Proposed Medicaid Payment Rates for the Medicaid Biennial Calendar Fee Reviews, Medical Policy Reviews, Special Review, and Healthcare Common Procedure Coding System (HCPCS) Reviews

Hearing. The Texas Health and Human Services Commission (HHSC) conducted a public hearing to receive public comments on proposed Medicaid payment rates for Calendar Fee Reviews, Medical Policy Reviews, Special Review, and the Healthcare Common Procedure Coding System (HCPCS) Updates. Proposal.  The effective date of the proposed payment rates for the topics presented during the rate hearing will be as follows: Proposed to be effective October 01, 2024: Medical Policy Review Ophthalmological Services – 92065   Proposed to be effective November 01, 2024:  Special Review Non-Emergency Medical Transportation – NEMT Demand Response Transportation Services Proposed to be effective March 01, 2025:  Calendar Fee Review Anesthesia Birthing Centers Clinical Diagnostic Laboratory Services Clinical Diagnostic Laboratory – Gapfill Diagnostic Radiology Non-Hospitals Diagnostic Radiology Hospitals (HOSP) Diagnostic Radiology Hospitals (RURAL)