Texas MedicaidMedium ImpactReimbursement

HHSC Publishes Payment Rates for Medicaid Community Hospice and Physician Services, Effective Retroactive to Oct. 1, 2025

Published February 26, 2026Effective October 1, 2025

AI Summary

HHSC has published new payment rates for Medicaid Community Hospice and Physician Services, effective retroactively to October 1, 2025. The approved rates are available in Information Letter 2026-05XX and on the HHSC Provider Finance Department website.

Action Required

Immediately: Billing team must access Information Letter 2026-05XX and review the new Medicaid Community Hospice payment rates on the HHSC Provider Finance Department website. Update billing system with the new payment rates retroactive to October 1, 2025. Reprocess any Medicaid hospice and physician service claims from October 1, 2025 forward to capture updated reimbursement rates. Contact PFD-LTSS@hhs.texas.gov or (737) 867-7817 with questions.

Plan Types

Medicaid

States

TX

Specialties

palliative-care, family-medicine, internal-medicine, all-specialties

HHSC Publishes Payment Rates for Medicaid Community Hospice and Physician Services, Effective Retroactive to Oct. 1, 2025 | Texas Medicaid | PolicyChanges.app