Public Hearing SHARS, Kidney Health Care, Physician Administered Drugs

Hearing. The Texas Health and Human Services Commission (HHSC) conducted a public hearing to receive public comments on proposed updates to: Medicaid payment rates for proposed Medicaid payment SHARS reimbursement methodology, 10-1-2025-adj-medicaid-reimbursement-rates.pdf Non-Medicaid payment rates to Kidney Health Care Program – Hospital, and Non-Hospital, and 9-1-2025-non-med-kidney-health-care.pdf proposed updates to Medical Policy Review for Physician Administered Drugs. 9-1-2025-fee-review-physician-administered-drug.pdf Proposal. The rate actions for the following services are proposed to be effective September 1, 2025 (the proposed rule packet specifies that the effective date is October 1 for the SHARS item) : Non-Medicaid Review (1) Kidney Health Care Program - Non-Hospital Rates (2) Kidney Health Care Program - Hospital Rates Medical Policy Review (1) Medical Policy Review – Physician Administered Drugs SHARS Rate Methodology Updat