Static Fee Schedules

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The files on this page contain the Texas Medicaid fee schedules for the selected federal fiscal quarter. These fee schedules provide a view of the fees that were in effect within the first seven days of the selected quarter. If you are a Texas Medicaid provider with an active account on TMHP.com, you can limit the fee schedules that appear to those that apply to your provider identifier. Click here to log on to your account and select which provider identifier you want to use.

If you are not a Texas Medicaid provider with an active account on TMHP.com and know which fee schedule you want to see, you can open the corresponding Excel or PDF file. If you do not know which fee schedules apply to you, the system can help you find them. Select a provider type and provider specialty from the dropdown menus, and then click Search. The screen will display only the applicable fee schedules.

To view past fee schedules, click the archive link at the bottom of the screen.

Beginning September 1, 2011, the Online Fee Lookup (OFL) and static fee schedules will include a new column titled "Adjusted Fee." The Adjusted Fee column will display the fee with all mandated percentage reductions applied. Additional information about rate changes is available on the TMHP website at www.tmhp.com/pages/topics/rates.aspx .

Note: Certain rate reductions including, but not limited to, reductions by place of service, client type program, or provider specialty may not be reflected in the Adjusted Fee column.

denotes required field

Provider Type
Provider Specialty

Description	File Name	Modified Date

AMBULANCE	PRCR416C	4/6/2012
AMBULATORY SURGICAL CENTER (ASC) / HOSPITAL - BASED AMBULATORY SURGICAL CENTER (HASC)	PRCR405C	4/6/2012
AMBULATORY SURGICAL CENTER (ASC) / HOSPITAL - BASED AMBULATORY SURGICAL CENTER (HASC) - Insert	PRCR405C_I	4/6/2012
AUDIOLOGIST	PRCR437C	4/6/2012
BIRTHING CENTER	PRCR447C	4/6/2012
CASE MANAGEMENT AND REHABILITATIVE SERVICES - BLIND CHILDREN'S VOCATIONAL DISCOVERY AND DEVELOPMENT PROGRAM	PRCR425C	4/6/2012
CASE MANAGEMENT AND REHABILITATIVE SERVICES - CHILDREN AND PREGNANT WOMEN	PRCR424C	4/6/2012
CASE MANAGEMENT AND REHABILITATIVE SERVICES - EARLY CHILD INTERVENTION	PRCR427C	4/6/2012
CASE MANAGEMENT AND REHABILITATIVE SERVICES - MENTAL HEALTH	PRCR423C	4/6/2012
CASE MANAGEMENT AND REHABILITATIVE SERVICES - MENTAL RETARDATION	PRCR422C	4/6/2012
CHIROPRACTOR	PRCR420C	4/6/2012
CLINICAL LABORATORY	PRCR494C	4/6/2012
CLINICAL LABORATORY, AUTOMATED TEST PANELS - Insert	PRCR494C_I	4/6/2012
COMPREHENSIVE CARE PROGRAM - PERSONAL CARE SERVICES	PRCR498C	4/6/2012
COMPREHENSIVE CARE PROGRAM - PRIVATE DUTY NURSING	PRCR499C	4/6/2012
COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF) / OUTPATIENT REHABILITATION FACILITY (ORF)	PRCR411C	4/6/2012
COORDINATED CARE	PRCR446C	4/6/2012
DENTAL	PRCR496C	4/6/2012
DENTAL (THSTEPS AND ICF/MR)	PRCR407C	4/6/2012
FAMILY PLANNING CLINIC	PRCR454C	4/6/2012
HEARING AID AND AUDIOMETRIC SERVICES	PRCR414C	4/6/2012
HEMOPHILIA FACTOR	PRCR458C	4/6/2012
HOME HEALTH AGENCY	PRCR408C	5/8/2012
HOSPITAL OUTPATIENT IMAGING SERVICES	PRCR604C	4/6/2012
IN HOME TOTAL PARENTERAL NUTRITION (TPN) SERVICES	PRCR448C	4/6/2012
INDIAN HEALTH SERVICES	PRCR453C	4/6/2012
LABORATORY INDEPENDENT	PRCR429C	4/6/2012
MISCELLANEOUS OTHER PROFESSIONALS - CERTIFIED RESPIRATORY CARE PRACTITIONER	PRCR487C	4/6/2012
MISCELLANEOUS OTHER PROFESSIONALS - COMPREHENSIVE HEALTH CENTER (CHC)	PRCR450C	4/6/2012
MISCELLANEOUS OTHER PROFESSIONALS - MATERNITY SERVICE CLINIC	PRCR449C	4/6/2012
MISCELLANEOUS OTHER PROFESSIONALS - OPTICIAN	PRCR432C	4/6/2012
MISCELLANEOUS OTHER PROFESSIONALS - PORTABLE X-RAY, RADIOLOGICAL LAB, PHYSIOLOGICAL LAB	PRCR455C	4/6/2012
MISCELLANEOUS OTHER PROFESSIONALS - RADIATION TREATMENT CENTER	PRCR441C	4/6/2012
NEPHROLOGY (HEMODIALYSIS, RENAL DIALYSIS)	PRCR417C	4/6/2012
NEPHROLOGY (HEMODIALYSIS, RENAL DIALYSIS) - INSERT	PRCR417C_I	4/6/2012
NEW DMEPOS	PRCR497C	4/6/2012
NURSE PRACTITIONER, CLINICAL NURSE SPECIALIST, AND PHYSICIAN ASSISTANT - CERTIFIED NURSE MIDWIFE (CNM)	PRCR434C	4/6/2012
NURSE PRACTITIONER, CLINICAL NURSE SPECIALIST, AND PHYSICIAN ASSISTANT - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	PRCR400C	4/6/2012
NURSE PRACTITIONER/CLINICAL NURSE SPECIALIST	PRCR609C	4/6/2012
OCCUPATIONAL THERAPIST	PRCR436C	4/6/2012
OPTOMETRIST	PRCR403C	4/6/2012
ORAL MAXILLOFACIAL SURGEON	PRCR457C	4/6/2012
ORTHODONTIST	PRCR456C	4/6/2012
ORTHOTIST	PRCR439C	4/6/2012
OUTPATIENT BEHAVIORAL HEALTH	PRCR605C	4/6/2012
OUTPATIENT BEHAVIORAL HEALTH - CCP SOCIAL WORKER	PRCR428C	4/6/2012
OUTPATIENT BEHAVIORAL HEALTH - CHEMICAL DEPENDENCYTREATMENT FACILITY	PRCR426C	4/6/2012
OUTPATIENT BEHAVIORAL HEALTH - PSYCHOLOGIST	PRCR433C	4/6/2012
PHARMACY (NON-DME) DISPENSING FEE	PRCR700C	4/6/2012
PHYSICAL THERAPIST	PRCR435C	4/6/2012
PHYSICIAN	PRCR402C	4/6/2012
PHYSICIAN - ADMINISTERED DRUG/BIOLOGICAL	PRCR495C	4/6/2012
PHYSICIAN - ALLERGY	PRCR464C	4/6/2012
PHYSICIAN - ANESTHESIOLOGY	PRCR466C	4/6/2012
PHYSICIAN - CARDIOVASCULAR DISEASE	PRCR467C	4/6/2012
PHYSICIAN - DERMATOLOGY	PRCR468C	4/6/2012
PHYSICIAN - DOCTOR OF DENTISTRY	PRCR431C	4/6/2012
PHYSICIAN - GASTROENTEROLOGY	PRCR469C	4/6/2012
PHYSICIAN - GENERAL SURGERY	PRCR463C	4/6/2012
PHYSICIAN - GENETICS	PRCR452C	4/6/2012
PHYSICIAN - GERIATRICS	PRCR486C	4/6/2012
PHYSICIAN - INTERNAL MEDICINE	PRCR470C	4/6/2012
PHYSICIAN - NEPHROLOGY	PRCR461C	4/6/2012
PHYSICIAN - NEUROLOGY	PRCR471C	4/6/2012
PHYSICIAN - NEUROSURGERY	PRCR472C	4/6/2012
PHYSICIAN - NUCLEAR MEDICINE	PRCR484C	4/6/2012
PHYSICIAN - OB/GYN	PRCR473C	4/6/2012
PHYSICIAN - OPHTHALMOLOGY	PRCR474C	4/6/2012
PHYSICIAN - ORTHOPEDIC SURGERY	PRCR475C	4/6/2012
PHYSICIAN - OTHER	PRCR488C	4/6/2012
PHYSICIAN - OTORHINOLARYNGOLOGY	PRCR465C	4/6/2012
PHYSICIAN - PATHOLOGIST	PRCR412C	4/6/2012
PHYSICIAN - PEDIATRICS	PRCR485C	4/6/2012
PHYSICIAN - PHYSICAL MEDICINE AND REHABILITATION	PRCR477C	4/6/2012
PHYSICIAN - PLASTIC SURGERY	PRCR476C	4/6/2012
PHYSICIAN - PROCTOLOGY	PRCR479C	4/6/2012
PHYSICIAN - PULMONARY DISEASE	PRCR480C	4/6/2012
PHYSICIAN - RADIATION THERAPY	PRCR481C	4/6/2012
PHYSICIAN - RADIOLOGIST	PRCR413C	4/6/2012
PHYSICIAN - THORACIC SURGERY	PRCR482C	4/6/2012
PHYSICIAN - UROLOGY	PRCR483C	4/6/2012
PHYSICIAN ASSISTANT	PRCR607C	4/6/2012
PODIATRIST	PRCR404C	4/6/2012
PROSTHETIST	PRCR438C	4/6/2012
REHABILITATIVE SERVICES - MENTAL HEALTH	PRCR419C	4/6/2012
RENAL DIALYSIS FACILITY	PRCR430C	4/6/2012
RENAL DIALYSIS FACILITY - INSERT	PRCR430C_I	4/6/2012
THERAPIES	PRCR492C	5/8/2012
THSTEPS - OTHER	PRCR451C	4/6/2012
THSTEPS LICENSED VOCATIONAL NURSE	PRCR445C	4/6/2012
THSTEPS MEDICAL	PRCR415C	4/6/2012
THSTEPS OTHER	PRCR442C	4/6/2012
THSTEPS REGISTERED NURSE	PRCR444C	4/6/2012
THSTEPS SPEECH THERAPIST	PRCR443C	4/6/2012
TUBERCULOSIS (TB) CLINIC	PRCR459C	4/6/2012
TUBERCULOSIS (TB) CLINIC GROUP	PRCR460C	4/6/2012

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