015
Non-State Operated Intermediate Care Facilities for Individuals with an Intellectual Disability and Related Conditions (ICF/IID) and the Home and Community-based Services (HCS) Waiver Program September 01, 2015 July 09, 2015
  • Non-State Operated Intermediate Care Facilities for Individuals with an Intellectual Disability and Related Conditions (ICF/IID) and the Home and Community-based Services (HCS) Waiver Program
Early and Periodic Screening Diagnosis, and Treatment Texas Health Steps Personal Care Services and Community First Choice Personal Care Services September 01, 2015 July 09, 2015
Rural Hospital Outpatient Imaging September 01, 2015
Breast Cancer (BRCA) Large Rearrangement Testing July 01, 2015
Flucelvax Influenza Vaccine July 01, 2015
Durable Medical Equipment - Medical and Surgical Supplies July 01, 2015
  • Durable Medical Equipment - Medical and Surgical Supplies
Obstetric Services July 01, 2015
Calendar Fee Review July 01, 2015
Tuberculosis Services July 01, 2015
Community First Choice Services June 01, 2015
2014 HCPCS 3rd Quarter Update April 01, 2015
Solid Organ Transplants April 01, 2015
Calendar Fee Review April 01, 2015
Durable Medical Equipment – Orthotics and Prosthetics April 01, 2015
Gynecological and Reproductive Health Services January 01, 2015