HHSC Rate Hearings: Quarterly Healthcare Common Procedure Coding; Update to Billing Procedure Code for Buprenorphine; Physician-Administered Drugs and Vaccines

Quarterly Healthcare Common Procedure Coding Hearing: The Texas Health and Human Services Commission (HHSC) conducted a public hearing to receive public comment on proposed Medicaid payment rates for the Quarterly HCPCS Updates. The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. Proposal. The payment rates for Quarterly HCPCS Updates of Physician-Administered Drugs, Outpatient Imaging (Acute Care Services), Outpatient Imaging (Hospital Services), and Clinical Laboratory Services are proposed to be effective November 1, 2019. Background. HHSC is responsible for the reimbursement determination functions for the Texas Medicaid Program. Proposed rates are calculated utilizing established methodologies that conform to the Social Security Act and related federal regulations, the federally approved Texas Medicaid State Plan, all applicable state statutes and rules, and oth