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December 2016 Texas Medicaid Provider Procedures Manual

Clinics and Other Outpatient Facility Services Handbook : 8 Tuberculosis Services : 8.5 Claims Filing and Reimbursement : 8.5.2 Reimbursement

The Medicaid reimbursement rates for TB clinics are calculated in accordance with 1 TAC §355.8081.
X-ray services are reimbursed in accordance with 355.8081 and are listed in the current physician fee schedule on the TMHP website at Texas Medicaid implemented mandated rate reductions for certain services. The Online Fee Lookup (OFL) and static fee schedules include a column titled “Adjusted Fee” to display the individual fees with all mandated percentage reductions applied. Additional information about rate changes is available on the TMHP website at

Texas Medicaid & Healthcare Partnership
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