October 11, 2018 Uncompensated Care Rule Public Hearing
»
1. §355.8201(a) establishes effective dates and adds a reference to rule §355.8212 related to Waiver Payments to Hospitals for Uncompensated Charity Care. Updates to numbering and clarifying language is included throughout this proposed rule update in addition to the new items outlined below; » - 2. §355.8201(b)(20) replaces “Rider 38 hospital” with “Rural hospital” and limits the types of hospitals that qualify. New §355.8201(b)(26) defines “Urban Rural Referral Center.”; 3. §355.8201(c)(3)(A) adds another change that may affect eligibility for uncompensated-care payments. A portion of the last sentence is deleted regarding requiring uncompensated-care applications since applications are no longer used in the reconciliation process and replaced with the requirement for the hospital to cooperate in the reconciliation process. A change to §355.8201(c)(3)(B) adds “Department” to the end of “HHSC Rate Analysis.”; 4. §355.8201(e) updates the sentence to provide that the waiver payment schedule will be posted on HHSC’s website. Section 355.8201(e)(1) and (2) are deleted; 5. §355.8201(f) deletes §355.8201(f)(2)(B) and replaces it with new §355.8201(f)(2)(B) which allows for a set aside for urban RRCs for demonstration year 7 only. Changes to §355.8201(f)(2)(C)(i)(II) and (III) replaces “non-Rider 38” with “non-rural” and “non-rural and non-urban RRC.” Section 355.8201(f)(2)(C)(iii)(I)(-c-) and Section 355.8201(f)(2)(C)(iii)(III)(-d-) are deleted and edits are made for division organization; 6. §355.8201(g) joins §355.8201(g)(1)(A) and §355.8201(g)(1)(A)(i). Section 355.8201(g)(1)(A)(ii) and 355.8201(g)(1)(C) is deleted. A change to §355.8201(g)(5)(F) updates a reference and replaces “Rider 38” with “rural” and “non-Rider 38” with “non-rural and non-urban RRC.” New §355.8201(g)(5)(G) describes the method for determining the final payment for urban RRCs as well as a method to reduce those payments in the event that the aggregate pool limit is exceeded; 7. §355.8201(i) updates the sentence to provide generally that HHSC will reconcile actual costs for the demonstration year. Section 355.8201(i)(3) is deleted and the paragraphs are renumbered. A new 355.8201(i)(4) is added regarding the reporting requirements for the reconciliation process.
1. §355.8201(a) establishes effective dates and adds a reference to rule §355.8212 related to Waiver Payments to Hospitals for Uncompensated Charity Care. Updates to numbering and clarifying language is included throughout this proposed rule update in addition to the new items outlined below; »
2. §355.8201(b)(20) replaces “Rider 38 hospital” with “Rural hospital” and limits the types of hospitals that qualify. New §355.8201(b)(26) defines “Urban Rural Referral Center.”; 3. §355.8201(c)(3)(A) adds another change that may affect eligibility for uncompensated-care payments. A portion of the last sentence is deleted regarding requiring uncompensated-care applications since applications are no longer used in the reconciliation process and replaced with the requirement for the hospital to cooperate in the reconciliation process. A change to §355.8201(c)(3)(B) adds “Department” to the end of “HHSC Rate Analysis.”;
4. §355.8201(e) updates the sentence to provide that the waiver payment schedule will be posted on HHSC’s website. Section 355.8201(e)(1) and (2) are deleted;
5. §355.8201(f) deletes §355.8201(f)(2)(B) and replaces it with new §355.8201(f)(2)(B) which allows for a set aside for urban RRCs for demonstration year 7 only. Changes to §355.8201(f)(2)(C)(i)(II) and (III) replaces “non-Rider 38” with “non-rural” and “non-rural and non-urban RRC.” Section 355.8201(f)(2)(C)(iii)(I)(-c-) and Section 355.8201(f)(2)(C)(iii)(III)(-d-) are deleted and edits are made for division organization;
6. §355.8201(g) joins §355.8201(g)(1)(A) and §355.8201(g)(1)(A)(i). Section 355.8201(g)(1)(A)(ii) and 355.8201(g)(1)(C) is deleted. A change to §355.8201(g)(5)(F) updates a reference and replaces “Rider 38” with “rural” and “non-Rider 38” with “non-rural and non-urban RRC.” New §355.8201(g)(5)(G) describes the method for determining the final payment for urban RRCs as well as a method to reduce those payments in the event that the aggregate pool limit is exceeded;
7. §355.8201(i) updates the sentence to provide generally that HHSC will reconcile actual costs for the demonstration year. Section 355.8201(i)(3) is deleted and the paragraphs are renumbered. A new 355.8201(i)(4) is added regarding the reporting requirements for the reconciliation process.
