Welcome to the Online Fee Lookup for Texas Medicaid, Department of State Health Services (DSHS) Family Planning Program,
(DSHS) Primary Health Care Program, (DSHS) Expanded Primary Health Care Program and the Children with
Special Health Care Needs (CSHCN) Services Program.
The Online Fee Lookup provides fee information for Texas Medicaid, including Texas Health Steps (THSteps), the DSHS
Family Planning Program, DSHS Primary Health Care Program, DSHS Expanded Primary Health Care Program and the CSHCN Services Program.
Users can also search for fee information for specified procedure codes. The fee information is accurate for the current date
or for a specified prior date of service. Providers who have an account on TMHP.com can log into their accounts to search for
the fees that apply specifically to them. All other users can search for fees by provider type and specialty.
To use a general fee schedule, Medicaid providers can click Static Fee Schedules.
The fee displayed is the allowable rate for this service.
Since September 1, 2011, the Online Fee Lookup (OFL) and static fee schedules include a column titled "Adjusted Fee."
The Adjusted Fee column displays the fee with all of the percentage reductions applied.
The individual provider payment may differ based on provider type, client type program, place of service, or other factors.
For additional information about rates, rules, and procedures, providers can refer to the Texas Medicaid Provider Procedures Manual,
Texas Medicaid Bulletins, Texas Medicaid website articles, the CSHCN Services Program Provider Manual,
CSHCN Services Program website articles, the rate reduction web page at
www.tmhp.com/pages/topics/rates.aspx , and other communications from TMHP or state agencies.