June 3, 2021 - 1:30pm

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Meeting Site:
Microsoft Office Teams Live Event

Location: Due to the COVID-19 pandemic, this meeting will be conducted virtually using Microsoft Teams only. There is not a physical location for this meeting.

Join the meeting here.

Closed captioning for this meeting is available.  Viewers are asked to highlight the closed captioning symbol "cc" on the bottom of their viewing screen to enable this function.

Attendees who would like to provide public comment should see the Public Comment section below.

  1. Welcome, introductions, and opening remarks
  2. Consideration of February 4, 2021, meeting minutes for approval (vote required)

Informational Item

  1. Disproportionate Share Hospital Reimbursement
    - Rene Cantu, Director of Hospital Finance, HHSC Provider Finance Department

The Texas Health and Human Services Commission (HHSC) proposes to amend §355.8065, concerning Disproportionate Share Hospital (DSH) Reimbursement Methodology. Historically, HHSC has allowed State Institutions for Mental Diseases (IMDs) to participate in the DSH program, and they are treated in the same way as state hospitals. However, the rule does not explicitly reference State IMDs, or that State IMDs have been recognized as providers for years. The amendment broadens the definition of state-owned hospitals to include these hospitals.

Update Items Requested by the Chair

  1. Inpatient Hospital Reimbursement
    - Megan Wolfe, Deputy Director, HHSC Provider Finance

    This amendment to §355.8052 aim is to comply with Texas Government Code §531.02194, as adopted Senate Bill (SB) 170, 86th Legislature, Regular Session (2019),  and Texas Health and Safety Code Chapter 241, Subchapter K, as adopted by SB 1621, 86th Legislature, Regular Session (2019) and to make other amendments to enhance clarity, consistency, and specificity. In accordance with Texas Government Code §531.02194, HHSC is required, to the extent allowed by law, to calculate Medicaid rural hospital inpatient rates using a cost-based prospective reimbursement methodology. Additionally, HHSC must calculate rates for rural hospitals once every two years, using the most recent cost information available. The current rule does not require a biennial review of the rural hospital rates. Rates have not been realigned or rebased since state fiscal year 2014. The proposed amendment adds a Medicaid minimum fee schedule for all rural hospitals to conform the rule to the contracts; arranges the rule by hospital type; adds and modifies definitions, including “rebasing” and “realignment”; and specifies a policy for updating Diagnosis Related Group statistical calculations.

  2. 87th Legislative Session update
  3. 1115 waiver extension-impact on uncompensated care or delivery system reform incentive payments
  4. Texas Medicaid DSH update on rules and future changes
  5. Comprehensive Hospital Increase Reimbursement Program, Texas Incentives for Physician and Professional Services, and Rural Access to Primary and Preventive Services Program—update on approval status and modeling
  6. Fee-for-service supplemental payment program update
  7. Private hospital graduate medical education program update
  8. Intergovernmental transfer payments briefing
  9. Rural Hospital Advisory Committee update
  10. Medicaid funding issues related to Texas hospitals
  11. Public comment
  12. Proposed next meeting: August 5, 2021, at 1:30 p.m.
  13. Adjourn

Public Comment:  HHSC welcomes public comments pertaining to topics related to eligibility, health and medical care services, and policies that govern the administration of the Texas Medicaid program. Members of the public who would like to provide public comment are asked to complete a Public Comment form here.  

Members of the public who would like to provide written public comment to HHSC may email caroline.sunshine@hhs.texas.gov no later than 5:00 p.m. Tuesday, June 1, 2021. Please include your name and the organization you are representing, or that you are speaking as a private citizen. Staff will not read written comments aloud during the meeting, but comments will be forwarded to State staff and committee members for their consideration. Comments should not include confidential information or protected health information.

If you would like to register to provide oral comments, please mark the correct box on the Public Comment form.  Instructions for providing oral comment will be emailed to you.  Registration should be completed no later than 5:00 p.m., Tuesday, June 1, 2021. Members of the public may also use the Microsoft Teams Live Event Q&A section during the meeting to submit a request to provide public comment.  The request must contain your name, either the organization you are representing or that you are speaking as a private citizen, and your direct phone number. Do not include confidential information or protected health information in comments.

Public comment is limited to three minutes.  Each speaker must state their name and either the organization they are representing or that they are speaking as a private citizen. Public members who are using handouts are asked to provide an electronic copy in accessible PDF format. Handouts are limited to two pages (paper size: 8.5” by 11”, one side only). Handouts must be emailed to HHSC immediately after registering and include the name of the person who will be commenting. Do not include confidential information or protected health information in handouts. Staff will not read handouts aloud during the meeting, but handouts will be provided to Committee members and State staff. It is not permissible for public speakers to interject or ask questions to Committee members during the rest of the meeting.

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Caroline Sunshine, Advisory Committee Coordinator, Medicaid and CHIP Services Department, 512-428-1948, caroline.sunshine@hhs.texas.gov.

This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting.

People with disabilities who wish to attend the meeting and require assistive technology or services should contact Sunshine at 512-428-1948 or caroline.sunshine@hhs.texas.gov at least 72 hours before the meeting so appropriate arrangements can be made.