HHSC ensures that policies are medically appropriate, patient-centered, transparent and based on the best available evidence. The agency’s medical and dental policies outline the types of procedures and treatments for which HHSC will pay for specific conditions.

Medical practitioners, program clients and the public can give HHSC feedback regarding new medical and dental policies or changes to existing policies.

Please review the proposed policy or proposed changes to an existing policy, and then email HHSC your feedback to MCDMedicalBenefitsPolicyComment@hhsc.state.tx.us.

The policies on this site are only drafts and are not considered final. While under review, the policies are open to comment. Please reference specific line numbers when providing feedback.

This website is not intended as a source of information concerning current medical policy or provider billing concerns. That information can be found at the Texas Medicaid and Healthcare Partnership website.

Current Texas Medicaid policies are available in the Texas Medicaid Provider Procedures Manual.

DRAFT Policies Available for Comment

There are currently no policies available for comment posted for policies in development.

Comments and Responses for Previously Posted Policies

Stakeholder Comments and HHSC Staff Responses for Previously Posted Policy

Now available:

How to Submit Proposals

If you would like to submit a proposal for a Medicaid medical or dental benefit, please complete the topic nomination form and submit it with supporting documentation to MedicaidBenefitRequest@hhsc.state.tx.us.

Sign-up for Email Updates

If you wish to be informed of future opportunities to review medical and dental policy changes, please subscribe to GovDelivery for email announcements.