PUBLIC HEARING NOTICE:
Proposed Medicaid Payment Rates for the Medical Policy Review of Vision Services Nonsurgical
November 12, 2015
1:30 p.m.
Meeting Site:
Health and Human Services Commission
Brown-Heatly Building
Public Hearing Room
4900 North Lamar Blvd.
Austin, TX 78751
Entry is through security at the main entrance of the building facing Lamar Boulevard.
Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medical Policy Review of Vision Services Nonsurgical. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.
Proposal. The payment rates for the Medical Policy Review of Vision Services Nonsurgical are proposed to be effective January 1, 2016.
Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC:
- §355.8085, which addresses the reimbursement methodology for physicians and other practitioners;
- §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services (known in Texas as Texas Health Steps); and
- §355.8461, which addresses the reimbursement methodology for EPSDT Eyeglasses and Contact Lenses.
Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 29, 2015. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing.
Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 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 email:
U.S. Mail
Texas Health and Human Services Commission
Attention: Rate Analysis, Mail Code H-400
P.O. Box 149030
Austin, Texas 78714-9030
Overnight mail, special delivery mail, or hand delivery
Texas Health and Human Services Commission
Attention: Rate Analysis, Mail Code H-400
Brown-Heatly Building
4900 North Lamar
Austin, Texas 78751
Phone number for package delivery: 512-730-7401
Fax
Attention: Rate Analysis at 512-730-7475
People with disabilities who wish to attend the hearing and require auxiliary aids or services should contact Rate Analysis at 512-730-7401 at least 72 hours before the hearing so appropriate arrangements can be made.