# 1 Tex. Admin. Code § 355.8021: 1 TAC § 355.8021. Reimbursement Methodology for Home Health Services, DIVISION 2. MEDICAID HOME HEALTH PROGRAM

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C355_S355_8021

## Section

- **Citation:** 1 Tex. Admin. Code § 355.8021
- **Heading:** 1 TAC § 355.8021. Reimbursement Methodology for Home Health Services, DIVISION 2. MEDICAID HOME HEALTH PROGRAM
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 1 ADMINISTRATION / Part 15 TEXAS HEALTH AND HUMAN SERVICES COMMISSION / Chapter 355 REIMBURSEMENT RATES / 1 TAC § 355.8021

## Text

(a) Authorized home health nursing and aide services
 provided to eligible Medicaid recipients are reimbursed the lesser
 of the billed amount or the Medicaid reimbursement rate established
 by HHSC.
(b) HHSC reviews the fees for nursing and aide services
 at least once every two years based upon:
(1) analysis of the Centers for Medicare & Medicaid
 Services fees for the same or similar services;
(2) analysis of Medicaid fees for the same or similar
 services in other states; and
(3) analysis of fees paid under commercial insurance
 for the same or similar services.
(c) HHSC may use data sources or methodologies other
 than those listed in subsection (b) of this section to establish Medicaid
 fees for home health services when HHSC determines that the methodologies
 in subsection (b) of this section are unreasonable or insufficient.
(d) Reimbursement for Physical, Occupational, and Speech
 Therapy Services is described in §355.8097 of this title (relating
 to Reimbursement for Physical, Occupational, and Speech Therapy Services).
(e) Fees for home health services will be adjusted
 within available funding as described in §355.201 of this title
 (relating to Establishment and Adjustment of Reimbursement Rates by
 the Health and Human Services Commission).

## Nearby sections

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C355_S355_8021. Check the current official text before relying on it. Not legal advice.