Hospital Payment Advisory Committee (HPAC) Agenda

This meeting will be webcast. Members of the public may attend the meeting in person at the address above or access a live stream of the meeting at https://texashhsmeetings.org/HHSWebcast. Select the tab for the Winters Live on the date and time for this meeting. Please e-mail  Webcasting@hhsc.state.tx.us if you have any problems with the webcasting function.

This meeting will also be conducted via videoconference call in accordance with the requirements of Section 551.127, Government Code. The member of the Committee presiding over the meeting will be physically present at the location specified above.

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

1. Welcome, introductions, and opening remarks.
2. Consideration of May 7, 2024, draft meeting minutes.
3. Comprehensive Hospital Increase Reimbursement Program (CHIRP) Program.
   1. Centers for Medicare & Medicaid Services (CMS) SFY 2025 preprint submission update.
4. Uncompensated Care (UC) Program.
   1. Availability of 2024 Final Figures following Disproportionate Shares Hospital (DSH) payment in July.
   2. Dates for any additional or secondary payments.
   3. Timing of Payments before 9/30 window.
5. Updates to Published Payment Calendar for Directed Payment Program (DPP)
6. Medicaid Disproportionate Shares Hospital (DSH) Program.
   1. Update on Program Year (PY) recoupment efforts and redistribution (2018/2019).
   2. DSH distribution for 2021 and 2022 (funding to DSH entitlement).
   3. Exception to State DSH cap Pursuant to Consolidated Appropriation Act (‘CCA”), 2021, Section 203 Exception.
7. Private Hospital Graduate Medical Education (GME) program.
   1. Anticipated changes
   2. Good cause consideration granted so FY 2019 – 2021 payments flowing.
8. Enhanced Ambulatory Patient Group (EAPG).
   1. Update on the status of the Medicaid Management Information System (MMIS) Modernization project.
   2. New timeline status.
9. Texas Medicaid & Healthcare Partnership (TMHP) revalidation issues.
   1. New criteria implemented in Spring of 2023 impacting update and payments.
   2. Defragmentation of provider locations.
   3. Effect of recent federal legislation extending the time-period to November 2024.
10.  Rural Hospital Advisory Committee (RHAC) update
11. HPAC Administrative
    1. Bylaws
    2. Open Positions
12. Charity and Pricing Transparency Audit referred to as Article IX with Myers & Stauffer (M&S).
    1. Update on process and report outs.
13. Other Medicaid Funding and Supplemental Payment issues
    1. Publishing Intergovernmental Transfer (IGT) refunds for all programs.
    2. Enrollment application updates / schedules
14. Public comment
15. Proposed next meeting: November 7, 2024
16. Adjourn

The committee may take any action on any agenda item.

Public Comment: HHSC welcomes public comments pertaining to topics above. Members of the public who would like to provide public comment may choose from the following options:

1. Oral comments provided virtually: Members of the public must pre-register to provide oral comments virtually during the meeting by completing a Public Comment Registration form at https://texashhsmeetings.org/HPAC_PCReg_Aug2024 no later than 5:00 p.m. Tuesday, July 30, 2024. Please mark the correct box on the Public Comment Registration form and provide your name, either the organization you are representing or that you are speaking as a private citizen, and your direct phone number. If you have completed the Public Comment Registration form, you will receive an email the day before the meeting with instructions for providing virtual public comment. Public comment is limited to three minutes. Each speaker providing oral public comments virtually must ensure their face is visible and their voice audible to the other participants while they are speaking. Each speaker must state their name and on whose behalf they are speaking (if anyone). If you pre-register to speak and wish to provide a handout before the meeting, please submit an electronic copy in accessible PDF format that will be distributed by HHS staff to HPAC members and State staff. Handouts are limited to two pages (paper size: 8.5” by 11”, one side only). Handouts must be emailed to Jeffery.Woodall@hhs.texas.gov  after pre-registering, but no later than 5:00 p.m. Tuesday, July 30, 2024, and include the name of the person who will be commenting. Do not include health or other confidential information in your comments or handouts. Staff will not read handouts aloud during the meeting, but handouts will be provided to HPAC members and State staff.
    
2. Written comments: Members of the public may provide written public comments by completing a Public Comment Registration form at https://texashhsmeetings.org/HPAC_PCReg_Aug2024. A member of the public who wishes to provide written public comments must email the comments to Jeffery.Woodall@hhs.texas.gov no later than 5:00 p.m. Tuesday, July 30, 2024. Please include your name and the organization you are representing or that you are speaking as a private citizen. Written comments must be emailed to HHSC immediately after pre-registering and include the name of the person who will be commenting. Written comments are limited to two pages (paper size: 8.5” by 11”, one side only). Do not include health or other confidential information in your comments. Staff will not read written comments aloud during the meeting, but comments will be provided to HPAC members and State staff. 
    
3. Oral comments provided in-person at the meeting location: Members of the public may provide oral public comment during the meeting in person at the meeting location either by pre-registering using the form above or without pre-registering by completing a form at the entrance to the meeting room. Do not include health or other confidential information in your comments.

Note: These procedures may be revised at the discretion of HHSC.

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Jeffery Woodall, Advisory Committee Coordinator, Medicaid and CHIP Services Department, at jeffery.woodall@hhs.texas.gov

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 auxiliary aids or services should contact Jeffery Woodall at jeffery.woodall@hhs.texas.gov at least 72 hours before the meeting so appropriate arrangements can be made.