Public Hearing: Proposed Payment Rates for Pediatric Long-term Care Facilities

July 12, 2021 - 9:00 am

United States

Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on July 12, 2021, at 9:00 a.m., to receive public comments on the proposed payment rates for Pediatric Long-term Care Facilities.

Due to the declared state of disaster stemming from COVID-19, this hearing will be conducted online only. Physical entry to the hearing will not be permitted. Join the hearing here.

After registering, you will receive a confirmation email containing information about joining the hearing. You can also dial in using your phone at (415) 655-0060, access code: 451-527-012.

If you are new to GoToWebinar, please download the GoToMeeting app here 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 after the hearing here.

Proposal. HHSC proposes to increase the per diem rate for Pediatric Long-term Care Facilities to $383.08, effective September 1, 2021.

Methodology and Justification. The rate increase is proposed in order to comply with the 2022-2023 General Appropriations Act, Senate Bill (S.B.) 1, 87th Legislature, Regular Session, 2021, (Article II, HHSC, Rider 40), which requires a rate methodology revision for pediatric long-term care facilities to mirror Medicare rates. HHSC intends to revise the rate methodology published in Title 1 of the Texas Administrative Code, §355.307, relating to Reimbursement Setting Methodology, in accordance with Rider 40 so that the rate for all facilities in this special reimbursement class of nursing facilities will be based upon the unadjusted federal per diem rate for rural Medicare skilled nursing facilities for the most recent federal fiscal year. HHSC also intends to propose a new rule as part of this methodological revision.

Rider 40 appropriates funds for state fiscal year 2022-23 to support the rate increases for Pediatric Long-Term Care facilities.

Briefing Packet. A briefing packet describing the proposed payment rates is available here. Interested parties may also obtain a copy of the briefing packet prior to the hearing by contacting the HHSC Provider Finance Department by telephone at (512) 424-6637, by fax at (512) 730-7475, or by e-mail at

Written Comments. Written comments regarding the payment rates 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 the quickest response, please use email or phone, if possible, for communication with HHSC related to this public hearing.