August 8, 2019 Hospital Payment Advisory Committee
»
1. Opening comments
1. Opening comments
»
2. Approval of May 6, 2019, meeting minutes (Vote required)
2. Approval of May 6, 2019, meeting minutes (Vote required)
»
3. Delivery System Reform Incentive Payment (DSRIP) Program Demonstration Years (DY) 9-10
Texas Health and Human Services Commission (HHSC) proposes to amend Texas Administrative Code Title 1, Part 15, §354.1707, relating to Performer Valuations, and propose new §§354.1729, concerning Definitions; 354.1731, concerning Medicaid and Low-income or Uninsured Patient Population by Provider; 354.1733, concerning Regional Healthcare Partnerships (RHPs); 354.1735, concerning Participants; 354.1737, concerning RHP Plan Update for DY9-10; 354.1739, concerning RHP Plan Update Review; 354.1741, concerning RHP Plan Update Modifications; 354.1743, concerning Independent Assessor; 354.1745, concerning Categories; 354.1747, concerning Performer Valuations; 354.1749, concerning Category A Requirements for Performers; 354.1751, concerning Category B Requirements for Performers; 354.1753, concerning Category C Requirements for Performers; 354.1755, concerning Category D Requirements for Performers; 354.1757, concerning Disbursement of Funds; 355.8216, concerning Delivery System Reform Incentive Payments for Demonstration Years 9-10; and 355.8218, concerning Funding for DSRIP Monitoring Program for Demonstration Years 9-10.
3. Delivery System Reform Incentive Payment (DSRIP) Program Demonstration Years (DY) 9-10 Texas Health and Human Services Commission (HHSC) proposes to amend Texas Administrative Code Title 1, Part 15, §354.1707, relating to Performer Valuations, and propose new §§354.1729, concerning Definitions; 354.1731, concerning Medicaid and Low-income or Uninsured Patient Population by Provider; 354.1733, concerning Regional Healthcare Partnerships (RHPs); 354.1735, concerning Participants; 354.1737, concerning RHP Plan Update for DY9-10; 354.1739, concerning RHP Plan Update Review; 354.1741, concerning RHP Plan Update Modifications; 354.1743, concerning Independent Assessor; 354.1745, concerning Categories; 354.1747, concerning Performer Valuations; 354.1749, concerning Category A Requirements for Performers; 354.1751, concerning Category B Requirements for Performers; 354.1753, concerning Category C Requirements for Performers; 354.1755, concerning Category D Requirements for Performers; 354.1757, concerning Disbursement of Funds; 355.8216, concerning Delivery System Reform Incentive Payments for Demonstration Years 9-10; and 355.8218, concerning Funding for DSRIP Monitoring Program for Demonstration Years 9-10.
»
4. Local Provider Participation Fund Reporting
HHSC proposes amendments to Texas Administrative Code Title 1, Part 15, Chapter 355, Subchapter J, Division 4, Section 355.8068. The purpose of the proposed rule is to require mandatory payments to Local Provider Participation Funds be reported to HHSC, no later than ten calendar days after the end of the federal fiscal quarter. The proposal is necessary to comply with House Bill 4289, 86th Legislature, Regular Session, 2019 and Title 42 of the Code of Federal Regulations, §433.74.
4. Local Provider Participation Fund Reporting HHSC proposes amendments to Texas Administrative Code Title 1, Part 15, Chapter 355, Subchapter J, Division 4, Section 355.8068. The purpose of the proposed rule is to require mandatory payments to Local Provider Participation Funds be reported to HHSC, no later than ten calendar days after the end of the federal fiscal quarter. The proposal is necessary to comply with House Bill 4289, 86th Legislature, Regular Session, 2019 and Title 42 of the Code of Federal Regulations, §433.74.
»
5. Update on the progress of DSRIP transition planning
5. Update on the progress of DSRIP transition planning
»
6. Texas Children’s Hospital uncompensated care (UC) withheld funds/upper payment limit obligation update
6. Texas Children’s Hospital uncompensated care (UC) withheld funds/upper payment limit obligation update
»
7. DY9 UC pool size and any other updates for DY9
7. DY9 UC pool size and any other updates for DY9
»
8. Clarification on the changes to the children/rural hospital inpatient standard dollar amount (IP SDA) rate effective 9/1/2019 and any » - a. Implication on Uniform Hospital Rate Increase Program (UHRIP) b. Clarification on the rural IP SDA add-on for labor and delivery services effective 9/1/2019
8. Clarification on the changes to the children/rural hospital inpatient standard dollar amount (IP SDA) rate effective 9/1/2019 and any »
a. Implication on Uniform Hospital Rate Increase Program (UHRIP) b. Clarification on the rural IP SDA add-on for labor and delivery services effective 9/1/2019
»
9. UHRIP updates: » - a. Program Year (PGY) 3 funding levels b. Discussion of structural changes for PGY4 (UHRIP 2.0)
9. UHRIP updates: »
a. Program Year (PGY) 3 funding levels b. Discussion of structural changes for PGY4 (UHRIP 2.0)
»
10. Medicaid funding issues related to Texas hospitals
10. Medicaid funding issues related to Texas hospitals
»
Items 12 & 13 » - 12. Proposed next meeting: October 31, 2019, at 1:30 p.m. 13. Adjourn
Items 12 & 13 »
12. Proposed next meeting: October 31, 2019, at 1:30 p.m. 13. Adjourn
