Comprehensive Hospital Increased Reimbursement Program (CHIRP)

• Proposed program rules §353.1305 – 353.1307
  • Feedback on rules may be emailed by January 31, 2021, 5:00pm to [email protected].
• CHIRP Requirements (attached)
• CHIRP DPP Specifications (attached)
  • Feedback on measures and performance requirements may be provided via Microsoft Forms by February 2, 2021, 5:00pm: https://forms.office.com/Pages/ResponsePage.aspx?id=Mnf5m7mCm0mxaqk-jr1TayYaYjiGHoxPtz5OGwZEEYJUNERQRzNLWEFSSlNHQzdENE1VRVkwNDc4WS4u

CHIRP Requirements 20210112

CHIRP Q metrics

CHIRP DPP Specs 20210112

Texas Incentives for Physicians and Professional Services (TIPPS)

• Proposed program rules §353.1309, §353.1311
  • Feedback on rules may be emailed by January 25, 2021, 5:00pm to [email protected].
• TIPPS Requirements (attached)
• TIPPS DPP Specifications (attached)
  • Feedback on measures and performance requirements may be provided via Microsoft Forms by February 2, 2021, 5:00pm: https://forms.office.com/Pages/ResponsePage.aspx?id=Mnf5m7mCm0mxaqk-jr1Ta78YCD1eatdJjOoIvRcpyUdUNTBYSEpGVU40T0o2TVk2SUs3OEpCNk04WS4u

TIPPS Requirements 20210112

TIPPS DPP Specs 20210112

https://www.sos.state.tx.us/texreg/pdf/backview/0101/0101prop.pdf

Hearing 1.11 

Register for public hearing, January 11^th at 10:30 am CST here

Hearing 1.11

Register for public hearing, January 11^th at 11:30 am CST here

Comments due 30 days after publication.

Clarifies how UC allocation is calculated; provides for proportional distribution of IGT in the event of certain recoupments.

email Subject: Comments
on Proposed Rule 20R046

Makes non-state owned Institutions for Mental Diseases (IMDs) eligible for UHRIP for patients under 21 and over 65;

Limits UHRIP to only managed care utilization; and not fee for service (FFS). This will disadvantage hospitals with higher than average FFS utilization.

Download PDF Here »

Download PDF Here »

See pages 6 – 16 at the link above.

SUBCHAPTER J. PURCHASED HEALTH SERVICES DIVISION 4. MEDICAID HOSPITAL SERVICES 1 TAC §355.8052

The amendment to this rule is proposed to comply with the 2020-21 General Appropriations Act (Article II, H.B. 1, 86th Legislature, Regular Session, 2019, Rider 11 and Rider 28), which allocates certain funds appropriated to HHSC to provide 44 TexReg 3370 July 5, 2019 Texas Register increased inpatient reimbursement for rural hospitals. In addition, the amendments to the rule are proposed to comply with Senate Bill 500 (S.B. 500), which appropriates $50 million in general revenue funds for rate increases to Children’s Hospitals.

THOT Summary:

1. Specifics regarding Children’s Hospital Supplemental add-on
   • To comply with SB 500, which appropriates $50M in GR for rate increases for Children’s Hospitals.
   • To be eligible, must meet definition of a children’s hospital on September 1, 2019 (so new Children’s hospitals will not be eligible).
   • Effective for inpatient discharges occurring after August 31, 2019 and before September 1, 2020.
   • Adds Children’s Hospital Supplement add-on to the list of add-ons for which Children’s Hospitals are eligible.  Any children’s hospital is eligible to receive an increase to its base SDA for this add-on.
   • Add-on amount equal to $1,128.18.
2. Rural Hospitals

1. • No changes to definition.
   • Effective September 1, 2019, the following changes are made to comply with Riders 11 and 28.

• Inflate each rural hospital SDA using CMS PPS Hospital Market Basket through FY 2020 and then update again to reflect inflation from FY 2020 to FY 2021.
• Increase by an additional 6.25%.
• Create rural labor and delivery services alternative SDA which adds no less than $500 to each such paid claim.

Written Comments Due August 5, 2019

Written comments on the proposal may be submitted to the HHSC Rate Analysis Department, 4900 North Lamar Blvd., Austin, TX 78714-9030 (Mail Code H-400); by fax to (512)-730-7475; or by email to [email protected]. To be considered, comments must be submitted no later than 31 days after the date of this issue of the Texas Register.