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

2.2 Reimbursement Methodology

Texas Medicaid reimburses providers using several different reimbursement methodologies, including fee schedules, reasonable cost with interim rates, hospital reimbursement methodology, provider-specific encounter rates, reasonable charge payment methodology, and manual pricing. Each Texas Medicaid service describes the appropriate reimbursement for each service area.

Note: Medicaid reimbursement through the STAR, STAR Health, STAR+PLUS, and NorthSTAR Program health plans may differ according to the provider's contract with the health plan.