Public Hearing Notice Revenue Code: 881 Proposed Medicaid Payment Rates for the Medical Policy Review of ESRD

May 16, 2022 - 9:00 am

John H. Winters Building, Public Hearing Room 125
701 W 51st St, Austin, TX
78751
United States

Summary Of Proposed Rates
To Be Effective March 1, 2022

Included in this document is information related to the proposed Medicaid Payment Rates for the Medical Policy Review of ESRD Revenue Code 881

Public Hearing Notice

Revenue Code: 881 Proposed Medicaid Payment Rates for the Medical Policy Review of ESRD

May 16, 2022
9:00 a.m.

Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comments regarding the Medical Policy Review of End Stage Renal Dialysis (ESRD) Facilities. Effective March 1, 2022, revenue code 881 will be a benefit of the Texas Medicaid Program.

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 using the following link:
https://attendee.gotowebinar.com/register/787443162099286285

After registering, you will receive a confirmation email containing information about joining the hearing. You can also dial in using your phone by calling (631) 992-3221, access code: 955-766-486

If you are new to GoToWebinar, please download the GoToMeeting app at https://global.gotomeeting.com/install/626873213 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. A recording of the hearing will be archived and can be accessed on demand at https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings.

Members of the public may attend the rate hearing in person, which will be held in the 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 stream, select the “Winters Live” tab.

Proposal.  HHSC proposes that, effective March 1, 2022, the revenue code 881 will be a benefit of the Texas Medicaid Program.

Methodology and Justification. The policy changes were calculated in accordance with Title 1 of the Texas Administrative Code §355.8660, which addresses the reimbursement methodology for Renal Dialysis Reimbursement.

Rate Hearing Packet. A briefing packet describing the proposed changes will be made available at https://pfd.hhs.texas.gov/rate-packets on or after May 6, 2022. Interested parties may obtain a copy of the briefing packet 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 PFD_Hospitals@hhsc.state.tx.us.

Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or e-mail:

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

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

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

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

E-mail
PFD_Hospitals@hhsc.state.tx.us

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, and to help curb the possible transmission of infection, please use e-mail or phone if possible for communication with HHSC related to this rate hearing.

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