al. Call or walk-in for a second opinion on your dentistry and get a written estimate.Check out our special on cleaning, exam, and x-rays. Fee Schedules - TMHP. fee schedule adjustment and harges exceed Fee Schedule allowance.” 28 Texas Administrative Code §134.303 (b) states, “For coding, billing, reporting, and reimbursement of dental treatments and services, Texas Workers' Compensation system participants shall apply the Texas Medicaid Dental Fee This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. The Adjusted Fee column displays the fee with all of the percentage reductions applied. These fee schedules provide a view of the fees that were in effect during the first AMBULATORY SURGICAL CENTER (ASC) / HOSPITAL - BASED AMBULATORY SURGICAL CENTER (HASC), AMBULATORY SURGICAL CENTER (ASC) / HOSPITAL - BASED AMBULATORY SURGICAL CENTER (HASC) - Insert, CASE MANAGEMENT AND REHABILITATIVE SERVICES - BLIND CHILDREN'S VOCATIONAL DISCOVERY AND DEVELOPMENT PROGRAM, CASE MANAGEMENT AND REHABILITATIVE SERVICES - CHILDREN AND PREGNANT WOMEN, CASE MANAGEMENT AND REHABILITATIVE SERVICES - EARLY CHILD INTERVENTION, CASE MANAGEMENT AND REHABILITATIVE SERVICES - MENTAL HEALTH, CASE MANAGEMENT AND REHABILITATIVE SERVICES - MENTAL RETARDATION, CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) / ANESTHESIOLOGIST ASSISTANT (AA), CLINICAL LABORATORY, AUTOMATED TEST PANELS - Insert, COMPREHENSIVE CARE PROGRAM - PERSONAL CARE SERVICES, COMPREHENSIVE CARE PROGRAM - PRIVATE DUTY NURSING, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF) / OUTPATIENT REHABILITATION FACILITY (ORF), IN HOME TOTAL PARENTERAL NUTRITION (TPN) SERVICES, MISCELLANEOUS OTHER PROFESSIONALS - CERTIFIED RESPIRATORY CARE PRACTITIONER, MISCELLANEOUS OTHER PROFESSIONALS - COMPREHENSIVE HEALTH CENTER (CHC), MISCELLANEOUS OTHER PROFESSIONALS - MATERNITY SERVICE CLINIC, MISCELLANEOUS OTHER PROFESSIONALS - OPTICIAN, MISCELLANEOUS OTHER PROFESSIONALS - PORTABLE X-RAY, RADIOLOGICAL LAB, PHYSIOLOGICAL LAB, MISCELLANEOUS OTHER PROFESSIONALS - RADIATION TREATMENT CENTER, NEPHROLOGY (HEMODIALYSIS, RENAL DIALYSIS), NEPHROLOGY (HEMODIALYSIS, RENAL DIALYSIS) - INSERT, NURSE PRACTITIONER/CLINICAL NURSE SPECIALIST, OUTPATIENT BEHAVIORAL HEALTH - CHEMICAL DEPENDENCYTREATMENT FACILITY, OUTPATIENT BEHAVIORAL HEALTH - PSYCHOLOGIST, PHYSICIAN - PHYSICAL MEDICINE AND REHABILITATION, PRESCRIBED PEDIATRIC EXTENDED CARE CENTER. Interactive fee schedule; Downloadable fee schedule in TXT files; Certain fee schedules are interactive. Governmental providers may qualify for supplemental payments for uncompensated care. Login. The revised professional fee schedule is published on this website every Tuesday after 4 p.m. with information current as of the previous Sunday. To sign up, contact the enrollment broker Maximus and choose DentaQuest for your dental plan. The sole responsibility for the software, including any CDT and other content contained therein, is with TMHP or the CMS; and no endorsement by the ADA is intended or implied. All other users can search for fees The ADA does not directly or indirectly practice medicine or dispense dental services. No fee schedules, basic unit, relative values or related listings are included in CDT. Texas Medicaid and CHIP provide dental and medical benefits for more than 4 million Texans. Interactive fee schedules provide coverage information as well as maximum allowable fees for all reimbursable procedure codes. No fee schedules, basic unit, relative values or related listings are included in CDT. Note: If you are unable to locate payment information for a facility, complete and submit Form 111 Facility Payment Rate Request (PDF) . Due to legal liabilities associated with the copyright for the ADA Survey of Fees, the TX Dental IME Fee Schedule is a view-only internal document and is only accessible by HHS enterprise employees. Providers who have an account on The ADA does not directly or indirectly practice medicine or dispense dental services. Dental Fee Schedule Change Effective September 1, 2018 HHSC reduced reimbursement for certain therapeutic dental services by 2.5%. Because many factors influence payment, inclusion of a rate in the fee schedule does not guarantee payment. We provide great value in dentistry to all our patients including emergency needs while keeping our fees as inexpensive as possible. Since September 1, 2011, the Online Fee Lookup (OFL) and static fee schedules include a column titled "Adjusted Fee." The agency’s medical and dental policies outline the types of procedures and treatments for which HHSC will pay for specific conditions. and the Children with Special Health Care Needs (CSHCN) Services Program. Clicking the bookmark will bring the user directly to that section. ... Fee Schedule Administrator Coast Dental. Menu Close. Cigna Dental 1500 DENTAL INSURANCE Cigna Health and Life Insurance Company may change the premiums of this Policy after 60 day’s written notice to the Insured Person. Archive 2013 Medicaid Fee Schedule. Texas Medicaid and CHIP Health Plan Fee Schedule; Texas Health Plans Fee Schedule Submitting Prior Authorization For information on submitting prior authorizations, please click here. 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