5100, General Principles

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Revision 20-0; Effective November 2019

Based on an annual allocation, subject to funding, HHSC distributes state assistance funds to counties not fully served by a public hospital or hospital district. To receive state assistance funds, a county must comply with the HHSC-established standards and procedures contained in this handbook.

Expenditures are reimbursable if they are paid:

for CIHCP eligible county residents;
for CIHCP basic or department-approved optional health care services; and
according to the CIHCP payment standards.

Reimbursable expenditures must be paid in the state fiscal year for which state assistance funds are being requested.

The county is eligible for state assistance funds when it exceeds the 8% General Revenue Tax Levy (GRTL) expenditure level.