Hospital Payment Advisory Committee (HPAC) Agenda

November 7, 2024 - 1:30 pm

Texas Department of State Health Services, Robert Bernstein Building, Room K-100, First Floor
1100 West 49th Street, Austin, Texas
78751
United States

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 Bernstein 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 August 1, 2024, draft meeting minutes
  3. HPAC Administrative
    1. Consideration of revised HPAC Bylaws
    2. Open Positions and solicitations update
  4. Comprehensive Hospital Increase Reimbursement Program (CHIRP) Program
    1. Finalized CHIRP rules for State Fiscal Year (SFY) 2025
    2. Summarize Centers for Medicare & Medicaid Services (CMS) SFY-2025 approved preprint
    3. Timing of September and October CHIRP per member per month (PMPM) to Managed Care Organizations (MCO)
    4. Breakout of Directed Payment Programs (DPPS) amounts on claim remits
    5. Alternate Participating Hospital Reimbursement for Improving Quality Award (APHRIQA) – SFY-2025 and SFY-2026 for discussion
  5. Hospital Augmented Reimbursement Program (HARP) SFY-2025 Private and Public preliminary funding amounts
  6. Aligning Technology by Linking Interoperable Systems (ATLIS) Program
    1. General Update MCO and PMPM implications
  7. Uncompensated Care (UC) Disproportionate Shares Hospitals (DSH) Applications
    1. Update on application process
    2. Calendaring of payments update
    3. Fiscal Year (FY) - 2025 DSH funding - interim and final payments (with possible DSH cut delay)
  8. Plan to present rebasing of Medicaid inpatient (IP) and outpatient payments
  9. Private Hospital Graduate Medical Education (GME) program
    1. Anticipated changes
  10. Enhanced Ambulatory Patient Grouper (EAPG)
    1. Update on the status of the Medicaid Management Information System (MMIS) Modernization project
    2. Status of timeline
  11. Texas Medicaid Health Partnership (TMHP) revalidation issues
    1. Surety Bond Requirement and Issues
  12. Rural Hospital Advisory Committee (RHAC) update
  13. Update on Texas General Appropriations Act (GAA), House Bill 1, 88th (R.S.), (2023), Article IX, Section 17.34 “Charity Care and Hospital Transparency”
  14. Other Medicaid Funding and Supplemental Payment issues
    1. Update on DSH/UC/CHIRP proposed rules, preprints, and potential impacts (1 Texas Administrative Code Sections 353.1306 and 353.1307 became effective on January 31, 2024)
    2. Publishing Intergovernmental Transfer (IGT) refunds for all programs
    3. Enrollment application updates/schedules
  15. Public comment
  16. Proposed next meeting: February 6, 2025
  17. Adjourn

The committee may take any action on any agenda item.

Public Comment: The Texas Health and Human Services Commission (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_Nov2024 no later than 5:00 p.m. Tuesday, November 5, 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 HHSC 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. November 5, 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_Nov2024. 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. November 5, 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.