February 6, 2020 - 1:30pm

Department of State Health Services, Moreton Building, Public Hearing Room M-100
1100 West 49th St
Austin Texas, 78756

Agenda

Webcasting Available

This meeting will be webcast. To access the webcast, go to https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings the day and time of the meeting.

1. Welcome, introductions, and opening remarks
2. Approval of October 31, 2019, minutes (Vote required)

   INFORMATIONAL ITEMS

3. Uncompensated Care (UC) Secondary Reconciliation (PDF)

   The Health and Human Services Commission (HHSC) proposes to eliminate the requirement that a secondary reconciliation be performed for a hospital that submitted a request for an adjustment to cost and payment data for their UC application in demonstration year 2.
   - Charles Greenberg, Director, HHSC Hospital Finance and Waiver Programs

4. Payment Caps in Disproportionate Share Hospital Programs

   This proposed rule describes new payment caps for the Disproportionate Share Hospital (DSH) and UC Medicaid supplemental payment programs to reimburse hospitals providing services to predominantly Medicaid and low-income patients. HHSC proposes to implement a full offset methodology for the Texas payment cap, meaning any payment for services provided to a Medicaid client will be included as an offset to all appropriate Medicaid costs.
   - Charles Greenberg, Director, HHSC Hospital Finance and Waiver Programs

   UPDATE ITEMS REQUESTED BY CHAIR

5. Medicaid Fiscal Accountability Regulation
   - Charles Greenberg, Director, HHSC Hospital Finance and Waiver Programs
6. Private hospital Graduate Medical Education program
   - Victoria Grady, Director, HHSC Rate Analysis
7. Affordable Care Act Disproportionate Share Hospitals cuts
   - Charles Greenberg, Director, HHSC Hospital Finance and Waiver Programs
8. Local Provider Participation Fund Reporting
   - Charles Greenberg, Director, HHSC Hospital Finance and Waiver Programs
9. Public comment
10. Proposed next meeting: May 7, 2020, at 1:30 p.m.
11. Adjourn

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Caroline Sunshine, Advisory Committee Coordinator, Medicaid and CHIP Services Department at 512-428-1948 or caroline.sunshine@hhsc.state.tx.us.

This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting.

People with disabilities who wish to attend the meeting and require auxiliary aids or services should contact Sunshine at 512-428-1948 or caroline.sunshine@hhsc.state.tx.us at least 72 hours before the meeting so appropriate arrangements can be made.