Reimbursement Rate Changes

Date: 10/01/19

Effective for dates of service on or after September 1, 2019, the Medicaid-implemented fee schedule changes for Medicaid services are listed below. Superior has updated our claims system to reimburse the updated fee schedule rates:

• Personal Care Services
• Personal Attendant Services
• Day Activity & Health Services
• Respite – In Home Services
• STAR Kids Respite Services and Flexible Family Support
• Private Duty Nursing
• Therapies for Children in the Home (as applicable)
• Therapy Assistants (as applicable)

Please review the Texas Medicaid and Health Partnership (TMHP) Online Fee Schedule for updated fee schedule reimbursement rates.

As a reminder, the fee schedule changes do not apply to therapy providers contracted under Superior’s Payer Fee schedule. For more information, please review the following article: Therapy Fee Schedule Reimbursement Rates

Please refer to the following Superior Payer Fee Schedules for therapy reimbursement amounts:

• Therapy Fee Schedule for Comprehensive Outpatient Rehabilitation Facility (Effective 9/1/17) (PDF)
• Therapy Fee Schedule for Home Health (Effective 9/1/17) (PDF)
• Therapy Fee Schedule for Individual Therapist Group (Effective 9/1/17) (PDF)

If you have additional questions regarding these fee schedule changes, please contact Provider Services at 1-877-391-5921 or your Account Manager.