November 1, 2018 - 1:30pm

Health and Human Services Commission, John H. Winters Human Services Complex, Public Hearing Room
701 West 51st St.
Austin Texas, 78751


Webcasting Available

This meeting will be webcast. To access the webcast, go to the day and time of the meeting.

  1. Opening comments: Diana Strupp, Hospital Payment Advisory Committee (HPAC) Chair
  2. Approval of August 9, 2018, meeting minutes (Vote required)


  3. Demonstration Year (DY) 7 and DY8 Uncompensated Care (UC) Rule Amendment

    The Texas Health and Human Services Commission (HHSC) proposes an amendment to Texas Administrative Code Title 1, Part 15, Chapter 355 Subchapter J, Division 11, §355.8201, concerning Waiver Payments to Hospitals for Uncompensated Care.

    -Charles Greenberg, Director of Hospital Finance and Waiver Programs, HHSC

  4. Updates as requested by the HPAC Chair Diana Strupp:
    1. Proposed Hospital Specific Limit (HSL) calculation for Demonstration Year (DY) 8 and the State Plan Amendment/HSL rule changes - Charles Greenberg
    2. Proposed DY 9 UC rules - Charles Greenberg
    3. Distribution of Disproportionate Share Hospital (DSH) and UC funds for 2014 to 2017 that were not paid pending the outcome of the Texas Children’s Hospital case - Charles Greenberg
    4. Departmental Appeals Board decision and the request for reconsideration - Charles Greenberg
    5. UC Secondary reconciliation issue/previous HPAC comment - Victoria Grady, Acting Director of Rate Analysis, HHSC
    6. Status of 2013 DSH audits and the resolution of the “billed versus allowed” issue - Rene Cantu, Director, Rate Analysis for Hospitals, HHSC
    7. State Fiscal Year (SFY) 2019 Final Standard Dollar Amount rates inclusive of the Potentially Preventable Events /Potentially Preventable Complications adjustments - Rene Cantu
    8. 2017 Expenditure Survey - Rene Cantu
  5. Public comment
  6. Proposed next meeting: February 7, 2019, at 1:30 pm.
  7. Adjourn

Public comment may be taken on any agenda item.

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Natoshia Petsch, Medicaid and CHIP Services Department, 512-487-3307,

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 Petsch at 512-487-3307 at least 72 hours before the meeting so appropriate arrangements can be made.