Public Notice of Intent (PNI) for State Plan Amendments
PNIs at this website address are updated and maintained in accordance with 42 CFR § 447.205(d)(iv). The date reflects the posting date.
- 02/05/2018 PNI - SPA 18-0001 Supplemental Drug Rebates Agreement - (Effective February 15, 2018)
- 06/29/2016 PNI - Fee Schedule Update (PDF)
- 07/01/2016 PNI SPA 16-0023 Therapy Rates (PDF) - (Effective December 15, 2016
State Plan and Amendments
The state plan is the officially recognized document describing the nature and scope of the State of Texas Medicaid program. As required under Section 1902 of the Social Security Act, the plan was developed by the state and approved by the U.S. Department of Health and Human Services. Essentially, the plan is the state's agreement that it will conform to the requirements of the Social Security Act and the official issuances of the U.S. Department of Health and Human Services.
Plan changes are submitted by the state to the U.S. Department of Health and Human Services (HHS) as state plan amendments (SPAs). Through the Centers for Medicare and Medicaid Services (CMS), HHS reviews each SPA to determine whether it meets federal requirements and policies. The plan is updated when CMS issues final approval of a SPA.
The plan on this website is for informational purposes only and is not legally binding. The official plan is maintained by CMS Region 6.
Once the plan file is opened, specific sections of the plan are accessible in one of two ways:
- Click on the Bookmark tab to the left of the plan pages to see a detailed index.
- Use the search function to find information within the plan by key words or phrases. Please remember that since the documents are PDF, the search function is not 100 percent accurate in all circumstances.
Approved state plan amendments will be posted as updates are made to the plan.
Persons with disabilities having problems accessing PDF files may email HHSC Medicaid Chip SPA Inquiries for assistance.
This plan is current as of February 5, 2018.
The electronic version of the Texas Medicaid State Plan Attachments (SPA) pages contain new templates from CMS. These new pages superseded (i.e., replaced) full and partial pages that remain part of the State Plan Attachments. To indicate when a plan page contains superseded information, a red translucent overlay has been added. The top left corner of each overlay contains information about the new pages that supersede that section. Mousing over or clicking the comment box will open a dialog box that indicates which new pages supersede the pages or sections contained inside the red translucent box.
|SPA Transmittal Number||Effective Date||State Plan Amendment Topic||Disposition Date|
|16-0001||07/01/2016||1915(i) HCBS-AMH Eligibility||12/18/2017|
|17-0001||02/15/2017||Deletion of Targeted Case Management for Blind Children||11/06/2017|
|17-0002||09/01/2017||Federally Qualified Health Centers||10/03/2017|
|17-0003||01/01/2017||Clinical Diagnostic Lab Fees||05/01/2017|
|17-0005||01/01/2017||Early and Periodic Screening, Diagnosis, and Treatment Fees||05/01/2017|
|17-0006||01/01/2017||Durable Medical Equipment, Prosthetics, Orthotics and Supplies Fee||05/01/2017|
|17-0007||01/01/2017||Family Planning Fees||05/01/2017|
|17-0009||02/01/2017||Hospital Outpatient Reimbursement for Imaging||05/01/2017|
|17-0010||03/01/2017||Durable Medical Equipment, Prosthetics, Orthotics and Supplies Fee||05/01/2017|
|17-0011||04/01/2017||Covered Outpatient Drug||09/22/2017|
|17-0013||04/01/2017||Early and Periodic Screening, Diagnosis, and Treatment Fees||07/17/2017|
|17-0014||04/01/2017||Durable Medical Equipment, Prosthetics, Orthotics and Supplies Fee||07/17/2017|
|17-0015||07/01/2017||Clinical Laboratory Services||09/15/2017|
|17-0018||09/01/2017||Non-Emergency Medical Transportation||10/03/2017|
|17-0019||10/01/2017||Administrative Update Inpatient Hospital Services||12/08/2017|
|17-0020||12/01/2017||Pre-admission Screening and Resident Review Specialized Services||10/23/2017|
|17-0024||08/01/2017||Correction to 16-0024 TANF Work Requirement||12/13/2017|