January 4, 2019 - 9:30am

Health and Human Services Commission, Brown-Heatly Building, Public Hearing Room
4900 N. Lamar Boulevard
Austin Texas, 78751


Webcasting Available

Entry is through security at the main entrance of the building facing Lamar Boulevard.

Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive comment on proposed Medicaid payment rates for the Residential Care (RC) program, Assisted Living (AL) services, and Personal Care 3 (PC3) services. The proposed rates for the RC program will be utilized in the fee-for-service payment model, and the proposed rates for AL and PC3 services will be utilized in the calculation of the STAR+PLUS managed care capitation rates for the Home and Community-Based Services risk group.

The public hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. HHSC will broadcast the public hearing but cannot accept testimony from persons watching remotely. The broadcast can be accessed at https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings, and it will be archived for access on demand at the same website.

HHSC proposes to decrease the Service Support cost component for the RC program and for AL and PC3 services to reflect the most recent increase in federal Supplemental Security Income (SSI) payments in accordance with the rate-setting methodologies below. The methodologies require that when SSI is increased, the per diem reimbursement will be decreased in amounts equal to that increase in SSI received by clients. The payment rates are proposed to be effective February 1, 2019.

Methodology and Justification.
The proposed payment rates were calculated in accordance with Title 1 of the Texas Administrative Code:

§355.509(c)(2), which addresses the reimbursement methodology for the RC program;

§355.503(c)(2)(B), which addresses the reimbursement methodology for AL services; and

§355.503(c)(2)(D), which addresses the reimbursement methodology for PC3 services.

Briefing Package. A briefing package describing the proposed payment rates will be available at http://rad.hhs.texas.gov/rate-packets on or after December 14, 2018. Interested parties may obtain a copy of the briefing package prior to the hearing by contacting the HHSC Rate Analysis Department by telephone at (512) 424-6637; by fax at (512) 730-7475; or by e-mail at RAD-LTSS@hhsc.state.tx.us. The briefing package will also will be available at the public hearing.

Written Comments. Written comments regarding the proposed payment rates may be submitted in lieu of, or in addition to, oral testimony until 5:00 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or e-mail.

U.S. Mail
Health and Human Services Commission
Rate Analysis Department, Mail Code H-400
P.O. Box 149030
Austin, Texas 78714-9030

Overnight mail, special delivery mail or hand delivery
Health and Human Services Commission
Rate Analysis Department, Mail Code H-400
Brown-Heatly Building
4900 North Lamar Blvd.
Austin, Texas 78751-2316

Phone number for package delivery: (512) 730-7401

Attention: Rate Analysis at (512) 730-7475


Persons with disabilities who wish to attend the hearing and require auxiliary aids or services should contact Rate Analysis at (512) 424-6637 at least 72 hours prior to the hearing so appropriate arrangements can be made.