Automating Manual Static Fee Schedules on TMHP.com
Date: December 19, 2025
Attention: All Providers
Effective dates: December 19, 2025 and March 15, 2026
Background: Texas Health and Human Services Commission (HHSC) manually produces 7 static fee schedules, each with a unique format that differs from the standardized templates used for automated fee schedules. This manual process is inefficient and delays the availability of updated fee schedules. To streamline operations and enhance efficiency, these reports will be transitioned into an automated process, adopting a standardized format consistent with existing automated fee schedules.
Call to action: Texas Medicaid & Healthcare Partnership (TMHP) will publish on the Static Fee Schedule web page the updated fee schedules listed below on December 19, 2025 and March 15, 2026.
| File Name | Current Fee Schedule Name | New File Name | New Fee Schedule Name | Publish Date |
| PRCR430C_I | Renal Dialysis Facility - Insert | PRCR430I | Renal Dialysis Facility Composite Rates | December 19, 2025 |
| PRCR417C_I | Nephrology (Hemodialysis, Renal Dialysis) - Insert | PRCR417I | Nephrology (Hemodialysis, Renal Dialysis) Composite Rates | December 19, 2025 |
| PRCR494C_I | Clinical Laboratory, Automated Test Panels (Insert) | PRCR494I | Clinical Diagnostic Laboratory | December 19, 2025 |
| PRCR453C | Indian Health Services | PRCR453C | Indian Health Services | March 15, 2026 |
| PRCR604C | Hospital Outpatient Imaging Services | PRCR604C | Hospital Outpatient Imaging Services | March 15, 2026 |
Texas Medicaid & Healthcare Partnership (TMHP) will remove the fee schedules listed below from the Static Fee Schedule web page on December 19, 2025.
| File Name | Current Fee Schedule Name | Removal Date |
| PRCR419C* | REHABILITATIVE SERVICES - MENTAL HEALTH | December 19, 2025 |
| PRCR700C** | PHARMACY (NON-DME) DISPENSING FEE | December 19, 2025 |
*The procedure codes that are listed in the Rehabilitative Services – Mental Health fee schedule are available in the PRCR424C - Case Management and Rehabilitative Services – Mental Health fee schedule.
**The Pharmacy (non-DME) Dispensing Fee will continue to be available on the Vendor Drug Program (VDP) website.
To access the Pharmacy (non-DME) Dispensing Fee schedule, refer to one of the following websites:
- https://www.txvendordrug.com/resources/manuals/pharmacy-provider-procedure-manual
- https://provider.txvdpportal.com/SPContent/DocumentLibrary/Manuals
Next steps: Please refer to the TMHP website for web articles related to these updates. Providers should share this communication with their staff.
If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.
For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.