June 8, 2017 Hospital Payment Advisory Committee
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Item 1 - Opening comments: William Galinsky, Hospital Payment Advisory Committee Chair
Item 1
Opening comments: William Galinsky, Hospital Payment Advisory Committee Chair
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Item 2 - Approval of Feb. 9, 2017, meeting minutes (Vote required)
Item 2
Approval of Feb. 9, 2017, meeting minutes (Vote required)
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Additional Item - Additional Item
Additional Item
Additional Item
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Item 4 - Inpatient Hospital Reimbursement
HHSC proposes an amendment to TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 4, §355.8052, relating to Inpatient Hospital Reimbursement, to
modify the definition of a rural hospital. The proposed amendment is necessary to comply with the 2018-2019 General Appropriations Act (Article II,
Health and Human Services Commission, Senate Bill 1, 85th Legislature, Rider 37). Rider 37 directs HHSC to define a rural hospital as (1) a hospital located
in a county with 60,000 or fewer persons according to the 2010 U.S. Census; or (2) a hospital designated by Medicare as a Critical Access Hospital (CAH),
Sole Community Hospital (SCH), or a Rural Referral Center (RRC) that is not located in a Metropolitan Statistical Area (MSA); or (3) a hospital that (a) has 100
or fewer beds, (b) is designated by Medicare as a CAH, an SCH, or an RRC, and (c) is located in an MSA. Current rule language defines a rural hospital as a
hospital in a county with 60,000 or fewer persons based on the 2010decennial census, a hospital designated by Medicare as a CAH, an SCH, or an RRC.
- Selvadas Govind, HHSC Director of Rate Analysis for Hospitals
Item 4
Inpatient Hospital ReimbursementHHSC proposes an amendment to TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 4, §355.8052, relating to Inpatient Hospital Reimbursement, to
modify the definition of a rural hospital. The proposed amendment is necessary to comply with the 2018-2019 General Appropriations Act (Article II,
Health and Human Services Commission, Senate Bill 1, 85th Legislature, Rider 37). Rider 37 directs HHSC to define a rural hospital as (1) a hospital located
in a county with 60,000 or fewer persons according to the 2010 U.S. Census; or (2) a hospital designated by Medicare as a Critical Access Hospital (CAH),
Sole Community Hospital (SCH), or a Rural Referral Center (RRC) that is not located in a Metropolitan Statistical Area (MSA); or (3) a hospital that (a) has 100
or fewer beds, (b) is designated by Medicare as a CAH, an SCH, or an RRC, and (c) is located in an MSA. Current rule language defines a rural hospital as a
hospital in a county with 60,000 or fewer persons based on the 2010decennial census, a hospital designated by Medicare as a CAH, an SCH, or an RRC.
- Selvadas Govind, HHSC Director of Rate Analysis for Hospitals
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Item 5 - Waiver Payments to Hospitals for Uncompensated Care
HHSC proposes amendments to TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 11, §355.8201, relating to Waiver Payments to Hospitals for
Uncompensated Care. The proposed rule amendments are necessary to comply with the 2018-2019 General Appropriations Act (Article II, Health and
Human Services Commission, Senate Bill 1, 85th Legislature, Regular Session, 2017, Rider 37) which revises the definition of a rural hospital as: (1) a
hospital located in a county with 60,000 or fewer persons according to the 2010 U.S. Census; or (2) a hospital designated by Medicare as a CAH, an SCH, or
an RRC that is not located in a MSA; or (3) a hospital that (a) has 100 or fewer beds, (b) is designated by Medicare as a CAH, an SCH or an RRC, and (c) is
located in an MSA. The current rural hospital definition is a hospital located in a county with 60,000 or fewer persons according to the most recent United
States Census, a Medicare-designated RRC, an SCH, or an CAH.
- Selvadas Govind, HHSC Director of Rate Analysis for Hospitals
Item 5
Waiver Payments to Hospitals for Uncompensated CareHHSC proposes amendments to TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 11, §355.8201, relating to Waiver Payments to Hospitals for
Uncompensated Care. The proposed rule amendments are necessary to comply with the 2018-2019 General Appropriations Act (Article II, Health and
Human Services Commission, Senate Bill 1, 85th Legislature, Regular Session, 2017, Rider 37) which revises the definition of a rural hospital as: (1) a
hospital located in a county with 60,000 or fewer persons according to the 2010 U.S. Census; or (2) a hospital designated by Medicare as a CAH, an SCH, or
an RRC that is not located in a MSA; or (3) a hospital that (a) has 100 or fewer beds, (b) is designated by Medicare as a CAH, an SCH or an RRC, and (c) is
located in an MSA. The current rural hospital definition is a hospital located in a county with 60,000 or fewer persons according to the most recent United
States Census, a Medicare-designated RRC, an SCH, or an CAH.
- Selvadas Govind, HHSC Director of Rate Analysis for Hospitals
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Item 6 - Public comment
Item 6
Public comment
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Items 7 & 8 - 7. Proposed next meeting: Aug.17, 2017, at 1:30 p.m.
8. Adjourn
Items 7 & 8
7. Proposed next meeting: Aug.17, 2017, at 1:30 p.m.8. Adjourn
