Notice of Public Hearing on the Proposed Interim Reimbursement Rates for Small and Large State-Operated Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IIDs) for Fiscal Year 2024

April 29, 2024 - 9:00 am

HHSC North Austin Complex Building, Public Hearing Room 1.401
4601 W. Guadalupe Street. Austin, Texas
78751
United States

Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive comments on the proposed interim payment rates for small and large state-operated Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IIDs) for state fiscal year 2024. The hearing will occur on April 29, 2024, at 9:00 a.m. Central Daylight Time (CDT), in the HHSC North Austin Complex Building, Public Hearing Room 1.401, 4601 W. Guadalupe St. Austin, Texas, 78751.

HHSC proposes increased interim rates for small and large state-operated Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IIDs), effective retroactively to September 1, 2023.

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:

Registration URL: https://attendee.gotowebinar.com/register/6639895083090518357

Webinar ID: 719-140-579

After registering, you will receive a confirmation email containing information about joining the webinar. Instructions for dialing in by phone will be provided after you register.

HHSC will also broadcast the public hearing; the broadcast can be accessed on the HHSC’s Live and Archived Meetings webpage. The broadcast will be archived and accessible on demand on the same website. The hearing will be held in compliance hearings on proposed Medicaid reimbursements.

Proposal. HHSC proposes the following interim per diem reimbursement rates for small and large state-operated ICFs/IID, effective retroactively to September 1, 2023:

  • Bond Homes – Medicaid-only clients:
    Proposed interim daily rate: $919.74
  • Large State-Operated ICF/IIDs – Medicaid-only clients:
    Proposed interim daily rate: $1,305.78
  • Large State-Operated ICF/IIDs – Dual-eligible Medicaid/Medicare clients:
    Proposed interim daily rate: $1,256.51

HHSC is proposing these interim rates to provide adequate funds to serve the individuals in these facilities. The proposed interim rates account for actual and projected cost increases to operate these facilities.

Methodology and Justification. The proposed payment rates were determined in accordance with Title 1 of the Texas Administrative Code Section 355.456, which addresses the reimbursement methodology for ICF/IID.

Briefing Packet. A briefing packet describing the proposed payment rates will be available on the Provider Finance Department webpage no later than April 10, 2024. Interested parties may also obtain a copy of the briefing packet on or after that date by contacting HHSC Provider Finance by telephone at (737) 867-7817, fax at (512) 730-7475, or email at PFD-LTSS@hhs.texas.gov.

Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5:00 p.m. on the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email:

U.S. Mail
Texas 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
Texas 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

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

Email
PFD-LTSS@hhs.texas.gov

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