Rate Analysis for Hospital and Clinic Services

Overview

The Health and Human Services Commission (HHSC) Rate Analysis for Hospital Services develops reimbursement methodology rules for determining payment rates/fees for Medicaid Hospital Services.  General Medicaid program rules for Hospital Services are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 354, SubChapter A, Division 10, Rule §354.1121.  Additional general Medicaid program rules for Hospital Services are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 354, SubChapter A, Division 11, Rules 1131-1190.   HHSC Rate Analysis for Hospital Services develops payment rates/fees in accordance with published rules and policy guidelines for Hospital Services.

 

Announcements

SDA Add-On status verification is in process through July 27, 2017. Please review your SDA Add-On information and submit any changes on the Status Verification form.

 

Programs and Services

Clinic and Facility Services

Hospital Services

Other Reporting

 

Contacts

Note: Rate Analysis staff can assist you with questions concerning only payment rates for the specified services. They are not able to answer other types of questions, such as the status of payment for services rendered or questions involving eligibility for care services.


If you have questions regarding Hospitals - Inpatient and Outpatient Hospital Services payment rates, please call the appropriate person on the Contacts List.


If you have questions regarding Hospitals program/policy issues, please call the TMHP Contact Center at 1-800-925-9126.

 

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Updated: August 31, 2016