September 28, 2021 - 10:00am

John H. Winters Building Public Hearing Room 125, First Floor
701 West 51st Street
Austin, TX 78751

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Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on September 28, 2021, at 10:00 a.m., to receive public comments on the proposed implementation of APR-DRG Grouper 38 for Reimbursement of Medicaid Inpatient Hospital Services.

Due to the declared state of disaster stemming from COVID-19, this hearing will be conducted both in-person and as an online event. To join the hearing from your computer, tablet, or smartphone, register for the hearing in advance here .

After registering, you will receive a confirmation email containing information about joining the hearing. You can also dial in using your phone by calling (914) 614-3221, Audio PIN: 917-336-551 .

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

The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. HHSC will archive the public hearing; the archive can be accessed on demand here.

Members of the public may attend the rate hearing in person, which will be held in Public Hearing Room 125 in the John H. Winters Building located at 701 W. 51st Street, Austin, Texas, or access a live stream of the meeting here. For the live steam, select the “Winters Live” tab.

Proposal The implementation of APR-DRG Grouper 38 and statistical data is proposed to be effective October 1, 2021.

Methodology and Justification. The proposed APR-DRG Grouper 38 statistical data was calculated in accordance with Title 1 of the Texas Administrative Code §355.8052, which addresses the reimbursement methodology for inpatient hospital reimbursement.

Rate Hearing Packet. A briefing packet describing the proposed APR-DRG Grouper 38 implementation will be available on or after September 15, 2021 here. Interested parties may also obtain a copy of the briefing packet on or after that date by contacting the HHSC Provider Finance by telephone at (512) 730-7401, by fax at (512) 730-7475, or by e-mail at

Written Comments. Written comments regarding the proposed APR-DRG Grouper 38 implementation may be submitted in lieu of, or in addition to, oral testimony until 5:00 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, fax, or e-mail.

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

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

Phone number for package delivery: (512) 730-7401

Attention: Provider Finance at (512) 730-7475


Preferred Communication. During the current state of disaster due to COVID-19, physical forms of communication are checked with less frequency than during normal business operations. For quickest response, please use email or phone, if possible, for communication with HHSC related to this rate hearing.

Persons with disabilities who wish to participate the hearing and require auxiliary aids or services should contact Provider Finance at (512) 730-7401 at least 72 hours before the hearing so appropriate arrangements can be made.