Texas
highTX TMHP FEE Schedules
Run Date and Time
Sep 15, 2026
18m 26s
Run Metrics
Fee Schedule Impacts
Run summary
This run for Texas Medicaid & Healthcare Partnership / TX_TMHP_FEE_SCHEDULES identified 200 changed documents and 0 newly discovered documents. 28 item(s) are high priority.
High Impact (28)
Texas_Medicaid_Fee_Schedule_PRCR442C.pdf
The Texas Medicaid fee schedule has been updated with a new effective date of 9/1/2026 for several medical services codes, including 90460, 90470, 90471, and 90472. No rate changes were noted, but the effective date update is significant.
Highlights
- •Effective date for codes 90460, 90470, 90471, and 90472 updated to 9/1/2026.
- •No changes in reimbursement rates were observed.
- •The document is current as of 9/14/2026.
Reason
The update includes a new effective date for multiple codes, impacting billing and reimbursement processes immediately.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR612C.pdf
The document updates the Texas Medicaid fee schedule with changes effective on 9/14/2026. It includes updates to the effective dates for several CPT codes, such as 90460 and 90471, with fees adjusted accordingly.
Highlights
- •Effective date updated to 9/14/2026 for the fee schedule.
- •CPT code 90460 fee updated to $13.75 effective 9/1/2026.
- •CPT code 90471 fee updated to $13.75 for ages 0-20 and $13.10 for ages 21-999 effective 9/1/2026.
- •CPT code 90472 fee updated to $10.38 effective 9/1/2026.
Reason
The document includes imminent changes to Medicaid reimbursement rates effective 9/14/2026.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR456C.pdf
The Texas Medicaid fee schedule for orthodontists has been updated with new rates effective 9/1/2026. Notable changes include increases in reimbursement rates for certain dental procedures.
Highlights
- •Rate for D0120 increased from $30.42 to $30.59.
- •Rate for D0150 increased from $43.50 to $43.74.
- •Effective date for changes is 9/1/2026.
Reason
The document includes specific rate changes effective imminently, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR455C.pdf
The Texas Medicaid fee schedule has been updated with new rates effective September 1, 2026, for several surgical procedures. Rates for procedures 36251, 36252, 36253, and 36254 have been decreased compared to the previous schedule.
Highlights
- •Effective date: 9/1/2026
- •Procedure 36251: Rate decreased to $1,030.35
- •Procedure 36252: Rate decreased to $1,128.86
- •Procedure 36253: Rate decreased to $1,594.50
- •Procedure 36254: Rate decreased to $1,604.88
Reason
The changes involve specific rate reductions effective imminently, impacting reimbursements.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR451C.pdf
The Texas Medicaid fee schedule has been updated with new effective dates for several medical services codes, including T1019 with modifiers U3, U4, U5, U6, U7, and U8, now effective from 9/1/2026.
Highlights
- •Effective date for T1019 U3 changed to 9/1/2026
- •Effective date for T1019 U4 changed to 9/1/2026
- •Effective date for T1019 U5 changed to 9/1/2026
- •Effective date for T1019 U6 changed to 9/1/2026
- •Effective date for T1019 U7 changed to 9/1/2026
- •Effective date for T1019 U8 changed to 9/1/2026
Reason
The changes involve effective date updates for multiple codes, impacting reimbursement immediately.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR416C.pdf
The Texas Medicaid fee schedule for ambulance services has been updated with a rate change for code A0020, effective 9/1/2026. The rate increased from $5.89 to $7.78.
Highlights
- •Rate for A0020 increased from $5.89 to $7.78.
- •Effective date for change is 9/1/2026.
- •Other codes (A0382, A0398, A0420) remain unchanged.
Reason
The update includes a specific rate change effective imminently, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR704C.pdf
The Texas Medicaid fee schedule has been updated with a new effective date of September 14, 2026, and includes changes to certain service fees effective September 1, 2026. Notably, the fee for service code E0352 has been adjusted from $51.34 to $48.77.
Highlights
- •New effective date: September 14, 2026
- •Fee change for E0352: $51.34 to $48.77
- •Effective date for fee changes: September 1, 2026
Reason
The document includes imminent changes to Medicaid fees effective September 1, 2026, impacting reimbursement rates.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR706C.pdf
The Texas Medicaid fee schedule for medical transportation services has been updated with new rates effective September 1, 2026. Rates for services T2003 U1, U2, and U3 have increased.
Highlights
- •Rate for T2003 U1 increased to $33.83
- •Rate for T2003 U2 increased to $79.63
- •Rate for T2003 U3 increased to $62.31
- •Effective date of changes: 9/1/2026
Reason
The changes involve specific rate increases effective imminently, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR407C.pdf
The Texas Medicaid fee schedule for dental services has been updated with new rates effective September 1, 2026. Notable changes include an increase in the reimbursement rate for code D0120 from $30.42 to $30.59 and for code D0150 from $43.50 to $43.74.
Highlights
- •Rate for D0120 increased from $30.42 to $30.59.
- •Rate for D0150 increased from $43.50 to $43.74.
- •Effective date for changes is 9/1/2026.
Reason
The changes involve specific rate increases effective imminently, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR496C.pdf
The Texas Medicaid fee schedule for dental services has been updated with new rates effective September 1, 2026. Notable changes include an increase in the fee for procedure code D0120 from $30.42 to $30.59 and for D0150 from $43.50 to $43.74.
Highlights
- •Fee for D0120 increased to $30.59 effective 9/1/2026.
- •Fee for D0150 increased to $43.74 effective 9/1/2026.
- •Effective date for changes is 9/1/2026.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR459C.pdf
The document update includes changes to the Texas Medicaid fee schedule for tuberculosis clinics, with new rates effective September 1, 2026, for several CPT codes. Notable changes include rate adjustments for codes J1956, J2020, J2280, and J3000.
Highlights
- •New rates effective 9/1/2026 for codes J1956, J2020, J2280, J3000.
- •Rate for J1956 increased to $2.16.
- •Rate for J2020 adjusted to $2.74.
- •Rate for J2280 changed to $9.16.
- •Rate for J3000 updated to $33.88.
Reason
The changes involve specific rate adjustments effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR429C.pdf
The Texas Medicaid fee schedule has been updated with new rates effective September 1, 2026, for certain surgical and radiology procedures. Rates for CPT codes 38226 and 38227 have decreased significantly.
Highlights
- •CPT 38226 rate changed to $28.35 for ages 0-20 and $27.00 for ages 21-999.
- •CPT 38227 rate changed to $28.63 for ages 0-20 and $27.27 for ages 21-999.
- •Effective date for changes is September 1, 2026.
Reason
The changes involve significant rate adjustments effective immediately, impacting reimbursements.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR430C.pdf
The document update includes a change in the reimbursement rate for medical service code 90371, effective September 1, 2026, increasing from $116.94 to $123.36. Additionally, the document date has been updated to September 14, 2026.
Highlights
- •Rate change for code 90371: $116.94 to $123.36
- •Effective date for code 90371: 9/1/2026
- •Document date updated to 9/14/2026
Reason
The update includes a specific rate change effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR447C.pdf
The Texas Medicaid fee schedule for birthing centers has been updated with new rates for medical services 96380 and 96381, effective September 1, 2026. The rates have increased from $19.37 to $25.26 and from $16.56 to $20.49, respectively.
Highlights
- •Medical service 96380 rate increased to $25.26
- •Medical service 96381 rate increased to $20.49
- •Effective date for changes: September 1, 2026
Reason
The update includes specific rate changes effective imminently, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR432C.pdf
The Texas Medicaid fee schedule for opticians has been updated with new rates effective September 1, 2026, for certain medical items and services. Notable changes include increased fees for codes V2624, V2625, and V2626.
Highlights
- •New rates effective 9/1/2026 for codes V2624, V2625, V2626.
- •V2624 rate increased to $48.89.
- •V2625 rate increased to $234.81.
- •V2626 rate increased to $162.84.
Reason
The update includes specific rate changes effective imminently, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR445C.pdf
The Texas Medicaid fee schedule has been updated with effective dates for several medical services codes, including 90460, 90470, 90471, and 90472, now set to 9/1/2026.
Highlights
- •Effective date for CPT 90460 updated to 9/1/2026.
- •Effective date for CPT 90470 updated to 9/1/2026.
- •Effective date for CPT 90471 updated to 9/1/2026.
- •Effective date for CPT 90472 updated to 9/1/2026.
Reason
The update includes imminent effective date changes for multiple CPT codes, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR462C.pdf
The document updates the Texas Medicaid fee schedule for outpatient behavioral health services, specifically for opioid treatment providers. Effective dates for certain services have been updated from 3/1/2026 to 9/1/2026, impacting codes H0020 U1, H0020 UA, and H0033 U1.
Highlights
- •Effective date changes from 3/1/2026 to 9/1/2026 for codes H0020 U1, H0020 UA, and H0033 U1.
- •No rate changes observed for the listed services.
- •Document pertains to outpatient behavioral health - opioid treatment provider.
Reason
The update involves effective date changes for specific service codes, impacting reimbursement timing.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR415C.pdf
The document update reflects changes in the effective dates for several CPT codes in the Texas Medicaid fee schedule, with new dates set for September 1, 2026.
Highlights
- •CPT 90460 effective date changed to 9/1/2026.
- •CPT 90471 effective date changed to 9/1/2026.
- •CPT 90472 effective date changed to 9/1/2026.
- •CPT 90473 effective date changed to 9/1/2026.
- •CPT 90474 effective date changed to 9/1/2026.
Reason
The changes involve effective date updates for multiple CPT codes, impacting reimbursement schedules imminently.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR705C.pdf
The Texas Medicaid fee schedule for medical transportation has been updated, increasing the rate for service code S0215 from $0.73 to $0.76, effective July 1, 2026.
Highlights
- •Rate for S0215 increased from $0.73 to $0.76.
- •Effective date of change: July 1, 2026.
- •Document date: September 14, 2026.
- •Marked as a change ('c') in the schedule.
Reason
The update involves a specific rate change effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR613C.pdf
The Texas Medicaid fee schedule for prescribed pediatric extended care centers has been updated with new rates effective September 1, 2026. Rates for services T1025 and T1026 have increased significantly.
Highlights
- •Rate for T1025 increased from $389.49 to $481.07.
- •Rate for T1026 increased from $32.46 to $40.09.
- •Effective date for changes is September 1, 2026.
- •Changes marked with 'c' indicating updates.
Reason
The changes involve significant rate increases effective imminently, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR494C.pdf
The Texas Medicaid fee schedule has been updated with a new effective date of 9/1/2026 for certain services, including a fee increase for procedure code 90671 from $246.03 to $253.71.
Highlights
- •Fee schedule effective date changed to 9/1/2026.
- •Procedure code 90671 fee increased to $253.71.
- •Procedure code 90677 fee remains $294.79.
Reason
The update includes a specific fee change effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR417C.pdf
The document update includes a change in the reimbursement rate for CPT code 90371, effective September 1, 2026, increasing from $116.94 to $123.36. This update is part of the Texas Medicaid fee schedule for nephrology services.
Highlights
- •CPT code 90371 rate increased to $123.36.
- •Effective date for new rate: 9/1/2026.
- •Document date updated to 9/14/2026.
Reason
The update includes a specific rate change effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR495C.pdf
The Texas Medicaid fee schedule has been updated with new rates effective September 1, 2026, for several medical services, including codes 96380 and 96381. These changes reflect increased fees for physician-administered drugs/biologicals.
Highlights
- •Fee changes for codes 96380 and 96381.
- •New effective date: September 1, 2026.
- •Increased fees for birthing center services.
- •Updated conversion factor remains $28.0672.
Reason
The update includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR494I.pdf
The document updates the Texas Medicaid fee schedule for clinical diagnostic laboratory tests, effective September 14, 2026. It includes adjusted rates for automated test panels and lists specific lab panel codes.
Highlights
- •Effective date: September 14, 2026
- •Adjusted rates for automated test panels
- •Lab panel codes listed: 80047, 80053, 80061, 80069, 80074, 80076
- •No CPT or CDT descriptions due to copyright restrictions
Reason
The update includes specific rate changes and an imminent effective date, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR457C.pdf
The Texas Medicaid fee schedule for oral maxillofacial surgeons has been updated with new rates effective 9/1/2026. Notable changes include increases in reimbursement rates for codes D0120 and D0150.
Highlights
- •Rate for D0120 increased from $30.42 to $30.59 effective 9/1/2026.
- •Rate for D0150 increased from $43.50 to $43.74 effective 9/1/2026.
Reason
The document shows specific rate changes effective imminently, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR441C.pdf
The Texas Medicaid fee schedule for radiation treatment centers has been updated with new rates effective September 1, 2026. Significant changes include increased reimbursement rates for CPT codes 31626 and 31627.
Highlights
- •Effective date: 9/1/2026
- •CPT 31626 rate increased to $730.59 for ages 0-20
- •CPT 31626 rate increased to $695.79 for ages 21-999
- •CPT 31627 rate increased to $970.84 for ages 0-20
- •CPT 31627 rate increased to $924.61 for ages 21-999
Reason
The changes involve specific rate increases effective imminently, impacting reimbursements.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR460C.pdf
The document update includes changes to the Texas Medicaid fee schedule for tuberculosis clinics, with new rates effective September 1, 2026, for several CPT codes. Notable changes include rate adjustments for codes J1956, J2020, J2280, and J3000.
Highlights
- •New rates effective 9/1/2026 for codes J1956, J2020, J2280, J3000.
- •Rate for J1956 changed to $2.16.
- •Rate for J2020 changed to $2.74.
- •Rate for J2280 changed to $9.16.
- •Rate for J3000 changed to $33.88.
Reason
The changes involve specific rate adjustments effective imminently, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR444C.pdf
The Texas Medicaid fee schedule has been updated with a new effective date of 9/1/2026 for several medical services, including CPT codes 90460, 90470, 90471, and 90472. The previous effective date was 3/1/2026.
Highlights
- •Effective date for CPT 90460 changed to 9/1/2026
- •Effective date for CPT 90470 changed to 9/1/2026
- •Effective date for CPT 90471 changed to 9/1/2026
- •Effective date for CPT 90472 changed to 9/1/2026
Reason
The update involves imminent effective date changes for multiple CPT codes, impacting reimbursement.
Watch items
Medium Impact (44)
Texas_Medicaid_Fee_Schedule_PRCR486C.pdf
The document update reflects a new version of the Texas Medicaid fee schedule for physicians in geriatrics, effective September 14, 2026. However, there are no specific changes in rates or policies identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT/HCPCS codes noted.
- •No effective date changes for existing rates.
Reason
The document is current, but no specific reimbursement-impacting changes are evident from the excerpts.
Texas_Medicaid_Fee_Schedule_PRCR464C.pdf
The document update reflects a change in the Texas Medicaid fee schedule, with the latest version dated 9/14/2026. However, there are no specific rate changes or new CPT codes identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT/HCPCS codes noted.
- •Review mentions every two years or as necessary.
Reason
The document is current, but no specific reimbursement-impacting changes are evident from the excerpts.
Texas_Medicaid_Fee_Schedule_PRCR454C.pdf
The document update reflects changes to the Texas Medicaid fee schedule for family planning clinics, effective September 14, 2026. The update includes specific CPT codes and associated rates, but no new rates or effective dates are introduced compared to the previous version dated July 29, 2026.
Highlights
- •Document date updated to 9/14/2026.
- •No new rates or effective dates introduced.
- •CPT codes 11976, 11981, 11982, 11983 are mentioned.
- •Rates for these codes remain unchanged from 7/29/2026 version.
Reason
The document is current but does not introduce new rates or effective dates, indicating limited immediate impact.
Texas_Medicaid_Fee_Schedule_PRCR461C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for physicians in nephrology, with the latest version dated 9/14/2026. However, there are no specific rate changes or new CPT codes identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026
- •No specific rate changes identified
- •No new CPT codes or modifiers noted
- •References to review frequency and TMHP website for details
Reason
The document is current but lacks specific rate or policy changes in the excerpts provided.
Texas_Medicaid_Fee_Schedule_PRCR433C.pdf
The document update reflects a change in the date of the Texas Medicaid fee schedule for outpatient behavioral health services, moving from 7/29/2026 to 9/14/2026. No specific rate changes or new CPT codes are evident in the excerpts provided.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No new CPT codes or rate changes identified
- •Outpatient behavioral health services for psychologists
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR450C.pdf
The document update reflects a date change from 7/29/2026 to 9/14/2026 for the Texas Medicaid fee schedule related to comprehensive health centers. No specific rate or policy changes are evident.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •Applies to Texas Medicaid fee schedule
- •Covers miscellaneous other professionals - comprehensive health centers
Reason
The update is current but lacks specific rate or policy changes.
Texas_Medicaid_Fee_Schedule_PRCR611C.pdf
The document update reflects a change in the date of the Texas Medicaid fee schedule for licensed midwives from July 29, 2026, to September 14, 2026. No specific rate changes or new CPT codes are evident in the excerpts provided.
Highlights
- •Date change from 7/29/2026 to 9/14/2026.
- •No rate changes identified.
- •No new CPT codes or modifiers mentioned.
Reason
The document is current, but no specific rate or policy changes are evident.
Texas_Medicaid_Fee_Schedule_PRCR467C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for physicians specializing in cardiovascular disease, with the latest version dated 9/14/2026. However, there are no specific rate changes or new CPT codes identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT codes or modifiers noted.
- •References to anesthesia codes 00100 and 00170 remain unchanged.
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR498C.pdf
The document updates the Texas Medicaid fee schedule for personal care services, extending the adjusted fee report date from 2025 to 2026 for several procedure codes. No rate changes are indicated, but the effective date for reporting has been updated.
Highlights
- •Fee schedule date changed from 7/29/2026 to 9/14/2026.
- •Adjusted fee report date extended to 9/1/2026 for codes T1019 U3, U4, U5, U6, U7, U8, U9.
- •No change in Medicaid fee rates; only report date updated.
Reason
The change updates the reporting date but does not alter reimbursement rates, affecting administrative tracking rather than immediate financial impact.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR492C.pdf
The Texas Medicaid fee schedule for therapies has been updated with a new effective date of 9/14/2026, replacing the previous date of 7/29/2026. No specific rate changes or new codes are detailed in the provided excerpts.
Highlights
- •Effective date changed from 7/29/2026 to 9/14/2026.
- •No specific rate changes or new codes identified.
- •Document pertains to Texas Medicaid fee schedule for therapies.
Reason
The change in effective date is upcoming but lacks specific rate or policy changes.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR472C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for neurosurgery, with the latest version dated 9/14/2026. However, there are no specific rate changes or new CPT codes identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT codes or modifiers noted.
- •References to review frequency and TMHP website for rate changes.
Reason
The document is current but lacks specific rate or policy changes in the excerpts provided.
Texas_Medicaid_Fee_Schedule_PRCR439C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for orthotists, with the latest version dated 9/14/2026. However, there are no specific rate changes or new codes indicated in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT/HCPCS codes mentioned.
- •Review frequency noted as every two years.
Reason
The document is current but lacks specific rate or policy changes that impact reimbursement.
Texas_Medicaid_Fee_Schedule_PRCR481C.pdf
The document update reflects a new version of the Texas Medicaid fee schedule for physicians, specifically in radiation therapy, with a new date of 9/14/2026. However, there are no clear changes in rates or policies indicated in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT/HCPCS codes or modifiers noted.
- •No effective date changes for existing rates.
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR430I.pdf
The document update reflects a change in the effective date from 7/29/2026 to 9/14/2026 for the Texas Medicaid fee schedule related to renal dialysis facility composite rates. No changes in rates or policies are evident from the excerpts provided.
Highlights
- •Effective date changed to 9/14/2026.
- •No rate changes observed in excerpts.
- •Applies to renal dialysis facility composite rates.
Reason
The change in effective date is noted, but no rate or policy changes are evident, limiting immediate impact.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR469C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for physicians in gastroenterology, with a new effective date of 9/14/2026. However, there are no specific rate changes or policy updates detailed in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT or HCPCS codes mentioned.
- •No effective date changes for existing rates.
Reason
The document is current but lacks specific rate or policy changes, suggesting limited immediate impact.
Texas_Medicaid_Fee_Schedule_PRCR408C.pdf
The document update reflects a change in the date of the Texas Medicaid fee schedule for home health agencies from 7/29/2026 to 9/14/2026. No specific rate changes or new CPT codes are evident in the excerpts provided.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No new rates or CPT codes identified
- •Document pertains to Texas Medicaid fee schedule for home health agencies
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR468C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for physicians in dermatology, with a new effective date of 9/14/2026. However, there are no specific rate changes or new CPT codes indicated in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT/HCPCS codes mentioned.
- •Document pertains to Texas Medicaid fee schedule for dermatology.
Reason
The document is current but lacks specific rate or policy changes that impact reimbursement.
Texas_Medicaid_Fee_Schedule_PRCR436C.pdf
The document update reflects a change in the date of the Texas Medicaid fee schedule for occupational therapists from 7/29/2026 to 9/14/2026. No specific rate changes or new CPT codes are evident in the excerpts provided.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No new rates or CPT codes identified
- •Occupational therapist fee schedule affected
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR475C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for orthopedic surgery, with a new effective date of 9/14/2026. However, no specific rate changes or new codes are evident in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026
- •No specific rate changes identified
- •No new CPT/HCPCS codes noted
- •Orthopedic surgery section reviewed
Reason
The document is current, but no specific reimbursement-impacting changes are evident.
Texas_Medicaid_Fee_Schedule_PRCR412C.pdf
The document update reflects a change in the Texas Medicaid fee schedule with a new effective date of 9/14/2026. However, there are no specific rate changes or policy updates detailed in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026
- •No specific rate changes identified
- •No new CPT/HCPCS codes or modifiers mentioned
- •No effective date changes for existing rates
Reason
The document is current but lacks specific rate or policy changes that impact reimbursement.
Texas_Medicaid_Fee_Schedule_PRCR488C.pdf
The document update reflects a change in the Texas Medicaid fee schedule, with the latest version dated 9/14/2026. However, there are no specific rate changes or new CPT codes identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026
- •No specific rate changes identified
- •No new CPT/HCPCS codes mentioned
- •Review mentions every two years or as necessary
Reason
The document is current but lacks specific rate or policy changes in the provided excerpts.
Texas_Medicaid_Fee_Schedule_PRCR426C.pdf
The document update reflects a change in the effective date for certain Medicaid fee schedule items, moving from 3/1/2026 to 9/1/2026 for some services. No rate changes are evident, but the effective date adjustment could impact billing timelines.
Highlights
- •Effective date for some services changed to 9/1/2026.
- •No rate changes detected in the excerpts.
- •Applies to outpatient behavioral health services.
Reason
The change in effective date could affect billing processes, but no immediate rate changes are evident.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR477C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for physicians, specifically in physical medicine and rehabilitation, with a new effective date of 9/14/2026. However, no specific rate changes or new CPT codes are evident from the excerpts provided.
Highlights
- •Document date updated to 9/14/2026
- •No specific rate changes identified
- •No new CPT codes or modifiers noted
- •Review conducted every two years
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR413C.pdf
The document update reflects a change in the Texas Medicaid fee schedule, with the latest version dated 9/14/2026. However, there are no specific rate changes or new CPT codes identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT/HCPCS codes mentioned.
- •Document length increased slightly.
Reason
The document is current, but no specific reimbursement-impacting changes are evident from the excerpts.
Texas_Medicaid_Fee_Schedule_PRCR438C.pdf
The document update reflects a change in the date of the Texas Medicaid fee schedule for prosthetists from July 29, 2026, to September 14, 2026. No specific rate changes or new codes are evident in the excerpts provided.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No rate changes identified
- •No new CPT/HCPCS codes added or removed
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR474C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for physicians in ophthalmology, with the latest version dated 9/14/2026. However, there are no specific rate changes or new CPT codes indicated in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026
- •No specific rate changes identified
- •No new CPT codes or modifiers noted
- •Review frequency mentioned as every two years
Reason
The document is current but lacks specific rate or policy changes that impact reimbursement.
Texas_Medicaid_Fee_Schedule_PRCR499C.pdf
The document updates the Texas Medicaid fee schedule for private duty nursing, changing the effective date from 7/29/2026 to 9/14/2026. No specific rate changes or new codes are detailed.
Highlights
- •Effective date changed to 9/14/2026
- •Applies to Texas Medicaid fee schedule for private duty nursing
- •No specific rate or code changes detailed
Reason
The change updates the effective date, but lacks specific rate or policy details.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR615C.pdf
The document updates the Texas Medicaid fee schedule for autism services, changing the effective date from July 29, 2026, to September 14, 2026. No specific rate changes or new codes are detailed in the excerpts.
Highlights
- •Effective date changed to September 14, 2026
- •Applies to Texas Medicaid fee schedule for autism services
- •No specific rate or code changes detailed
Reason
The change updates the effective date, but lacks specific rate or policy changes.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR428C.pdf
The document update reflects a change in the review date of the Texas Medicaid fee schedule for Licensed Clinical Social Workers from 7/29/2026 to 9/14/2026. No specific rate changes or new CPT codes are evident.
Highlights
- •Review date changed to 9/14/2026
- •No new rates or CPT codes identified
- •Document pertains to Licensed Clinical Social Workers
Reason
The update is recent but lacks specific rate or policy changes.
Texas_Medicaid_Fee_Schedule_PRCR466C.pdf
The document update reflects a new version of the Texas Medicaid fee schedule for anesthesiology, effective September 14, 2026. However, there are no specific changes in rates or policies identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT codes or modifiers noted.
- •No effective date changes for existing rates.
Reason
The document is current, but no specific reimbursement-impacting changes are evident from the excerpts.
Texas_Medicaid_Fee_Schedule_PRCR470C.pdf
The document update reflects a new version of the Texas Medicaid fee schedule dated 9/14/2026, but no specific rate changes or new CPT codes are evident in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT/HCPCS codes noted.
- •No effective date changes observed.
Reason
The document is current, but no specific reimbursement-impacting changes are evident from the excerpts.
Texas_Medicaid_Fee_Schedule_PRCR465C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for otorhinolaryngology, with the latest version dated 9/14/2026. However, there are no specific rate changes or new CPT codes identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT codes or modifiers noted.
- •Review mentions updates are available on the TMHP website.
Reason
The document is current but lacks specific rate or policy changes in the provided excerpts.
Texas_Medicaid_Fee_Schedule_PRCR435C.pdf
The document update reflects a change in the review date of the Texas Medicaid fee schedule for physical therapists, now dated 9/14/2026. However, there are no changes in the rates or codes themselves.
Highlights
- •Review date updated to 9/14/2026
- •No changes in rates or codes
- •Applies to physical therapist fee schedule
Reason
The update is current but does not impact reimbursement rates or policies.
Texas_Medicaid_Fee_Schedule_PRCR482C.pdf
The document update reflects a new version of the Texas Medicaid fee schedule for thoracic surgery, dated 9/14/2026. However, there are no specific changes in rates or policies identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT/HCPCS codes noted.
- •No effective date changes observed.
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR479C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for physicians, specifically in proctology, with a new effective date of 9/14/2026. However, no specific rate changes or new CPT codes are evident from the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT codes or modifiers noted.
- •References to anesthesia codes 00100 and 00170 remain unchanged.
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR463C.pdf
The document update reflects a new version of the Texas Medicaid fee schedule for physicians in general surgery, dated 9/14/2026. However, there are no specific changes in rates or policies identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT/HCPCS codes or modifiers noted.
- •No effective date changes observed.
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR483C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for physicians in urology, with the latest version dated 9/14/2026. However, there are no specific rate changes or new CPT codes identified in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT codes or modifiers noted.
- •Document pertains to Texas Medicaid fee schedule for urology.
Reason
The document is current but lacks specific rate or policy changes that impact reimbursement.
Texas_Medicaid_Fee_Schedule_PRCR417I.pdf
The document update reflects a change in the effective date of the Texas Medicaid fee schedule for nephrology services, moving from July 29, 2026, to September 14, 2026. However, there are no changes in the composite rates or revenue codes listed.
Highlights
- •Effective date changed to 9/14/2026.
- •No changes in composite rates or revenue codes.
- •Document pertains to nephrology services.
Reason
The update involves a future effective date change without impacting current rates, requiring moderate urgency for review.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR405C.pdf
The document update reflects a change in the effective date of the Texas Medicaid fee schedule for ambulatory surgical centers from July 29, 2026, to September 14, 2026. No specific rate changes or new CPT codes are indicated.
Highlights
- •Effective date changed to 9/14/2026
- •No rate changes identified
- •No new CPT codes or modifiers mentioned
Reason
The change in effective date is relevant but lacks immediate reimbursement impact details.
Texas_Medicaid_Fee_Schedule_PRCR484C.pdf
The document update reflects a new Texas Medicaid fee schedule for physicians in nuclear medicine, effective September 14, 2026. No specific rate changes or new CPT codes are detailed in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026
- •Covers Texas Medicaid fee schedule for nuclear medicine
- •No specific rate changes or new CPT codes detailed
Reason
The document is current but lacks specific rate or policy changes in the excerpts provided.
Texas_Medicaid_Fee_Schedule_PRCR411C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for outpatient rehabilitation facilities, with a new review date of 9/14/2026. However, no specific rate changes or new CPT codes are evident from the excerpts provided.
Highlights
- •New review date: 9/14/2026
- •No specific rate changes identified
- •No new CPT codes or modifiers noted
- •Document pertains to outpatient rehabilitation facilities
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR422C.pdf
The document update reflects a change in the review date of the Texas Medicaid fee schedule for case management and rehabilitative services, moving from 7/29/2026 to 9/14/2026. No rate changes or new codes are evident.
Highlights
- •Review date updated to 9/14/2026
- •No rate changes detected
- •No new CPT/HCPCS codes added
Reason
The update involves a review date change, but no immediate rate or policy changes are evident.
Texas_Medicaid_Fee_Schedule_PRCR485C.pdf
The document update reflects a change in the Texas Medicaid fee schedule for physicians in pediatrics, with the latest version dated 9/14/2026. However, there are no specific rate changes or new CPT codes indicated in the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No specific rate changes identified.
- •No new CPT codes or modifiers noted.
- •References to anesthesia codes 00100 and 00170 remain unchanged.
Reason
The document is current but lacks clear evidence of reimbursement-impacting changes.
Texas_Medicaid_Fee_Schedule_PRCR605C.pdf
The Texas Medicaid fee schedule for outpatient behavioral health has been updated with a new effective date of September 1, 2026, for several services, including those provided by certified nurse midwives and registered nurses. The rates for these services remain unchanged.
Highlights
- •Effective date updated to 9/1/2026 for several services.
- •Services include H0033 with modifiers U1 and UA.
- •Rates remain $29.12 and $31.42 respectively.
- •Applies to certified nurse midwives and registered nurses.
Reason
The update involves a future effective date change without rate alterations, requiring moderate urgency for review.
Watch items
Low Impact (128)
Texas_Medicaid_Fee_Schedule_PRCR604C.pdf
The document update primarily involves a date change from 7/29/2026 to 9/14/2026 in the Texas Medicaid fee schedule for hospital outpatient imaging services. No specific rate or policy changes are evident from the excerpts provided.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No rate changes identified
- •No new CPT codes or modifiers mentioned
- •No effective date changes for rates
Reason
The update appears to be a date change without any impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR609C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR607C.pdf
The document update primarily involves a date change from 7/29/2026 to 9/14/2026 in the Texas Medicaid fee schedule for physician assistants. No specific rate or policy changes are evident from the excerpts provided.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No rate changes identified
- •No new CPT/HCPCS codes added or removed
- •No modifier or billing instruction changes noted
Reason
The update appears to be a date change without any reimbursement or policy impact.
Texas_Medicaid_Fee_Schedule_PRCR487C.pdf
The document update involves a change in the date on the Texas Medicaid fee schedule for certified respiratory care practitioners, but no rate or policy changes are evident.
Highlights
- •Date changed from 7/29/2026 to 9/14/2026.
- •No changes in rates or codes observed.
- •Applies to certified respiratory care practitioners.
Reason
The change appears to be a date update without impact on rates or policies.
Texas_Medicaid_Fee_Schedule_PRCR425C.pdf
The document update primarily reflects a date change from 7/29/2026 to 9/14/2026 in the Texas Medicaid fee schedule for case management and rehabilitative services. No specific rate changes or new codes are evident.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No rate changes identified
- •No new CPT/HCPCS codes added or removed
Reason
The update appears to be a date change without impacting reimbursement rates or policies.
Texas_Medicaid_Fee_Schedule_PRCR449C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR434C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR433C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR439C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR415C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR444C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR438C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR416C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR604C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR707C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR414C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR424C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR442C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR428C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR470C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR408C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR431C.pdf
The document update primarily involves a change in the page count from 58 to 59 pages, with no clear evidence of rate or policy changes. The effective date remains consistent with previous entries, indicating no immediate impact on reimbursement or policy.
Highlights
- •Page count changed from 58 to 59.
- •No new rate changes identified.
- •Effective dates remain unchanged.
- •No new CPT or HCPCS codes added or removed.
Reason
The update appears to be administrative with no immediate impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR451C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR441C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR483C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR417C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR420C.pdf
The document update reflects a change in the date of the Texas Medicaid fee schedule for chiropractors, now dated 9/14/2026, but no rate or policy changes are evident.
Highlights
- •Document date updated to 9/14/2026
- •No changes in rates or codes observed
- •CPT codes 98940 and 98941 remain unchanged
Reason
The update appears to be a date change without impacting reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR476C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR704C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR473C.pdf
The document update primarily involves formatting changes with no clear evidence of rate or policy changes. The effective date remains consistent with previous entries, indicating no immediate impact on reimbursement or policy.
Highlights
- •Document date updated to 9/14/2026.
- •No new rates or CPT/HCPCS codes identified.
- •No changes in anesthesia rates for code 00100 and 00170.
- •No effective date changes for existing rates.
Reason
The changes appear to be formatting updates with no impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR453C.pdf
The document reflects a date change from 7/29/2026 to 9/14/2026 for the Texas Medicaid fee schedule related to Indian Health Services, but no rate changes are evident.
Highlights
- •Date changed from 7/29/2026 to 9/14/2026.
- •No change in fee amount ($826.00) for code T1015.
- •No new CPT/HCPCS codes added or removed.
Reason
The change is primarily a date update with no impact on reimbursement rates or policies.
Texas_Medicaid_Fee_Schedule_PRCR403C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR477C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR482C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR612C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR425C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR494I.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR402C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR424C.pdf
The document update primarily reflects a date change from July 29, 2026, to September 14, 2026, without any changes to the Medicaid rates or policies. The fee schedule for case management and rehabilitative services remains unchanged.
Highlights
- •Date updated from 7/29/2026 to 9/14/2026.
- •No changes in Medicaid rates or policies.
- •Rates for services G9012 and S9482 remain the same.
Reason
The update only involves a date change with no impact on rates or policies.
Texas_Medicaid_Fee_Schedule_PRCR611C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR469C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR605C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR479C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR476C.pdf
The document update reflects a new version of the Texas Medicaid fee schedule for plastic surgery, dated 9/14/2026. However, there are no specific changes in rates or policies evident from the excerpts provided.
Highlights
- •Document date updated to 9/14/2026
- •No specific rate changes identified
- •No new CPT/HCPCS codes noted
- •No effective date changes observed
Reason
The update appears to be a date change without clear reimbursement or policy impacts.
Texas_Medicaid_Fee_Schedule_PRCR465C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR480C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR460C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR422C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR400C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR471C.pdf
The document update primarily involves a change in the pagination of the Texas Medicaid fee schedule for neurology, with no clear evidence of rate or policy changes.
Highlights
- •Pagination changed from 652 to 654 pages.
- •No specific rate changes identified.
- •No new CPT or HCPCS codes added or removed.
- •No effective date changes noted.
Reason
The changes appear to be administrative, with no impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR414C.pdf
The document shows no changes in rates or policies for the Texas Medicaid fee schedule for hearing aid and audiometric services. The effective date remains 1/1/2026, and no new rates or codes have been introduced.
Highlights
- •No rate changes detected.
- •Effective date remains 1/1/2026.
- •No new CPT/HCPCS codes added.
- •No policy changes identified.
Reason
The document does not indicate any changes impacting reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR417I.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR413C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR461C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR463C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR452C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR471C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR402C.pdf
The document update primarily involves formatting changes, with no clear evidence of rate or policy changes. The effective date remains consistent with previous entries, and no new CPT codes or rates are introduced.
Highlights
- •Document date updated to 9/14/2026.
- •No new CPT codes or rate changes identified.
- •Formatting changes observed (page numbers updated).
- •No effective date changes for existing rates.
Reason
The changes appear to be formatting updates without impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR488C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR486C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR429C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR485C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR480C.pdf
The document update primarily involves a change in the pagination of the Texas Medicaid fee schedule, with no clear evidence of rate or policy changes. The effective date remains consistent with previous entries.
Highlights
- •Pagination changed from 652 to 654 pages.
- •No new CPT or HCPCS codes identified.
- •No rate changes or effective date updates found.
- •References to review dates remain unchanged.
Reason
The changes appear to be administrative, with no impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR472C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR448C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR431C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR423C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR475C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR487C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR448C.pdf
The document update primarily involves a date change from 7/29/2026 to 9/14/2026 in the Texas Medicaid fee schedule for in-home total parenteral nutrition services. No specific rate changes or new codes are evident.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No rate changes identified
- •No new CPT/HCPCS codes added or removed
Reason
The update appears to be a date change without any reimbursement-impacting modifications.
Texas_Medicaid_Fee_Schedule_PRCR403C.pdf
The document update primarily involves a date change from 7/29/2026 to 9/14/2026 in the Texas Medicaid fee schedule for optometrists. No specific rate or policy changes are evident from the excerpts provided.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No new rates or codes identified
- •No effective date changes for existing rates
Reason
The update appears to be a date change without any reimbursement or policy impact.
Texas_Medicaid_Fee_Schedule_PRCR467C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR706C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR435C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR494C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR449C.pdf
The document update primarily involves date changes from 7/29/2026 to 9/14/2026, with no apparent changes to rates or policies. The effective dates for the rates remain unchanged, indicating no immediate impact on reimbursement or policy.
Highlights
- •Date change from 7/29/2026 to 9/14/2026.
- •No rate changes observed.
- •Effective dates for rates remain 3/1/2026 and 9/1/2023.
- •No new CPT codes or modifiers added.
Reason
The changes are primarily date updates with no impact on rates or policies, indicating low urgency for review.
Texas_Medicaid_Fee_Schedule_PRCR404C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR484C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR615C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR452C.pdf
The document update reflects a change in the date of the Texas Medicaid fee schedule for genetics, moving from July 29, 2026, to September 14, 2026. No changes in rates or codes are evident.
Highlights
- •Date changed from 7/29/2026 to 9/14/2026
- •No rate changes observed
- •No new or deleted CPT codes
Reason
The change is primarily a date update with no impact on rates or policies.
Texas_Medicaid_Fee_Schedule_PRCR453C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR495C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR412C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR708C.pdf
The document update changes the date from 7/29/2026 to 9/14/2026 but retains the same fee schedule details, including the NDC and pricing information.
Highlights
- •Date changed from 7/29/2026 to 9/14/2026.
- •No changes in fee amounts or codes.
- •NDC and pricing remain the same.
- •Document structure unchanged.
Reason
The update only changes the document date without affecting rates or policies.
Texas_Medicaid_Fee_Schedule_PRCR492C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR455C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR459C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR420C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR427C.pdf
The document update primarily involves a date change from 7/29/2026 to 9/14/2026 across multiple pages of the Texas Medicaid fee schedule for case management and rehabilitative services. No specific rate changes or new CPT codes are evident.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No new rates or CPT codes identified
- •Focus on case management and rehabilitative services
Reason
The update appears to be administrative with no impact on reimbursement rates or policies.
Texas_Medicaid_Fee_Schedule_PRCR481C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR445C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR454C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR707C.pdf
The document update reflects a change in the page count of the HHSC family planning fee schedule from 26 to 27 pages, effective 9/14/2026. No changes in rates or codes are evident from the excerpts provided.
Highlights
- •Page count changed from 26 to 27 pages.
- •Effective date of new document: 9/14/2026.
- •No rate or code changes detected.
Reason
The update appears to be a formatting change with no impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR496C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR468C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR405C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR708C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR473C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR404C.pdf
The document update primarily involves formatting changes, with the page count increasing from 46 to 47. No specific rate or policy changes are evident from the excerpts provided.
Highlights
- •Page count changed from 46 to 47.
- •No new rates or codes identified.
- •No effective date changes noted.
- •Document dated 9/14/2026.
Reason
The changes appear to be formatting-related with no impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR607C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR462C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR499C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR430I.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR450C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR432C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR407C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR436C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR427C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR400C.pdf
The document update primarily involves a date change from 7/29/2026 to 9/14/2026 in the Texas Medicaid fee schedule for CRNAs and AAs. No specific rate changes or new CPT codes are evident.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No new rates or CPT codes identified
- •Document pertains to CRNAs and AAs
Reason
The update appears to be a date change without any reimbursement-impacting modifications.
Texas_Medicaid_Fee_Schedule_PRCR617C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR411C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR498C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR437C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR430C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR426C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR423C.pdf
The document update primarily reflects a date change from 7/29/2026 to 9/14/2026 in the Texas Medicaid fee schedule for mental health services. No rate changes or new codes are evident.
Highlights
- •Date change from 7/29/2026 to 9/14/2026
- •No rate changes observed
- •No new CPT/HCPCS codes added or removed
Reason
The update involves only a date change with no impact on rates or policies.
Texas_Medicaid_Fee_Schedule_PRCR434C.pdf
The document update primarily involves a date change from 7/29/2026 to 9/14/2026 in the Texas Medicaid fee schedule for certified nurse midwives. No specific rate or policy changes are evident from the excerpts provided.
Highlights
- •Date change from 7/29/2026 to 9/14/2026.
- •No rate changes identified.
- •No new CPT codes or modifiers added or removed.
- •No effective date changes for existing rates.
Reason
The update appears to be administrative with no impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR613C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR609C.pdf
The document update primarily involves a change in the document's pagination and review date, with no clear evidence of rate or policy changes. The effective dates for the listed anesthesia codes remain unchanged.
Highlights
- •Document date updated to 9/14/2026.
- •No changes in anesthesia code rates or effective dates.
- •Pagination changed from 454 to 455 pages.
Reason
The update appears to be administrative with no impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR437C.pdf
The document update primarily reflects a date change from 7/29/2026 to 9/14/2026 in the Texas Medicaid fee schedule for audiologists, without any apparent changes to rates or policies.
Highlights
- •Date change from 7/29/2026 to 9/14/2026.
- •No rate changes detected.
- •No new CPT codes or modifiers added.
- •No effective date changes for existing rates.
Reason
The update appears to be administrative with no impact on reimbursement or policy.
Texas_Medicaid_Fee_Schedule_PRCR705C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR474C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR456C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR464C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR617C.pdf
The document update reflects a new version of the Texas Medicaid fee schedule dated 9/14/2026, but no changes in rates or policies are evident from the excerpts provided.
Highlights
- •Document date updated to 9/14/2026.
- •No rate changes detected for CPT codes 11976, 11981, 11982, 11983, 58300.
- •Effective dates remain unchanged from previous version.
- •No new CPT codes or modifiers added.
Reason
The update appears to be a date change without impacting reimbursement rates or policies.
Texas_Medicaid_Fee_Schedule_PRCR457C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR466C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.
Texas_Medicaid_Fee_Schedule_PRCR447C.xls
No substantive text changes were detected after filtering document boilerplate.
Reason
Only boilerplate, pagination, or formatting differences were detected.