May 6, 2019 Hospital Payment Advisory Committee
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1. Opening comments
1. Opening comments
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2. Approval of February 7, 2019, meeting minutes (Vote required)
2. Approval of February 7, 2019, meeting minutes (Vote required)
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3. Disproportionate Share Hospital Program Unspent Funds and Hospital-Specific Limit
3. Disproportionate Share Hospital Program Unspent Funds and Hospital-Specific Limit
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4. Inpatient Direct Graduate Medical Education (GME) Reimbursement
4. Inpatient Direct Graduate Medical Education (GME) Reimbursement
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5. HHSC Local Funding Survey results
5. HHSC Local Funding Survey results
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7. HHSC S-10 Survey and any preliminary estimates on DY 9 pool size - including: - a. Non-S10 providers’ charity/uncompensated costs
b. Medicaid DSH adjustments including: Affordable Care Act; long-falls from Plan Year DSH audits
c. Other items affecting DY9 UC pool size
7. HHSC S-10 Survey and any preliminary estimates on DY 9 pool size - including:
a. Non-S10 providers’ charity/uncompensated costsb. Medicaid DSH adjustments including: Affordable Care Act; long-falls from Plan Year DSH audits
c. Other items affecting DY9 UC pool size
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6. Demonstration Year (DY) 8 Uncompensated Care (UC)/State Fiscal Year 2019 Interim DSH Hospital-
Specific Limit calculation
6. Demonstration Year (DY) 8 Uncompensated Care (UC)/State Fiscal Year 2019 Interim DSH Hospital- Specific Limit calculation
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Items 8 & 9 - 8. Status of the distribution for the Texas Children’s Hospital UC withheld funds DY3 to DY6
9. Status of the remaining 2011 Upper Payment Limit repayment
Items 8 & 9
8. Status of the distribution for the Texas Children’s Hospital UC withheld funds DY3 to DY69. Status of the remaining 2011 Upper Payment Limit repayment
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10. Non-government owned hospitals’ GME funding
10. Non-government owned hospitals’ GME funding
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11. UC Secondary reconciliation issue/previous Hospital Payment Advisory Committee comment letter
11. UC Secondary reconciliation issue/previous Hospital Payment Advisory Committee comment letter
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12. Medicaid funding issues related to Texas hospitals
12. Medicaid funding issues related to Texas hospitals
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13. Public comment - a. Public hearing on proposed amendments to TAC Title 1, Part 15, Subchapter J, Division 4,
§355.8065, concerning Disproportionate Share Hospital (DSH) Reimbursement Methodology,
and §355.8066, concerning Hospital-Specific Limit Methodology (see Agenda Item 3),
published in the April 19, 2019, issue of the Texas Register at 44 TexReg 1939
b. General
13. Public comment
a. Public hearing on proposed amendments to TAC Title 1, Part 15, Subchapter J, Division 4,§355.8065, concerning Disproportionate Share Hospital (DSH) Reimbursement Methodology,
and §355.8066, concerning Hospital-Specific Limit Methodology (see Agenda Item 3),
published in the April 19, 2019, issue of the Texas Register at 44 TexReg 1939
b. General
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Items 14 & 15 - 14. Proposed next meeting: August 8, 2019, at 1:30 p.m.
15. Adjourn
Items 14 & 15
14. Proposed next meeting: August 8, 2019, at 1:30 p.m.15. Adjourn
