February 4, 2021 Hospital Payment Advisory Committee (HPAC) Agenda
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1. Welcome, introductions, and opening remarks
1. Welcome, introductions, and opening remarks
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2. Approval of November 5, 2020, minutes (Vote required)
2. Approval of November 5, 2020, minutes (Vote required)
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3. Approval of revisions to committee bylaws (Vote required)
3. Approval of revisions to committee bylaws (Vote required)
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4. Uniform Hospital Rate Increase Program (UHRIP) Reforms (Victoria Grady, Director, Provider Finance Division, and Emily Sentilles, Director, Healthcare Transformation Waiver Team, HHSC)
4. Uniform Hospital Rate Increase Program (UHRIP) Reforms (Victoria Grady, Director, Provider Finance Division, and Emily Sentilles, Director, Healthcare Transformation Waiver Team, HHSC)
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5. Physician Directed Payment Program (Victoria Grady, Director, Provider Finance Division, and Emily Sentilles, Director, Healthcare Transformation Waiver Team, HHSC)
5. Physician Directed Payment Program (Victoria Grady, Director, Provider Finance Division, and Emily Sentilles, Director, Healthcare Transformation Waiver Team, HHSC)
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6. Rural Health Clinic Directed Payment Program (Emily Sentilles, Director, Healthcare Transformation Waiver Team, HHSC)
6. Rural Health Clinic Directed Payment Program (Emily Sentilles, Director, Healthcare Transformation Waiver Team, HHSC)
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7. 1115 Waiver update - status of the 1115 extension application
7. 1115 Waiver update - status of the 1115 extension application
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8. Update on DSRIP one-year extension request
8. Update on DSRIP one-year extension request
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9. Update on Draft Monitoring Plan for Local Funding Sources—comments received and proposed policy
9. Update on Draft Monitoring Plan for Local Funding Sources—comments received and proposed policy
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10. Update on negotiations/resolution of items with Centers for Medicare & Medicaid Services (CMS) related to Private Hospital Graduate Medical Education update
10. Update on negotiations/resolution of items with Centers for Medicare & Medicaid Services (CMS) related to Private Hospital Graduate Medical Education update
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11. Enhanced Federal Medical Assistance Program update and impact of federal Public Health Emergency extension
11. Enhanced Federal Medical Assistance Program update and impact of federal Public Health Emergency extension
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12. Comprehensive Hospital Increase Reimbursement Program/Uniform Hospital Rate Increase Program (UHRIP)-proposed rule and implications of CMS’s State Medicaid Director letter dated January 8, 2021, concerning state-directed payments in Medicaid managed care
12. Comprehensive Hospital Increase Reimbursement Program/Uniform Hospital Rate Increase Program (UHRIP)-proposed rule and implications of CMS’s State Medicaid Director letter dated January 8, 2021, concerning state-directed payments in Medicaid managed care
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13. Revision back to Grouper 36 (claims back to September 2020 and subsequently back to 2019). Discussion of this change and any further impact to the Medicaid Managed Care Organization claims or UHRIP.
13. Revision back to Grouper 36 (claims back to September 2020 and subsequently back to 2019). Discussion of this change and any further impact to the Medicaid Managed Care Organization claims or UHRIP.
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14. Rural Hospital Advisory Committee discussion
14. Rural Hospital Advisory Committee discussion
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15. Medicaid funding issues related to Texas hospitals
15. Medicaid funding issues related to Texas hospitals
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16. Public comment
16. Public comment
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Items 17 & 18 » - 4. Proposed next meeting: June 3, 2021, at 1:30 p.m. 5. Adjourn
Items 17 & 18 »
4. Proposed next meeting: June 3, 2021, at 1:30 p.m. 5. Adjourn
