July 13, 2021 - 9:00am

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Online Meetings. The Texas Health and Human Services Commission (HHSC) will conduct stakeholder engagement meetings on July 13, 2021, beginning at 9:00 a.m. CDT, to receive comments on Medicaid and Title XX payment rates that may be addressed at the November 2021 rate hearings.

Note: HHSC will not publish proposed rates at this time, and the stakeholder engagement meetings are solely to receive commentary on the topics listed below.

Due to the declared state of disaster stemming from COVID-19, these meetings will be conducted online only. Physical entry to the meetings will not be permitted.

The stakeholder engagement meetings will be held as follows:

  • Acute Care Services: July 13, 2021, 9:00 a.m. – 11:00 a.m.
  • Long-Term Services & Supports: July 13, 2021, 12:30 p.m. – 2:30 p.m.
  • Hospital Services: July 13, 2021, 3:00 p.m. – 5:00 p.m.

HHSC may limit speakers’ time in order to ensure all attendees wishing to present public comment are afforded an opportunity to do so.

HHSC reserves the right to end an engagement meeting if no participants have registered to present public comments within the first 30 minutes of the meeting.

Register for HHSC Provider Finance Department Stakeholder Engagement Meetings on July 13, 2021 here.

Webinar ID: 464-698-691

After registering, you will receive a confirmation email containing information about joining the webinar.

If you are new to GoToMeeting, download the GoToMeeting app here before the hearing starts.

HHSC will record the meetings. The recording will be archived and can be accessed on demand here.

Topics. The topics for the Stakeholder Engagement Meetings are below. Please note that the topics listed in this notice comprise a provisional list of topics to be presented at the November 2021 rate hearing. The final list of topics to be presented at the November 2021 rate hearing is at the discretion of HHSC.

Acute Care Services

  • Calendar Fee Review
    • Allergy Tests
    • Auditory System Surgery
    • Blood Products
    • Cardiovascular Services (Hospitals)
    • Cardiovascular Services Plus Cardiography & Echocardiography
    • Category II and Category III codes
    • Clinical Lab
    • Diagnostic Radiology (Hospitals)
    • Dialysis
    • Ear, Nose, and Throat
    • Female Genital System Surgery
    • Gastroenterology (Hospitals)
    • Gastroenterology (Non-Hospital)
    • IV Treatment Including Chemotherapy
    • Male Genital System Surgery
    • Medicine (Other)
    • Medicine (Other) Anesthesia
    • Musculoskeletal System Surgery
    • Noninvasive Vascular Diagnostic (Acute Care)
    • Noninvasive Vascular Diagnostic (Hospitals)
    • Nuclear Medicine
    • Nuclear Medicine (Hospitals)
    • Outpatient Behavioral Health Services (includes Peer Support Specialist)
    • Physician Administered Drugs – Non-Oncology
    • Physician Administered Drugs – Oncology
    • Physician Administered Drugs – Vaccines & Toxoids
    • Pulmonary Services
    • Radiation Oncology
    • Substance Use Disorder Services
    • "K" Codes
    • "R" Codes
  • Medical Policy Review
    • Mobility Aids Home Health Push-Rim Activated Power Assist
    • Physician Administered Drugs – Vaccines – Comprehensive Review
    • Physician Office Setting Skin Substitute Q-codes Approved List
  • HCPCS
    • Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates

Long-Term Services & Supports (LTSS)

  • Community First Choice (CFC)
    • CLASS Personal Assistance Services (PAS) & Habilitation (HAB)
    • CLASS PAS & HAB Consumer Directed Services (CDS) Client Payment Rate
    • DBMD Residential Habilitation
    • DBMD Residential Habilitation CDS Client Payment Rate
    • STAR Kids Attendant Care and HAB Agency Model
    • STAR Kids Attendant Care and HAB CDS Client Payment Rate
    • STAR Kids Attendant Care and HAB Service Responsibility Option (SRO) Model
    • STAR+PLUS Habilitation Agency Model (HCBS)
    • STAR+PLUS Habilitation Agency Model (Non-HCBS)
    • STAR+PLUS Habilitation CDS Client Payment Rate (HCBS)
    • STAR+PLUS Habilitation CDS Client Payment Rate (Non-HCBS)
    • STAR+PLUS Habilitation SRO (HCBS)
    • STAR+PLUS Habilitation SRO (Non-HCBS)
    • STAR+PLUS PAS Agency Model (HCBS)
    • STAR+PLUS PAS Agency Model (Non-HCBS)
    • STAR+PLUS PAS CDS Client Payment Rate (HCBS)
    • STAR+PLUS PAS CDS Client Payment Rate (Non-HCBS)
    • STAR+PLUS PAS SRO (HCBS)
    • STAR+PLUS PAS SRO (Non-HCBS)
  • Community Living Assistance and Support Services (CLASS) Waiver Program
    • Habilitation Services (Transportation)
    • Habilitation Services (Transportation) CDS Client Payment Rate
    • In-Home Respite (IHR)
    • In-Home Respite (IHR) CDS Client Payment Rate
    • Specialized Therapies – Aquatic Therapy
    • Specialized Therapies – Hippotherapy
    • Specialized Therapies – Massage Therapy
    • Specialized Therapies – Music Therapy
    • Specialized Therapies – Recreational Therapy
    • Specialized Therapies – Therapeutic Horseback Riding
  • Day Activity and Health Services (DAHS)
    • Title XIX and Title XX
    • STAR Kids Day Activities & Health Services (DAHS CR)
    • STAR+PLUS Day Activities & Health Services (DAHS CR)
  • Deaf-blind with Multiple Disabilities (DBMD) Waiver Program
    • Chore Services
    • Day Habilitation
    • In-Home Respite (IHR)
    • IHR CDS Client Payment Rate
    • Intervener
    • Intervener CDS Client Payment Rate
    • Intervener I
    • Intervener I CDS Client Payment Rate
    • Intervener II
    • Intervener II CDS Client Payment Rate
    • Residential Habilitation Services
    • Residential Habilitation Services CDS Client Payment Rate
  • Primary Home Care / Community Attendant Services / Family Care (PHC/CAS/FC)
    • Non-priority
    • Non-priority CDS Client Payment Rate
    • Priority
    • Priority CDS Client Payment Rate
  • Prescribed Pediatric Extended Care Centers (PPECC)
    • Daily Transportation
    • STAR Kids Non-emergency Transportation
  • STAR Kids Medically Dependent Children Program (MDCP)
    • Flexible Family Supports – Attendant with Registered Nurse (RN) delegation, Agency Model
    • Flexible Family Supports – Attendant with RN delegation, CDS Option Client Payment Rate
    • Flexible Family Supports – Attendant with RN delegation, SRO
    • Flexible Family Supports – Attendant, Agency Model
    • Flexible Family Supports – Attendant, CDS Option Client Payment Rate
    • Flexible Family Supports – Attendant, SRO
    • In-Home Respite – Attendant with RN delegation, Agency Model
    • In-Home Respite – Attendant with RN delegation, CDS Option Client Payment Rate
    • In-Home Respite – Attendant with RN delegation, SRO
    • In-Home Respite – Attendant, Agency Model
    • In-Home Respite – Attendant, CDS Option Client Payment Rate
    • In-Home Respite – Attendant, SRO
  • STAR+PLUS
    • In-Home Respite Care (IHR) (Non-STAR+PLUS Waiver)
    • In-Home Respite Care (IHR) Agency Option (HCBS)
    • In-Home Respite Care (IHR) CDS Client Payment Rate (HCBS)
    • In-Home Respite Care (IHR) CDS Client Payment Rate (SPW)
    • In-Home Respite Care (IHR) SRO (HCBS)
    • In-Home Respite Care (IHR) SRO (SPW)
    • PAS Agency Model (HCBS)
    • PAS Agency Model (Non-HCBS)
    • PAS Consumer Directed Services CDS Client Payment Rate (HCBS)
    • PAS Consumer Directed Services CDS Client Payment Rate (Non-HCBS)
    • PAS Protective Supervision CDS Client Payment Rate (HCBS)
    • PAS Protective Supervision Agency Model (HCBS)
    • PAS Protective Supervision SRO (HCBS)
    • PAS SRO (HCBS)
    • PAS SRO (Non-HCBS)
  • Youth Empowerment Services (YES) Waiver
    • Professional Services – Animal-assisted Therapy
    • Professional Services – Art Therapy
    • Professional Services – Music Therapy
    • Professional Services – Recreational Therapy

Hospital Services

  • End Stage Renal Disease (ESRD)

A final agenda for the Stakeholder Engagement Meetings will be made available here by July 2, 2021. Interested parties may also obtain a copy of the agenda on or after that date by contacting Provider Finance by telephone at (512) 730-7401; by fax at (512) 730-7475; or by e-mail at ProviderFinanceDept@hhs.texas.gov.

Written Comments. Written comments regarding the proposed topics may be submitted in lieu of, or in addition to, oral comments until 5:00 p.m. the day following the meetings, July 14, 2021. Written comments may be sent by U.S. mail, overnight mail, fax, or e-mail.

U.S. Mail
Texas Health and Human Services Commission
Attention: Provider Finance Department
Mail Code H-400
P.O. Box 149030
Austin, TX  78714-9030

Overnight mail or special delivery mail
Texas Health and Human Services Commission
Attn: Provider Finance Department
North Austin Complex
Mail Code H-400
4601 Guadalupe St
Austin, TX 78751

Fax
Attention: Provider Finance at (512) 730-7475

E-mail
ProviderFinanceDept@hhs.texas.gov

Preferred Communication. E-mail or telephone communication is preferred due to the current state of the COVID-19 disaster. This will ensure the fastest possible response and will help reduce the transmission of infection.