Texas
highTX TMHP FEE Schedules
Run Date and Time
Apr 15, 2026
12m 45s
Run Metrics
Fee Schedule Impacts
Run summary
This run for Texas Medicaid & Healthcare Partnership / TX_TMHP_FEE_SCHEDULES identified 0 changed documents and 200 newly discovered documents. 76 item(s) are high priority. 41 newly discovered item(s) appear current or upcoming.
High Impact (76)
Texas_Medicaid_Fee_Schedule_PRCR430C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including specific rate changes for radiology and other services effective from 3/1/2025 and 3/1/2026.
Highlights
- •New rates for radiology codes 70130, 71045, 71046, and 71047 effective 3/1/2025.
- •Rates for codes 82978, 82979, 82985, 83001, 83002, 83003, 83006, 83009 effective 3/1/2026.
- •Rates for radiology services effective 9/1/2023 are also included.
Reason
The document contains specific rate changes with effective dates in the near future, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR609C.pdf
The document contains updates to the Texas Medicaid fee schedule for nurse practitioners and clinical nurse specialists, effective March 1, 2025. It includes specific anesthesia and assistant surgery rates for various age groups.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia codes: 00170, 01610, 01620, 01680
- •Assistant surgery codes: 61514, 61516, 61518, 61519
- •Rates specified for age groups 0-20 and 21-999 years
Reason
The document specifies new reimbursement rates effective soon, impacting billing and reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR612C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including specific fee changes for medical services with effective dates of 9/1/2023 and 3/1/2026.
Highlights
- •Fee for procedure code Q3014 set at $21.78 effective 3/1/2026.
- •Fee for procedure code 99211 set at $15.86 effective 9/1/2023.
- •Fee for procedure code 99212 set at $26.54 effective 9/1/2023.
Reason
The document includes specific fee changes with effective dates that are current or upcoming, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR426C.pdf
The document outlines updates to the Texas Medicaid fee schedule for outpatient behavioral health services, effective March 1, 2026. It includes specific rate changes for several medical services codes.
Highlights
- •Effective date: March 1, 2026
- •Updated rates for codes H0001, H0004, H0005, H0012, H0016, H0020 U1
- •Rates include $65.27 for H0001 and $23.51 for H0004
- •Document length: 8847 characters, 1769 tokens
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR442C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including specific rate changes for various medical services and surgeries, effective March 1, 2026.
Highlights
- •New rates for CPT 64555 effective 3/1/2025.
- •Rates for CPT 90460, 90471, and 90472 effective 3/1/2026.
- •Modifier descriptions are not included in the document.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR494I.pdf
The document outlines adjustments to the Texas Medicaid fee schedule for clinical diagnostic laboratory tests, effective March 13, 2026. It includes specific rate reductions for various automated test panels.
Highlights
- •Effective date: March 13, 2026
- •Adjusted rates for automated test panels (ATP02 to ATP13)
- •Rate reductions range from $7.15 to $14.49 down to $6.01 to $12.17
- •Texas Medicaid allowable fee limits for lab panels
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR444C.pdf
The document contains updates to the Texas Medicaid fee schedule, including specific rate changes for various medical services and procedures, effective March 1, 2026.
Highlights
- •New rates for CPT codes 90460, 90471, and 90472 effective 3/1/2026.
- •Rates for surgery code 64555 effective 3/1/2025.
- •Rates for medical service code 97033 remain unchanged since 9/1/2019.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR611C.pdf
The document outlines updates to the Texas Medicaid fee schedule for licensed midwives, effective March 1, 2026, with specific rates for surgery and medical services. It includes details on age ranges and pricing based on service location.
Highlights
- •Effective date: March 1, 2026
- •Surgery code 59409: $448.89
- •Medical service code 99202 (10-20 years): $33.80
- •Medical service code 99202 (21-55 years): $28.76
- •Medical service code 99211 (10-20 years): $11.10
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR463C.pdf
The document contains updates to the Texas Medicaid fee schedule for general surgery and anesthesia, effective March 1, 2025. It includes specific rate changes for procedures such as anesthesia codes 00100 and 00102, and surgery codes 63741 and 63744.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia code 00100 rate: $25.6000
- •Anesthesia code 00102 rate: $25.6000
- •Surgery code 63741 rate: $26.7305
- •Surgery code 63744 rate: $28.0672
Reason
The document specifies upcoming rate changes effective March 1, 2025, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR607C.pdf
The document outlines updates to the Texas Medicaid fee schedule for anesthesia and assistant surgery services, effective March 1, 2025.
Highlights
- •New anesthesia rates for codes 00170, 01610, 01620, and 01680.
- •Assistant surgery rates updated for codes 61512, 61514, 61516, 61518, and 61519.
- •Effective date for changes is March 1, 2025.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR422C.pdf
The document outlines updates to the Texas Medicaid fee schedule for case management and rehabilitative services, effective March 1, 2026. It includes specific rate changes for services coded H0038 and S9482, with detailed pricing based on age ranges and service locations.
Highlights
- •Effective date: March 1, 2026
- •Rate for H0038: $8.55
- •Rate for S9482: $12.73
- •Age range adjustments for service codes
- •Non-facility and facility pricing details
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR420C.pdf
The document outlines updates to the Texas Medicaid fee schedule for chiropractors, effective September 1, 2025, with specific rate changes for CPT codes 98940, 98941, and 98942.
Highlights
- •Effective date: September 1, 2025
- •CPT code 98940: $23.02 for ages 0-20, $21.92 for ages 21-999
- •CPT code 98941: $33.40 for ages 0-20, $31.81 for ages 21-999
- •CPT code 98942: $43.22 for ages 0-20, $41.16 for ages 21-999
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR471C.pdf
The document contains updates to the Texas Medicaid fee schedule for neurology and anesthesia services, effective March 1, 2025. It includes specific rate changes for anesthesia codes 00100 and 00102, and surgery codes 63740 and 63741.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia code 00100 rate: $25.6000
- •Anesthesia code 00102 rate: $25.6000
- •Surgery code 63740 rate: $26.7305
- •Surgery code 63741 rate: $28.0672
Reason
The document specifies upcoming rate changes effective March 1, 2025, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR484C.pdf
The document contains updates to the Texas Medicaid fee schedule for anesthesia and surgery services, effective March 1, 2025. Specific rate changes for CPT codes 00100, 00102, 63741, 63744, and 63746 are detailed.
Highlights
- •Updates to anesthesia codes 00100 and 00102.
- •Surgery codes 63741, 63744, and 63746 have new rates.
- •Effective date for changes is March 1, 2025.
- •Rates are specified for different age groups.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR438C.pdf
The document outlines updates to the Texas Medicaid fee schedule for prosthetists, effective March 1, 2026. It includes specific rate changes for various medical items and services, such as L3250, L5000, and L5973.
Highlights
- •Effective date: March 1, 2026
- •Updated rates for items L3250, L5000, L5010, L5020
- •New rates include $106.49 for L3250 and $15,691.70 for L5973
- •Fee schedule intended for various provider types
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR464C.pdf
The document contains updates to the Texas Medicaid fee schedule, including specific rate changes for anesthesia and surgery services effective March 1, 2025.
Highlights
- •Anesthesia code 00100 updated with rates effective 3/1/2025.
- •Surgery code 63740 updated with rates effective 3/1/2025.
- •Surgery code 63741 updated with rates effective 3/1/2025.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR481C.pdf
The document contains updates to the Texas Medicaid fee schedule for anesthesia and surgery services, effective March 1, 2025. It includes specific rate changes for various CPT codes.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia CPT codes: 00100, 00102
- •Surgery CPT codes: 63304, 63305, 63306
- •Rate changes for different age groups
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR469C.pdf
The document contains updates to the Texas Medicaid fee schedule for gastroenterology, with specific changes to anesthesia and surgery codes effective March 1, 2025.
Highlights
- •Anesthesia code 00100 updated with new rates effective 3/1/2025.
- •Surgery code 63741 updated with new rates effective 3/1/2025.
- •Surgery code 63744 updated with new rates effective 3/1/2025.
- •Surgery code 63746 updated with new rates effective 3/1/2025.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR416C.pdf
The document outlines the Texas Medicaid fee schedule for ambulance services, with specific rates effective from 9/1/2023. It includes details on rate adjustments and effective dates for various medical items and services.
Highlights
- •Texas Medicaid fee schedule for ambulance services.
- •Rates effective from 9/1/2023 for certain services.
- •Includes specific codes like A0020, A0382, A0398, A0420.
- •Mentions rate adjustments and effective dates.
- •Additional rate change information available on TMHP website.
Reason
The document contains specific rate changes effective from 9/1/2023, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR417I.pdf
The document outlines changes to the Texas Medicaid fee schedule for nephrology services, effective March 13, 2026, with specific rate adjustments for various localities.
Highlights
- •Effective date: March 13, 2026
- •Nephrology services fee schedule update
- •Rate changes for rural counties and urban areas
- •Specific rate adjustments for revenue codes 845, 855, and 881
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR454C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including specific rate changes for various medical services and procedures effective March 1, 2025, and September 1, 2023.
Highlights
- •New rates for surgery codes 11976, 11981, 11982, and 11983 effective 3/1/2025.
- •Medical service codes 99386, 99395, 99396, and 99417 updated as of 9/1/2023.
- •Significant rate for code A4264 set at $1,400 effective 4/1/2025.
Reason
The document includes specific rate changes with upcoming effective dates, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR428C.pdf
The document outlines updated Medicaid fee schedules for Licensed Clinical Social Workers, effective March 1, 2026, with specific rate adjustments for various CPT codes.
Highlights
- •Effective date: March 1, 2026
- •CPT codes affected: 90791, 90832, 90834
- •Rate adjustments for age groups 0-20 and 21-999 years
- •Rates reviewed every two years
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR482C.pdf
The document contains updates to the Texas Medicaid fee schedule for thoracic surgery, effective March 1, 2025. It includes specific rate changes for anesthesia and surgery codes.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia code 00100: $25.60 for ages 0-20, $24.32 for ages 21-999
- •Anesthesia code 00102: $25.60 for ages 0-20, $24.32 for ages 21-999
- •Surgery code 63741: $558.13 for ages 21-999
- •Surgery code 63744: $588.57 for ages 0-20, $560.54 for ages 21-999
Reason
The document details specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR488C.pdf
The document contains updates to the Texas Medicaid fee schedule, including specific rate changes for anesthesia and surgery codes effective March 1, 2025.
Highlights
- •Anesthesia code 00100 updated with rates effective 3/1/2025.
- •Surgery code 63303 updated with rates effective 3/1/2025.
- •Surgery code 63304 updated with rates effective 3/1/2025.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR461C.pdf
The document contains updates to the Texas Medicaid fee schedule for nephrology, with specific changes to anesthesia and surgery codes effective March 1, 2025.
Highlights
- •Anesthesia code 00100 updated with rates effective 3/1/2025.
- •Anesthesia code 00102 updated with rates effective 3/1/2025.
- •Surgery code 63740 updated with rates effective 3/1/2025.
- •Surgery code 63741 updated with rates effective 3/1/2025.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR460C.pdf
The document outlines updated Medicaid fee schedules for tuberculosis clinics, effective from March 1, 2025, with specific rates for various age groups and CPT codes.
Highlights
- •Effective date: March 1, 2025
- •CPT codes: 71045, 71046, 71047, 71048, 86580, 99203, 99204, 99205, 99211, 99212
- •Rates vary by age group (0-20 years, 21-999 years)
- •Rates provided for services like TB clinic visits and tests
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR403C.pdf
The document outlines updates to the Texas Medicaid fee schedule for optometrists, with changes effective March 1, 2025. It includes specific rate adjustments for various surgical and medical services codes.
Highlights
- •Effective date: March 1, 2025
- •CPT codes affected: 15853, 15854, 65205, 92313, 92314, 92315
- •Rate changes for surgeries and medical services
- •Different rates for age groups 0-20 and 21-999 years
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR413C.pdf
The document contains updates to the Texas Medicaid fee schedule for anesthesia and surgery services, effective March 1, 2025. Specific rate changes for CPT codes 00100, 00102, and 63304 are noted.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia CPT 00100 rate: $25.6000 for ages 0-20
- •Anesthesia CPT 00102 rate: $25.6000 for ages 0-20
- •Surgery CPT 63304 rate: $28.0672 for ages 0-20
- •Surgery CPT 63304 rate: $26.7305 for ages 21-999
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR494C.pdf
The document outlines new Medicaid fee schedule updates for clinical laboratory services in Texas, effective March 1, 2026. It includes specific fee changes for CPT codes 90671 and 90677, among others.
Highlights
- •New Medicaid fee schedule for Texas clinical labs.
- •Effective date: March 1, 2026.
- •Includes CPT codes 90671 and 90677.
- •Fee changes for codes 83872, 83873, 83874, 83880, 83883, 83884.
Reason
The document contains specific fee changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR496C.pdf
The document outlines updated Medicaid fee schedules for dental services, effective September 1, 2025, with specific rates for various procedures.
Highlights
- •Effective date: September 1, 2025
- •Procedure codes: D0120, D0140, D0145, D0150, D8660, D8670, D8680, D8999, D9110, D9120
- •Rates range from $17.92 to $97.04
- •Applies to clients aged 0-20 years
- •Includes local health department and orthodontist services
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR429C.pdf
The document outlines updated Medicaid fee schedules for various procedures, effective March 1, 2026. It includes specific rate changes for surgery and radiology codes, impacting reimbursement rates.
Highlights
- •Effective date: March 1, 2026
- •Updated rates for surgery codes 38226 and 38227
- •Updated rates for radiology codes 78300, 78305, and 78306
- •New rates for laboratory codes 82570, 82575, 82585, 82595, 82600, 82607, 82608, 82610, 82615
Reason
The document contains specific rate changes effective soon, impacting reimbursements.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR467C.pdf
The document outlines updates to the Texas Medicaid fee schedule for anesthesia and surgery services, effective March 1, 2025. It includes specific rate changes for various procedures, impacting reimbursement rates.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia codes 00100 and 00102 have updated rates
- •Surgery codes 63741, 63744, 63746, and 64400 have updated rates
- •Rates vary based on age categories (0-20 years, 21-999 years)
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR453C.pdf
The document outlines updates to the Texas Medicaid fee schedule for Indian Health Services, effective January 1, 2026, with a specific rate of $826.00 for medical services under code T1015.
Highlights
- •Effective date: January 1, 2026
- •Service code: T1015
- •Rate: $826.00
- •Age range: 21-999 years
Reason
The document includes a specific rate change effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR479C.pdf
The document contains updates to the Texas Medicaid fee schedule for anesthesia and surgery services, effective March 1, 2025. Specific CPT codes such as 00100 and 63740 have updated rates.
Highlights
- •Updates to Texas Medicaid fee schedule for anesthesia and surgery.
- •Effective date for changes is March 1, 2025.
- •CPT codes 00100 and 63740 have specific rate updates.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR404C.pdf
The document outlines updates to the Texas Medicaid fee schedule for podiatrists, effective March 1, 2026, with specific rate changes for various surgical procedures.
Highlights
- •Effective date: March 1, 2026
- •Updated rates for CPT codes 28310, 28312, 28313, 28315
- •Rates vary by age group (0-20 years, 21-999 years)
- •New rates for surgeries include $441.05 for CPT 28310 and $471.53 for CPT 28312
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR474C.pdf
The document outlines updates to the Texas Medicaid fee schedule for ophthalmology, effective March 1, 2025, with specific changes to anesthesia and surgery codes.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia code 00100 updated for different age groups
- •Surgery code 63741 and 63744 updated for different age groups
- •Changes include adjusted fees and conversion factors
Reason
The document includes specific rate changes and effective dates that impact reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR441C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including specific rate changes for various surgical and radiology procedures effective from 9/1/2024 and 3/1/2025.
Highlights
- •New rates for surgery codes 31626, 31627, and 31634 effective 9/1/2024.
- •Radiology code 74425 has updated rates effective 3/1/2025.
- •Radiology code 74430 has updated rates effective 9/1/2023 and 3/1/2025.
Reason
The document contains specific rate changes with upcoming effective dates, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR435C.pdf
The document outlines the Texas Medicaid fee schedule for physical therapists, effective March 13, 2026, with specific rates for various CPT codes such as 97012 and 97112. Rates are provided for different age groups and modifiers, with historical rates dating back to 2017 and 2019.
Highlights
- •Effective date: March 13, 2026
- •CPT code 97012 with modifier U5: $18.16 for ages 0-20
- •CPT code 97012 with modifier UB: $14.53 for ages 0-20
- •CPT code 97112 with modifier U5: $33.75 for ages 0-20
- •Historical rates from 2017 and 2019 included
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR483C.pdf
The document contains updates to the Texas Medicaid fee schedule for anesthesia and surgery services, effective March 1, 2025. Specific rate changes for CPT codes 00100, 00102, and 63740 are noted.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia CPT codes 00100 and 00102 updated
- •Surgery CPT code 63740 updated
- •Rates for different age groups specified
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR704C.pdf
The document outlines updates to the Texas Medicaid fee schedule for DMEPOS, with effective dates for certain codes set for March 1, 2026, and September 1, 2024.
Highlights
- •New Medicaid fee schedule for DMEPOS.
- •Effective dates: March 1, 2026, and September 1, 2024.
- •Includes codes L7368, L8615, L8616, L8617, V2623, V2624, V2625, V2626.
- •Provider types include audiologists and optometrists.
Reason
The document includes specific fee changes with upcoming effective dates, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR472C.pdf
The document contains updates to the Texas Medicaid fee schedule for neurosurgery, effective March 1, 2025, with specific rate changes for anesthesia and surgery codes.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia code 00100: $25.6000 for ages 0-20
- •Anesthesia code 00102: $25.6000 for ages 0-20
- •Surgery code 63741: $26.7305 for ages 21-999
- •Surgery code 63744: $28.0672 for ages 0-20
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR414C.pdf
The document outlines updates to the Texas Medicaid fee schedule for hearing aid and audiometric services, effective March 1, 2026. It includes specific rate changes for medical services and other items.
Highlights
- •Effective date: March 1, 2026
- •Service code 92640 updated for ages 12-20 and 21-999
- •Rate changes for service code 92640: $90.94 and $86.61
- •Other item L7368 listed with historical rate
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR423C.pdf
The document outlines updates to the Texas Medicaid fee schedule for case management and rehabilitative services, including new rates effective March 1, 2026, for specific services such as H0038.
Highlights
- •New rates for H0038 effective 3/1/2026.
- •Rates for H0034 remain unchanged since 2017.
- •Includes details on conversion factors for payment calculations.
- •Providers advised to review note codes for payment explanations.
Reason
The document includes new reimbursement rates effective soon, impacting billing and payments.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR480C.pdf
The document outlines updates to the Texas Medicaid fee schedule for physician services in pulmonary disease, with specific changes to anesthesia and surgery codes effective March 1, 2025.
Highlights
- •New fee schedule for pulmonary disease services.
- •Anesthesia codes 00100 and 00102 updated.
- •Surgery codes 63741, 63744, and 63746 updated.
- •Effective date for changes is March 1, 2025.
Reason
The document includes specific rate changes and effective dates that impact reimbursement, effective soon.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR402C.pdf
The document contains updates to the Texas Medicaid fee schedule, including specific rate changes for anesthesia and surgery services effective March 1, 2025.
Highlights
- •New rates for anesthesia codes 00100, 00102, and 00103 effective 3/1/2025.
- •Updated surgery rates for codes 63707, 63709, 63710, 63740, and 63741 effective 3/1/2025.
- •Changes impact reimbursement rates for different age groups.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR449C.pdf
The document outlines updates to the Texas Medicaid fee schedule for maternity services and medical services, effective March 1, 2026. It includes specific rate changes for CPT code 59430 and medical services code 99202.
Highlights
- •Effective date: March 1, 2026
- •CPT code 59430 rate updates for ages 10-20 and 21-55
- •Medical services code 99202 rate updates
- •Rates for maternity services and medical services adjusted
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR459C.pdf
The document outlines updates to the Texas Medicaid fee schedule for tuberculosis clinics, effective March 1, 2025. It includes specific rate changes for various CPT codes, impacting reimbursement rates for different age groups.
Highlights
- •Effective date: March 1, 2025
- •CPT codes affected: 71045, 71046, 71047, 71048, 86580, 99203, 99204, 99205, 99211, 99212
- •Rate changes for age groups 0-20 and 21-999 years
- •Reimbursement rates specified for each CPT code
Reason
The document includes specific reimbursement rate changes effective soon, impacting billing and policy.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR415C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including new effective dates and fees for specific CPT codes starting March 1, 2026.
Highlights
- •New effective date: March 1, 2026 for several CPT codes.
- •CPT 90714 fee set at $32.55 effective 3/1/2026.
- •CPT 90715 fee set at $35.54 effective 3/1/2026.
- •CPT codes 90460, 90471, 90472, 90473, 90474 have fees effective 3/1/2026.
Reason
The document includes specific rate changes and effective dates that are imminent, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR424C.pdf
The document outlines updates to the Texas Medicaid fee schedule for case management and rehabilitative services, effective March 1, 2026. It includes specific rate changes for services coded as H0038 and H0038 HQ.
Highlights
- •New rates effective March 1, 2026.
- •Service code H0038 set at $8.55.
- •Service code H0038 HQ set at $1.22.
- •Applies to children and pregnant women.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR705C.pdf
The document introduces a new Texas Medicaid fee schedule for medical transportation, effective January 1, 2026, with specific rates for individual transportation participants. It includes details on age ranges and pricing based on service location.
Highlights
- •New fee schedule for medical transportation.
- •Effective date: January 1, 2026.
- •Rate for S0215: $0.73.
- •Age range clarification: 0-999 years.
Reason
The document contains new reimbursement rates effective soon, impacting provider billing.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR430I.pdf
The document outlines changes to the Texas Medicaid fee schedule for renal dialysis facilities, effective March 13, 2026, with updated composite rates for various localities.
Highlights
- •Effective date: March 13, 2026
- •Updated composite rates for renal dialysis facilities
- •Changes affect rural counties and specific cities like Houston and Longview-Marshall
- •Some rates reduced to $0.00, indicating potential service removal
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR495C.pdf
The document outlines new Medicaid fee schedule updates for physician-administered drugs and medical services, effective March 1, 2026. It includes specific CPT codes and associated fees.
Highlights
- •Effective date: March 1, 2026
- •CPT code 96380: Fee $19.37
- •CPT code 96381: Fee $16.56
- •CPT code 90460: Fee $13.75
- •CPT code J9120: Fee $302.92
Reason
The document contains specific fee changes effective soon, impacting reimbursement rates.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR450C.pdf
The document introduces a new Texas Medicaid fee schedule for miscellaneous professionals at comprehensive health centers, effective March 13, 2026. It includes updates on age range specifications and pricing based on service location.
Highlights
- •New fee schedule effective 3/13/2026.
- •Applies to comprehensive health centers.
- •Includes age range specifications for services.
- •Differentiates non-facility and facility pricing.
Reason
The document contains a new fee schedule with specific effective date and reimbursement-impacting details.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR468C.pdf
The document contains updates to the Texas Medicaid fee schedule for anesthesia and surgery services, effective March 1, 2025. Specific rate changes for CPT codes 00100, 00102, and 63741 are noted.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia CPT codes 00100 and 00102 updated
- •Surgery CPT code 63741 updated
- •Rates for different age groups specified
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR466C.pdf
The document contains updates to the Texas Medicaid fee schedule for anesthesiology and surgery, effective March 1, 2025. It includes specific rate changes for CPT codes 00100, 00102, 63741, and 63744.
Highlights
- •Effective date: March 1, 2025
- •CPT code 00100: Rate changes for different age groups
- •CPT code 00102: Rate changes for different age groups
- •CPT code 63741: New rate $558.13
- •CPT code 63744: New rates $588.57 and $560.54 for different age groups
Reason
The document shows specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR412C.pdf
The document outlines updates to the Texas Medicaid fee schedule for physicians and pathologists, effective March 1, 2025. It includes specific rate changes for anesthesia and surgery codes.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia code 00100 updated
- •Surgery code 63304 updated
- •Surgery code 63305 updated
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR477C.pdf
The document contains updates to the Texas Medicaid fee schedule for anesthesia and surgery services, effective March 1, 2025. Specific CPT codes such as 00100, 00102, 64400, 64405, 64408, and 64415 have updated rates.
Highlights
- •Effective date: March 1, 2025
- •Updated rates for anesthesia codes 00100 and 00102
- •Updated rates for surgery codes 64400, 64405, 64408, and 64415
- •Changes impact reimbursement rates
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR400C.pdf
The document outlines updates to the Texas Medicaid fee schedule for anesthesia services, effective March 1, 2025. It includes specific rate changes for various anesthesia codes.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia codes: 00100, 00102, 01380, 01382, 01390
- •Rate changes for CRNA/AA services
- •Rates vary by age group and service duration
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR475C.pdf
The document contains updates to the Texas Medicaid fee schedule for orthopedic surgery and anesthesia, effective March 1, 2025. It includes specific rate changes for various procedures.
Highlights
- •Effective date: March 1, 2025
- •Updated rates for anesthesia codes 00100 and 00102
- •Updated rates for surgery codes 63741, 63744, and 63746
- •Rates vary by age group (0-20 years and 21-999 years)
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR447C.pdf
The document outlines updates to the Texas Medicaid fee schedule for birthing centers, effective March 1, 2026. It includes specific rate changes for procedure codes 96380 and 96381, and mentions updates to the fee schedule since the last run.
Highlights
- •Effective date: March 1, 2026
- •Procedure code 96380: $19.37
- •Procedure code 96381: $16.56
- •Birthing center code S4005: $603.50
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR462C.pdf
The document outlines updates to the Texas Medicaid fee schedule for outpatient behavioral health services, effective March 1, 2026. It includes specific rate changes for several CPT codes related to opioid treatment services.
Highlights
- •Effective date: March 1, 2026
- •CPT code H0001: $65.27
- •CPT code H0004: $23.51
- •CPT code H0005: $27.85
- •CPT code H0020 U1: $9.84
- •CPT code H0020 UA: $18.84
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR470C.pdf
The document outlines updates to the Texas Medicaid fee schedule for internal medicine, including specific rate changes for anesthesia and surgery codes effective March 1, 2025.
Highlights
- •Anesthesia code 00100 updated with rates effective 3/1/2025.
- •Surgery code 63741 updated with rates effective 3/1/2025.
- •Surgery code 63744 updated with rates effective 3/1/2025.
- •Surgery code 63746 updated with rates effective 3/1/2025.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR487C.pdf
The document outlines updates to the Texas Medicaid fee schedule for certified respiratory care practitioners, effective from 9/1/2025 and 3/1/2025. It includes specific rate changes for medical services codes 98960, 99503, 99504, and S9441.
Highlights
- •Effective dates: 9/1/2025 and 3/1/2025
- •Rate changes for codes 98960, 99503, 99504, S9441
- •Fee schedule for certified respiratory care practitioners
- •Age range clarification for pricing
Reason
The document contains specific rate changes and effective dates that impact reimbursement, requiring urgent review.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR431C.pdf
The document contains updates to the Texas Medicaid fee schedule for physicians and dentists, with specific changes to anesthesia and surgery codes effective March 1, 2025, and September 1, 2024, respectively.
Highlights
- •Anesthesia code 00100 updated with rates effective 3/1/2025.
- •Anesthesia code 00102 updated with rates effective 3/1/2025.
- •Surgery code 30465 updated with rates effective 9/1/2024.
- •Surgery code 30520 updated with rates effective 9/1/2024.
Reason
The document includes specific rate changes with upcoming effective dates, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR707C.pdf
The document outlines updates to the HHSC Family Planning Fee Schedule, including specific rate changes for surgical and laboratory services effective March 1, 2025, and March 1, 2026.
Highlights
- •Surgery codes 11976, 11981, 11982, 11983, and 19000 have updated rates effective 3/1/2025.
- •Laboratory codes 82951, 83020, 83021, 83036, 83037, 83525, 83615, 84144, and 84146 have updated rates effective 3/1/2026.
- •Rates for surgery range from $80.46 to $145.47.
- •Rates for laboratory services have been adjusted with reductions noted.
Reason
The document includes specific rate changes with effective dates in the near future, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR455C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including specific rate changes for surgical and radiological procedures effective from 9/1/2024 and 3/1/2025.
Highlights
- •New rates for surgery codes 36251-36254 effective 9/1/2024.
- •Radiology code 76512 rates effective 3/1/2025.
- •Technical component rates for radiology codes 76512-76514 effective 3/1/2025.
Reason
The document contains specific rate changes with upcoming effective dates, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR445C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including specific rate changes for various medical services and procedures effective March 1, 2026.
Highlights
- •New rates for CPT codes 90460, 90471, and 90472 effective 3/1/2026.
- •Rates for surgery code 64555 effective 3/1/2025.
- •Rates for medical service code 97033 remain unchanged since 9/1/2019.
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR485C.pdf
The document contains updates to the Texas Medicaid fee schedule for pediatric anesthesia and surgery services, effective March 1, 2025. Specific CPT codes such as 00100 and 63740 have updated rates.
Highlights
- •Effective date: March 1, 2025
- •CPT code 00100: updated rates for anesthesia services
- •CPT code 63740: updated rates for surgery services
- •Changes impact pediatric services
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR437C.pdf
The document outlines updates to the Texas Medicaid fee schedule for audiologists, with specific rate changes effective on 3/1/2026 for certain medical services codes.
Highlights
- •New rates for CPT codes 92517 and 92518 effective 3/1/2026.
- •Rates for surgery codes 15853 and 15854 effective 3/1/2025.
- •Professional and technical component rates for code 92588 effective 9/1/2025.
Reason
The document includes specific rate changes with effective dates in the near future, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR425C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including new rates effective March 1, 2026, for specific services such as H0038 and S9482. It also details facility pricing rules and conversion factors for calculating payments.
Highlights
- •New rates effective March 1, 2026, for H0038 and S9482.
- •Facility pricing rules for inpatient and outpatient services.
- •Conversion factors for calculating resource-based fees.
Reason
The document includes new reimbursement rates effective soon, impacting billing and payments.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR439C.pdf
The document contains updates to the Texas Medicaid fee schedule for orthotists, effective March 1, 2026, with specific rates for various medical items and services.
Highlights
- •Effective date: March 1, 2026
- •Updated rates for orthotist services
- •Includes items like L0112, L0120, L0130, L0140
- •Rates range from $16.23 to $1,132.77
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR605C.pdf
The document outlines updates to the Texas Medicaid fee schedule for outpatient behavioral health services, effective March 1, 2026. It includes specific rate changes for various provider types and procedure codes.
Highlights
- •Effective date: March 1, 2026
- •Procedure code H0033 for certified nurse midwife: $29.12
- •Procedure code H0033 for physician (D.O.): $31.65
- •Procedure code 90791 for physician (M.D.): $124.06 for ages 0-20
- •Procedure code 90791 for physician (M.D.): $118.15 for ages 21-999
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR604C.pdf
The document outlines updates to the Texas Medicaid fee schedule for hospital outpatient imaging services, effective March 1, 2025. It includes specific rate changes for various radiology procedures.
Highlights
- •Effective date: March 1, 2025
- •Updated rates for radiology codes 70010, 70015, 70030, 70100, 70110, 70120, 70130, 70134, 75635, 75705, 75710, 75716, 75726
- •Rates apply to both urban and rural hospitals
- •Significant rate adjustments for procedures like 75705 and 75726
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR433C.pdf
The document outlines updates to the Texas Medicaid fee schedule for outpatient behavioral health services, effective March 1, 2026. It includes specific rate changes for services such as 90791 and 90853.
Highlights
- •Effective date: March 1, 2026
- •Service 90791 rate changes for different age groups
- •Service 90853 rate changes for different age groups
- •New rates for service 96110 effective September 1, 2025
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR486C.pdf
The document contains updates to the Texas Medicaid fee schedule for anesthesia and surgery services, effective March 1, 2025. Specific CPT codes such as 00100 and 63740 have updated rates.
Highlights
- •Effective date for changes: March 1, 2025
- •Anesthesia CPT code 00100 updated rates
- •Surgery CPT code 63740 updated rates
- •CPT code 63741 has updated rates
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR476C.pdf
The document contains updates to the Texas Medicaid fee schedule for plastic surgery, effective March 1, 2025, with specific rate changes for anesthesia and surgery codes.
Highlights
- •Effective date: March 1, 2025
- •Anesthesia code 00100 rate: $25.6000 for ages 0-20
- •Anesthesia code 00102 rate: $25.6000 for ages 0-20
- •Surgery code 63741 rate: $558.13 for ages 21-999
- •Surgery code 63744 rate: $588.57 for ages 0-20
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Medium Impact (18)
Texas_Medicaid_Fee_Schedule_PRCR613C.pdf
The document outlines the Texas Medicaid fee schedule for prescribed pediatric extended care centers, effective June 1, 2023. It includes specific rates for medical services with codes T1025 and T1026.
Highlights
- •Effective date: June 1, 2023
- •Medical services T1025: $389.49
- •Medical services T1026: $32.46
- •Rates apply to ages 0-20 years
Reason
The document is current but does not indicate new changes or updates beyond June 1, 2023.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR407C.pdf
The document outlines updates to the Texas Medicaid dental fee schedule, effective from 9/1/2025, with specific rates for various dental procedures.
Highlights
- •Effective date for changes: 9/1/2025
- •Includes rates for procedures like D0120, D0140, D0145, D0150, D0160, D5612, D5630
- •Rates range from $17.46 to $68.00
- •Applies to THSteps and ICF/MR programs
Reason
The changes are effective in the future, but specific rates are provided, indicating a need for review.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR451C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including specific rates for medical services with effective dates in 2024 and 2025. It details non-facility and facility pricing based on service location.
Highlights
- •New rates for medical services codes G0162 and T1019 with various modifiers.
- •Effective dates for rates include 9/1/2025 and 10/1/2024.
- •Non-facility and facility pricing distinctions are provided.
- •Age range adjustments for certain services are noted.
Reason
The document includes upcoming rate changes but lacks immediate urgency as the effective dates are in the future.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR706C.pdf
The document outlines the Texas Medicaid fee schedule for medical transportation services, effective November 1, 2024, with specific rates for different service codes.
Highlights
- •Effective date: November 1, 2024
- •Service codes: T2003 U1, T2003 U2, T2003 U3
- •Rates: $32.38, $76.22, $59.64 respectively
- •Age range clarification for pricing rows
Reason
The document is current but changes are not immediately effective, and the scope is limited to transportation services.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR473C.pdf
The document contains updates to the Texas Medicaid fee schedule for anesthesia and surgery services, with effective dates starting from March 1, 2025.
Highlights
- •Anesthesia codes 00100 and 00102 have updated rates effective 3/1/2025.
- •Surgery codes 63710, 63740, and 63741 have updated rates effective 3/1/2025.
- •The document is dated 3/13/2026, indicating it is a future schedule.
Reason
The changes are relevant but not immediately effective, with a future effective date of 3/1/2025.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR417C.pdf
The document contains updates to the Texas Medicaid fee schedule for nephrology and radiology services, with specific rate changes effective from 3/1/2025 and 9/1/2023. It also includes future updates effective 3/1/2026.
Highlights
- •Updates to nephrology and radiology fee schedule.
- •Rates effective 3/1/2025 and 9/1/2023.
- •Future changes effective 3/1/2026.
- •Includes CPT codes 70130, 71045, 71046, 82757, 82759, 82760, 82775, 82776, 82784.
Reason
The document includes future rate changes but lacks immediate urgency.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR456C.pdf
The document outlines the Texas Medicaid fee schedule for orthodontic services, effective from 9/1/2025, with specific rates for various dental procedures.
Highlights
- •Effective date: 9/1/2025
- •CPT codes include: D0120, D0140, D0150, D0160, D0170, D5612, D5630, D5640, D5650, D5660
- •Rates range from $17.46 to $68.00
Reason
The document contains upcoming rate changes effective 9/1/2025, but the changes are not immediate.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR434C.pdf
The document outlines updates to the Texas Medicaid fee schedule for Certified Nurse Midwives, with effective dates primarily in 2025. It includes specific rate changes for anesthesia and surgery services, as well as medical services with effective dates in 2024 and 2025.
Highlights
- •Effective date for anesthesia and surgery services: 3/1/2025
- •Rates for CPT codes 11950, 11951, 11952 updated
- •Medical services rates effective 1/2/2024
- •Includes anesthesia code 00170 and medical service codes A4266, A4267, A4268, A4269, A9150, G0011
Reason
The document contains upcoming rate changes effective in 2024 and 2025, but no immediate changes.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR405C.pdf
The document outlines the Texas Medicaid fee schedule for ambulatory surgical centers, effective from June 1, 2023, with specific rates for various procedure codes.
Highlights
- •Effective date: June 1, 2023
- •Procedure code 10005: $257.60
- •Procedure code 10007: $194.07
- •Procedure code 31614: $1,954.22
- •Procedure code 31615: $187.22
Reason
The document is current but lacks imminent changes or new effective dates.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR432C.pdf
The document outlines updates to the Texas Medicaid fee schedule for opticians, including specific rates for medical services with effective dates in 2025. It includes CPT codes 92326, S0620, and S0621 with detailed age ranges and rates.
Highlights
- •Effective date for changes: 3/1/2025
- •CPT code 92326: Rates for ages 0-20 and 21-999 years
- •CPT code S0620: Rates effective 9/1/2023 and 9/1/2025
- •CPT code S0621: Rates effective 9/1/2023 and 9/1/2025
Reason
The document contains future rate changes effective in 2025, which are not immediately urgent but relevant for planning.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR617C.pdf
The document outlines updates to the Texas Medicaid fee schedule, including specific rate changes for surgical and dental procedures effective in 2025.
Highlights
- •New rates for surgery codes 11976, 11981, 11982, 11983, 58300, and 58301 effective 4/1/2025.
- •Dental procedure rates for codes d2930, d2931, d2932, d2933, d2934, d2940, d2950, and d2954 effective 9/1/2025.
Reason
The changes are relevant but not immediately effective, with dates in 2025.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR498C.pdf
The document outlines the Texas Medicaid fee schedule for personal care services, effective from 9/1/2025, with specific rates for procedure code T1019 under various modifiers.
Highlights
- •Effective date for rates: 9/1/2025
- •Procedure code: T1019 with modifiers U3, U4, U5, U6
- •Rates: $4.26, $4.37, $120.55, $4.46 respectively
- •Review frequency: every two years or as necessary
Reason
The document contains upcoming rate changes effective 9/1/2025, but the changes are not immediate.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR499C.pdf
The document outlines the Texas Medicaid fee schedule for the Comprehensive Care Program, specifically for private duty nursing, with effective rates from 9/1/2023. It includes specific procedure codes and fees for different service modifiers.
Highlights
- •Effective date for rates: 9/1/2023
- •Procedure code T1000 with modifiers TD, TD UA, TE, TE UA
- •Fees: $8.89, $10.22, $6.09, $7.00 respectively
- •Applies to clients aged 0-20 years
Reason
The document contains current fee rates effective from 9/1/2023, but no immediate changes or new effective dates are indicated.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR448C.pdf
The document provides updates to the Texas Medicaid fee schedule for in-home total parenteral nutrition (TPN) services, with specific rate changes effective September 1, 2025.
Highlights
- •New rates for codes A4206, A4207, A4208, A4209 effective 9/1/2025.
- •Rates for codes B4168, B4172, B4176, B4178, B4180, B4185, B4187 effective 3/1/2023.
Reason
The document includes upcoming rate changes effective in 2025, but no immediate changes.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR457C.pdf
The document outlines the Texas Medicaid fee schedule for oral maxillofacial surgeons, effective from 9/1/2025, with specific rates for various dental procedures.
Highlights
- •Effective date: 9/1/2025
- •Procedure codes: D0120, D0140, D0150, D0160, D0170, D5512, D5520, D5611, D5612, D5630
- •Rates range from $17.46 to $68.00
Reason
The document contains upcoming rate changes effective 9/1/2025, but the changes are not immediate.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR452C.pdf
The document outlines the Texas Medicaid fee schedule for genetics, effective from 1/1/2025, with specific rates for CPT codes 96041, 99213, 99214, 99215, and 99244. It includes age-specific pricing details and clarifications on age ranges for billing.
Highlights
- •Effective date: 1/1/2025 for CPT 96041
- •Rates for CPT 99213, 99214, 99215, 99244 effective 9/1/2023
- •Age-specific pricing details provided
- •Clarification on age range interpretation
Reason
The document provides specific rate changes and age range clarifications, but the effective dates are not imminent.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR708C.pdf
The document outlines a Texas Medicaid fee schedule update for National Drug Codes, effective June 1, 2025, with a significant fee of $3,222,000.00 for specific services.
Highlights
- •Effective date: June 1, 2025
- •Fee amount: $3,222,000.00
- •Applies to various hospital services
- •Includes National Drug Code J3590
Reason
The effective date is not imminent, but the update involves significant fee changes.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR465C.pdf
The document outlines updates to the Texas Medicaid fee schedule for otorhinolaryngology, including specific anesthesia and surgery codes with effective dates of March 1, 2025.
Highlights
- •New fee schedule for otorhinolaryngology.
- •Anesthesia codes 00100 and 00102 updated.
- •Surgery codes 63741, 63744, 63746, and 64400 updated.
- •Effective date for changes is March 1, 2025.
Reason
The changes are relevant but not immediately urgent, with an effective date in 2025.
Watch items
Low Impact (106)
Texas_Medicaid_Fee_Schedule_PRCR442C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR498C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR405C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to review or act upon.
Texas_Medicaid_Fee_Schedule_PRCR423C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR484C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR438C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR461C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR400C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR604C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR441C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
Insufficient evidence to determine any urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR454C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review.
- •No effective dates or rate changes provided.
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR408C.pdf
The document contains historical Medicaid fee schedule data for home health services, with rates effective from 2017 and 2019.
Highlights
- •Rates for CPT 92507 and 97112 are listed.
- •Effective dates are 9/1/2017 and 9/1/2019.
- •No new rates or effective dates are provided.
Reason
The document contains historical data with no new or upcoming changes.
Texas_Medicaid_Fee_Schedule_PRCR704C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR708C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR459C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR422C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR488C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no evidence to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR615C.pdf
The document outlines the Texas Medicaid fee schedule for autism services, effective from March 1, 2024, with a review date of September 1, 2025. It includes specific rates for procedure code 99366 across various provider types.
Highlights
- •Effective date: March 1, 2024
- •Review date: September 1, 2025
- •Procedure code: 99366
- •Applicable to ages 0-20 years
- •Medicaid fee: $33.96
Reason
The document appears to be historical with effective dates in the past, indicating low urgency for immediate review.
Watch items
Texas_Medicaid_Fee_Schedule_PRCR439C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR476C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
Insufficient evidence to determine urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR617C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no evidence to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR605C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR466C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document is empty, providing no information for review.
Texas_Medicaid_Fee_Schedule_PRCR424C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review.
- •No effective dates or rate changes provided.
Reason
Insufficient evidence to determine any urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR448C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR432C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no evidence to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR469C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document type: new_doc
- •No content available
Reason
No evidence of changes or effective dates is present.
Texas_Medicaid_Fee_Schedule_PRCR462C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no evidence to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR447C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR427C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR420C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR609C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR479C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens are present.
Reason
There is no evidence of any changes or updates.
Texas_Medicaid_Fee_Schedule_PRCR437C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR444C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR472C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR707C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR403C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no evidence to suggest any changes.
Texas_Medicaid_Fee_Schedule_PRCR607C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rates provided
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR492C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rates provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR496C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review.
- •No effective dates or rate changes provided.
Reason
The document is empty, providing no information for review.
Texas_Medicaid_Fee_Schedule_PRCR612C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR431C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens are present.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR445C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document is empty, providing no actionable information.
Texas_Medicaid_Fee_Schedule_PRCR615C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR457C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR435C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR402C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR417C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR494C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR411C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR460C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR613C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR434C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR705C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR495C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens are present.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR428C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR487C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rates provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR436C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR430I.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rates provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR486C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR499C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR470C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review.
- •No effective dates or rate changes provided.
Reason
Insufficient evidence to determine urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR467C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no evidence to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR415C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document type: new_doc
- •No content available
Reason
No evidence of changes or effective dates provided.
Texas_Medicaid_Fee_Schedule_PRCR463C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR450C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR452C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR451C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR483C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR611C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR473C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens are present.
Reason
No evidence of changes or updates is available.
Texas_Medicaid_Fee_Schedule_PRCR416C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
- •No effective dates or codes provided.
Reason
The document contains no information to review or act upon.
Texas_Medicaid_Fee_Schedule_PRCR426C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR465C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR481C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
- •No effective dates or codes provided.
Reason
The document contains no information to review or act upon.
Texas_Medicaid_Fee_Schedule_PRCR456C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review.
- •No effective dates or rate changes provided.
Reason
Insufficient evidence to determine any urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR477C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document is empty, providing no information for review.
Texas_Medicaid_Fee_Schedule_PRCR404C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document is empty, providing no information for review.
Texas_Medicaid_Fee_Schedule_PRCR706C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR436C.pdf
The document appears to be a Texas Medicaid fee schedule for occupational therapy services, with rates effective from 2019. No new rates or effective dates are indicated for 2026.
Highlights
- •Document type: Texas Medicaid fee schedule
- •Focus: Occupational therapy services
- •Rates effective from: 9/1/2019
- •No new rates or effective dates for 2026 found
Reason
The document contains historical rates from 2019 with no indication of new changes or effective dates for 2026.
Texas_Medicaid_Fee_Schedule_PRCR425C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR429C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR475C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR468C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no evidence to suggest any changes.
Texas_Medicaid_Fee_Schedule_PRCR494I.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document is empty, providing no information for review.
Texas_Medicaid_Fee_Schedule_PRCR414C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR474C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR492C.pdf
The document appears to be a Texas Medicaid fee schedule for therapies, with details on procedure codes and fees. However, the effective dates for the fees listed are historical, with the latest being 9/1/2019.
Highlights
- •Document type: Texas Medicaid fee schedule for therapies
- •Procedure code 92507 listed with fees from 9/1/2019
- •No new effective dates or rate changes identified
- •Historical fee data for procedure codes 92507 and 92508
Reason
The document contains historical fee data with no new effective dates or changes impacting current reimbursement.
Texas_Medicaid_Fee_Schedule_PRCR408C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR411C.pdf
The document is a Texas Medicaid fee schedule for outpatient rehabilitation facilities, effective March 13, 2026. It includes specific rates for services such as 92507 and 92508, with historical rates from 2017 and 2019. No new rates or changes are indicated for 2026.
Highlights
- •Document type: Texas Medicaid fee schedule
- •Effective date: March 13, 2026
- •Includes services: 92507, 92508, 97110, 97112
- •Historical rates from 2017 and 2019
- •No new rate changes for 2026 indicated
Reason
The document appears to be archival with no new rate changes for 2026.
Texas_Medicaid_Fee_Schedule_PRCR485C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no evidence of changes or updates.
Texas_Medicaid_Fee_Schedule_PRCR433C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no evidence to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR482C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR464C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document type: new_doc
- •No content available
Reason
No evidence of changes or effective dates is present.
Texas_Medicaid_Fee_Schedule_PRCR417I.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no evidence of changes or updates.
Texas_Medicaid_Fee_Schedule_PRCR413C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR427C.pdf
The document outlines the Texas Medicaid fee schedule for case management and rehabilitative services, including specific rates for medical services with CPT codes 92507, 92508, 97032, 97033, and 97034. The rates listed are effective from 9/1/2019, with no new effective dates provided.
Highlights
- •CPT code 92507 rates for ages 0-20 and 21-999 years.
- •CPT code 92508 rate for ages 0-20 years.
- •CPT code 97032 rate for ages 21-999 years.
- •CPT code 97033 rates for ages 0-20 and 21-999 years.
- •CPT code 97034 rate for ages 0-20 years.
Reason
The document appears historical with rates effective from 9/1/2019 and no new changes indicated.
Texas_Medicaid_Fee_Schedule_PRCR453C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR449C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR407C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR471C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens are present.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR455C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No rate or policy changes identified.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR430C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •No content available for review
- •No effective dates or rate changes provided
Reason
The document contains no information to assess urgency or impact.
Texas_Medicaid_Fee_Schedule_PRCR480C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.
Texas_Medicaid_Fee_Schedule_PRCR412C.xls
The document lacks any content or evidence to assess changes.
Highlights
- •Document is empty with no content.
- •No regions or tokens emitted.
Reason
No evidence of changes or updates is present.