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Health Care Reimbursement Rate Data


Each year, the Texas Department of Insurance collects health care reimbursement rate information under Insurance Code Chapter 38, Subchapter H.  This subchapter requires the department to collect health benefit plan reimbursement rate information in a uniform format.  This data call applies to issuers of preferred provider benefit plans, exclusive provider plans, health maintenance organization plans, and specified governmental employee plans under Insurance Code Chapters 1551, 1575, 1579, and 1601.  The rules that implement this statute are in 28 Texas Administrative Code Chapter 21, Subchapter KK.

Data Collection

Data for calendar year 2017 will be due on May 1, 2018.

These resource documents are available via the link below:
Instructions and Data Template

For more information, contact:

Last updated: 10/06/2017

Contact Information and Other Helpful Links