Hospital Payment Advisory Committee (HPAC) Agenda

February 6, 2025 - 1:30 pm

Texas Health and Human Services Commission (HHSC), John H. Winters Building, Public Hearing Room 125, First Floor
701 West 51st 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 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 November 7, 2024, draft meeting minutes.
  3. HPAC Administrative
    1. Update on HPAC transition from Medical Care Advisory Committee (MCAC)
    2. Review and consideration of bylaws
    3. Open Positions solicitation status
  4. Rural Hospital Advisory Committee (RHAC) update
  5. Comprehensive Hospital Increase Reimbursement Program (CHIRP) Program
    1. Managed Care Organizations (MCO) CHIRP September to December payments status update
    2. Directed Payment Programs - payment amount breakout on claim remits
    3. Alternate Participating Hospital Reimbursement for Improving Quality Award (APHRIQA) – State Fiscal Year (SFY) 2025, January 2025, and May 2025, payments status
  6. Hospital Augmented Reimbursement Program (HARP) SFY 2025 preliminary funding amounts
  7. Aligning Technology by Linking Interoperable Systems program
    1. Results of MCO network adequacy documentation
    2. Payment date finalization
  8. Disproportionate Shares Hospitals (DSH) Program
    1. Remaining 40 percent scheduled for June 2025, pending any DSH reductions delays from Centers for Medicare and Medicaid Services (CMS).
  9. 2025 Uncompensated Care (UC)/DSH Applications
    1. Finalization of application dates
    2. Dates for the February 2025, 40 percent, and the September 2025, 60 percent payments
  10. Private Hospital Graduate Medical Education (GME) program payment updates for remaining 2021 retro year
  11. Enhanced Ambulatory Patient Grouper (EAPG) project update on vendor changes
  12. Texas Medicaid Health Partnership (TMHP) revalidation issues
    1. Surety bond system changes update
    2. Status of federal legislation extending enrollment to November 2024
  13. Update on Texas General Appropriations Act (GAA), House Bill 1, 88th, Regular Session, 2023, Article IX, Section 17.34 “Charity Care and Hospital Transparency”
    1. Status on the release of report and pertinent feedback
  14. Medicaid Inpatient (IP) rebasing
    1. Status on publishing the IP model
    2. Planned approach to Legislature
    3. Planned September 1, 2025, implementation
  15. Public comment
  16. Proposed next meeting
  17. 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_FEB2025 no later than 5:00 p.m. on Tuesday, February 04, 2025. 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. on Tuesday, February 04, 2025, 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_FEB2025. 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. on Tuesday, February 04, 2025. 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 who want to attend the meeting and require assistive technology or services should contact Woodall at jeffery.woodall@hhs.texas.gov at least 72 hours before the meeting so appropriate arrangements can be made.