23-1, Section 4000 Changes

Revision 23-1; Effective Jan. 5, 2023

The following change(s) were made:

Revised	Title	Change
4100	General Principles	Edits text.
4200	Basic Health Care Services	Edits text.
4210	Physician Services	Removes information about reducing reimbursement amount for services rendered on or after Feb. 1, 2011.
4211	Annual Physical Examinations	Edits text.
4212	Immunizations	Edits text.
4213	Medical Screenings	Edits text.
4214	Laboratory and X-ray Services	Edits text.
4215	Family Planning Services	Edits text.
4216	Skilled Nursing Facility Services	Adds information on payment rates.
4217	Prescription Drugs	Adds new instructions for formulary pricing. Deletes prior pricing instructions.
4218	Rural Health Clinic (RHC) Services	Updates link for payment standards.
4219	Inpatient Hospital Services	Updates link for payment standards.
4220	Outpatient Hospital Services	Updates link for payment standards.
4310	HHSC-Established Optional Health Care Services	Updates service list and fee schedules.
4311	Advanced Practice Nurse (APN) Services	Updates terminology.
4312	Ambulatory Surgical Center (ASC) Services	Updates terminology.
4313	Colostomy Medical Supplies and Equipment	Updates terminology.
4314	Counseling Services	Updates terminology.
4315	Dental Care	Updates terminology.
4316	Diabetic Medical Supplies and Equipment	Updates terminology.
4317	Durable Medical Equipment	Updates terminology.
4318	Emergency Medical Services	Edits text.
4319	Home and Community Health Care Services	Edits text.
4320	Physician Assistant (PA) Services	Edits text.
4321	Vision Care, Including Eyeglasses	Updates terminology.
4322	Federally Qualified Health Center (FQHC)	Updates link for payment rates.
4323	Occupational Therapy Services	Edits text.
4324	Physical Therapy Services	Edits text.
4410	Fee Schedules	Updates service table.
4420	Type of Services – Definition and Payment Information	Clarifies reimbursement rate for assistant surgical services.