August 5, 2021 - 1:30pm

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

Join the meeting here.

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

  1. Welcome, introductions, and opening remarks
  2. Consideration of June 3, 2021, minutes for approval (Vote required)

Informational Item

  1. Hospital Augmented Reimbursement Program (HARP)
    - Rene Cantu, Director of Hospital Finance, HHSC Provider Finance Department

The Texas Health and Human Services Commission (HHSC) has proposed a new rule which describes a new program to preserve financial resources many Texas hospitals depend on to provide access and quality care to Medicaid clients and the uninsured. Subject to approval by the Centers for Medicare and Medicaid Services (CMS), HARP would be created through the Medicaid state plan. State plan programs and services do not impact 1115 waiver budget neutrality. HHSC intends to submit state plan amendments to CMS requesting authorization to make payments as described under new the new rule at Title 1, Texas Administrative Code, §355.8070 to non-state government owned and  operated hospitals and to private hospitals.

Update Items Requested By The Chair

  1. 87th Legislative Session update
  2. 1115 waiver update
  3. Briefing on Comprehensive Hospital Increase Reimbursement Program (CHIRP), Texas Incentives for Physician and Professional Services (TIPPS) Program, and Rural Access to Primary and Preventive Services (RAPPS) Program
  4. Private Hospital graduate medical education (GME) program update
  5. Medicaid Disproportionate Share Hospitals (DSH) workgroup briefing
  6. Rural Hospital Advisory Committee update
  7. Medicaid funding issues related to Texas hospitals
  8. Public comment
  9. Proposed next meeting: November 4, 2021, at 1:30 p.m.
  10. 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 no later than 5:00 p.m. Tuesday, August 3, 2021. Please include your name and the organization you are representing, or state if 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, August 3, 2021. Members of the public may also use the Microsoft Teams Live Event Q&A section to submit a request to provide public comment.  The request must contain your name and 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,

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 at least 72 hours before the meeting so appropriate arrangements can be made.