Note: Should you have landed here as a result of a search engine(or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the materials unless you read, agree to and abide by the provisions of the end user agreement. Read the end user agreement now (you will be linked back to here). END USER AGREEMENT 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 five 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 Mediciaid 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 link at the bottom of the screen.

Provider Type Select a Type Advanced practice nurse (APN) Ambulance Ambulatory surgical center (ASC)—freestanding/independent Ambulatory surgical center (ASC)—hospital based Audiologist Birthing center Case management Certified registered nurse anesthetist (CRNA) Certified registered nurse anesthetist (CRNA) group Chemical dependency treatment facility (CDTF) (Texas Commission on Alcohol and Drug Abuse [TCADA]-approved) Chiropractic group Chiropractor Comprehensive Care Program (CCP) provider Comprehensive Care Program (CCP) social worker Comprehensive Care Program (CCP)—personal care services (PCS) Comprehensive health center (CHC) Dentist (DDS, DMD) Dentistry group Early Childhood Intervention (ECI) Family planning clinic Genetics Hearing aid Hemophilia factor Home health agency Home health durable medical equipment (DME) Independent lab/privately-owned lab (no physician involvement) Independent lab/privately-owned lab (physician involvement) Indian Health Services (IHS) Licensed professional counselor (LPC) Maternity service clinic (MSC) Medical supplier (durable medical equipment [DME]); licensed master social worker-advanced clinical practitioner (LMSW-ACP) Medical supply company Mental health rehabilitation Nephrology (hemodialysis, renal dialysis) Occupational therapist Optician or dispensing optical company Optometric group Optometrist Oral maxillofacial surgeon Orthodontist Physical therapist Physical therapy group Physician (DO) Physician (MD) Physician group (DOs only) Physician group (MDs only and multispecialty) Podiatrist Podiatry group Portable X-ray supplier, radiological lab, physiological lab Psychologist Psychology group Radiation treatment centers Registered nurse/nurse midwife Rehabilitation centers Renal dialysis facility Respiratory therapists Texas Health Steps (THSteps)—dental Texas Health Steps (THSteps)—dental group Texas Health Steps (THSteps)—medical Tuberculosis (TB) clinic—group Tuberculosis (TB) clinic—individual more information Provider Specialty

Description   File Size   File Size Modified Date Ambulance 0.04 0.13 1/3/2009 Ambulatory Surgical Center (ASC) / Hospital-based Ambulatory Surgical Center (HASC) 0.72 4.12 1/3/2009 Ambulatory Surgical Center (ASC) / Hospital-based Ambulatory Surgical Center (HASC) - Insert 0.02 0.01 10/1/2008 APN/PA - Certified Nurse Midwife 3.14 17.80 1/3/2009 Audiologist 0.04 0.15 1/3/2009 Birthing Center 0.08 0.03 10/14/2008 Case Management - Blind Children's Vocational Discovery and Development Program 0.04 0.14 1/3/2009 Case Management - Children and Pregnant Women (CPW) 0.04 0.15 1/3/2009 Case Management - Early Childhood Intervention (ECI) 0.03 0.11 1/3/2009 Case Management - Mental Health 0.04 0.14 1/3/2009 Case Management - Mental Retardation 0.04 0.15 1/3/2009 CCP Social Worker 0.04 0.14 1/3/2009 Certified Registered Nurse Anesthetist (CRNA) 0.16 0.81 1/3/2009 Certified Respiratory Care Practitioner 0.03 0.11 1/3/2009 Chemical Dependency Treatment Facility 0.03 0.11 1/3/2009 Chiropractor 0.04 0.14 1/3/2009 Comprehensive Health Center (CHC) 0.05 0.20 1/5/2009 Comprehensive Outpatient Rehabilitation Facility (CORF) / Outpatient Rehabilitation Facility (ORF) 0.05 0.20 1/3/2009 Dental (THSteps and ICF-MR) 0.12 0.61 1/3/2009 Dentist - Orthodontist 0.12 0.69 1/3/2009 Durable Medical Equipment (DME) - Home Health Agency 0.29 1.60 1/3/2009 Durable Medical Equipment - Medical Supplier 0.59 3.27 1/5/2009 Family Planning Clinic 0.08 0.37 1/3/2009 Hearing Aid and Audiometric Services 0.04 0.16 1/3/2009 Hemophilia Factor 0.03 0.12 1/3/2009 Home Health Agency 0.13 0.67 1/3/2009 In-Home Total Parenteral Nutrition (TPN) Services 0.14 0.74 1/5/2009 Indian Health Services 0.03 0.11 1/3/2009 Laboratory (Clinical and Independent) 0.35 1.83 1/3/2009 Licensed Clinical Social Worker, Licensed Marriage and Family Therapist, and Licensed Professional Counselor 0.58 3.24 1/3/2009 Maternity Service Clinic 0.04 0.15 1/5/2009 Nephrology (Hemodialysis, Renal Dialysis) 0.50 2.67 1/3/2009 Nephrology (Hemodialysis, Renal Dialysis) - Insert 0.06 0.03 10/1/2008 Nurse Practitioner, Clinical Nurse Specialist, and Physician Assistant 3.29 18.74 1/3/2009 Occupational Therapist 0.04 0.18 1/3/2009 Optician 0.06 0.25 1/3/2009 Optometrist 0.31 1.63 1/3/2009 Physical Therapist 0.05 0.19 1/3/2009 Physician 3.67 20.86 1/3/2009 Physician - Doctor of Dentistry 0.34 1.82 1/3/2009 Physician - Genetics 0.03 0.12 1/3/2009 Physician - Oral Maxillofacial Surgeon 0.12 0.72 1/3/2009 Physician - Pathologist 3.71 20.89 1/3/2009 Physician - Radiologist 3.83 21.59 1/3/2009 Podiatrist 0.54 2.91 1/3/2009 Portable X-ray, Radiological Lab, Physiological Lab 0.56 3.09 1/3/2009 Psychologist 0.04 0.16 1/3/2009 Radiation Treatment Center 0.61 3.33 1/3/2009 Rehabilitative Services - Mental Health 0.03 0.21 1/3/2009 Renal Dialysis Facility 0.50 2.66 1/3/2009 Renal Dialysis Facility - Insert 0.06 0.03 10/1/2008 THSteps Licensed Vocational Nurse 0.08 0.36 1/3/2009 THSteps Medical 0.05 0.19 1/3/2009 THSteps Personal Care Services (PCS) 0.03 0.11 1/3/2009 THSteps Provider 0.08 0.36 1/3/2009 THSteps Registered Nurse 0.08 0.36 1/3/2009 THSteps Speech Therapist 0.08 0.36 1/3/2009 Tuberculosis (TB) Clinic 0.04 0.14 1/3/2009 Tuberculosis (TB) Clinic Group 0.04 0.14 1/3/2009

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