TMPPM 2010 > Volume 1, General Information > Section 2: Texas Medicaid Reimbursement

Section 2: Texas Medicaid Reimbursement

2.1 Payment Information 2-2

2.2 Reimbursement Methodology 2-2

2.2.1 Online Fee Lookup (OFL) and Static Fee Schedules 2-2

2.2.2 Cost Reimbursement 2-6

2.2.3 Reasonable Cost and Interim Rates 2-6

2.2.4 Hospitals 2-6

2.2.5 Provider-Specific Visit Rates 2-6

2.2.6 Manual Pricing 2-6

2.3 Reimbursement Reductions 2-6

2.4 Additional Payments to High-Volume Providers 2-7

2.5 Out-of-State Medicaid Providers 2-7

2.6 Medicare Crossover Reimbursement 2-7

2.6.1 Part A 2-7

2.6.2 Part B 2-7

2.7 Federal Medical Assistance Percentage (FMAP) 2-8