April 10, 2019 - 9:00am

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

Agenda

Webcasting Available

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

Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on April 10, 2019, at 9:00 a.m., to receive public comment on the amended interim per diem Medicaid reimbursement rates for small and large, state-operated Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IID).

The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursement rates. HHSC will broadcast the public hearing, but it 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.

Proposal. HHSC proposes the following amended interim per diem reimbursement rates for small and large, state-operated ICF/IID to be effective September 1, 2018:

Small State-Operated ICF/IID
Proposed interim daily rate: $718.14

Large State-Operated ICF/IID – Medicaid Only clients
Proposed interim daily rate: $865.76

Large State-Operated ICF/IID – Dual-eligible Medicaid/Medicare clients
Proposed interim daily rate: $828.28

HHSC is proposing these interim rates so that adequate funds will be available to serve individuals residing in these facilities. The proposed interim rates account for actual and projected increases in costs to operate these facilities.

Methodology and Justification. The proposed amended payment rates were determined in accordance with Title 1 of the Texas Administrative Code §355.456, which addresses the reimbursement methodology for ICF/IID.

Briefing Package. A briefing package describing the proposed amended payment rates will be available at http://rad.hhs.texas.gov/rate-packets on or after March 29, 2019. Interested parties may obtain a copy of the briefing package before the hearing by contacting the HHSC Rate Analysis Department by telephone at (512) 730-7401; 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 amended 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 email:

U.S. Mail:
Texas 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:
Texas Health and Human Services Commission
Rate Analysis Department, Mail Code H-400
4900 North Lamar
Austin, Texas 78751-2316

Phone number for package delivery: 512-730-7401

Fax
Attention: Rate Analysis at (512) 730-7475

E-mail
RAD-LTSS@hhsc.state.tx.us

Persons 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 prior to the hearing so appropriate arrangements can be made.