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Updated: SDAs for Dates of Discharge on or After September 1, 2026
Effective date
Sep 1, 2026
Identified
Oct 6, 2026
Summary
Texas Medicaid corrected erroneous reimbursement rates in the Standard Dollar Amount (SDA) Add-on spreadsheet effective September 1, 2026. Updated SDA rates are now available on TMHP's Acute Care Hospital Reimbursement web page, and TMHP will automatically reprocess claims with discharge dates on or after September 1, 2026 that were paid at the previous incorrect rates.
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What to do
Action · 3 steps
01Already effective as of September 1, 2026: Billing team should verify that the practice has obtained the corrected SDA Add-on spreadsheet from TMHP's Acute Care Hospital Reimbursement web page and confirm current applicability of updated reimbursement rates for all claims with discharge dates on or after September 1, 2026.
02Monitor for automatic claim reprocessing from TMHP for any previously submitted claims affected by the rate corrections.
03Contact TMHP Contact Center at 800-925-9126 with questions about which claims qualify for reprocessing.
Original notice
Updated: SDAs for Dates of Discharge on or After September 1, 2026
tmhp.com · Always check the source before changing claims.