July 19, 2019 Rule information related to 86th Legislation
Posted Date Topic Rule & Preamble Rule Timelines Comments (if any)
July 19, 2019 GME- Medicaid Private Hospital ADOPTED:

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ADOPTED Rule THOT_Private GME_Comments on Proposed Rule 355.8058
July 5, 2019 Hospital Inpatient Rate increase for rural and children’s hospitals PROPOSED:

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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
    • 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.
Public Hearing: Public Hearing held July 8, 2019 9:00 at HHSC.

 

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 RateAnalysisDept@hhsc.state.tx.us. To be considered, comments must be submitted no later than 31 days after the date of this issue of the Texas Register.





Rule information related to 86th Legislation


Posted Date: July 19, 2019
Topic: GME- Medicaid Private Hospital

Rule & Preamble:

ADOPTED:

https://www.sos.state.tx.us/texreg/pdf/backview/0719/0719is.pdf

Rule Timelines:

ADOPTED Rule

Comments (if any):

THOT_Private GME_Comments on Proposed Rule 355.8058



Posted Date: July 5, 2019
Topic: Hospital Inpatient Rate increase for rural and children’s hospitals

Rule & Preamble:

PROPOSED:

https://www.sos.state.tx.us/texreg/pdf/backview/0705/0705prop.pdf

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
      • 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.

Rule Timelines:

Public Hearing: Public Hearing held July 8, 2019 9:00 at HHSC.

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 RateAnalysisDept@hhsc.state.tx.us. To be considered, comments must be submitted no later than 31 days after the date of this issue of the Texas Register.

Comments (if any):

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Rule & Preamble:

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Rule Timelines:

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Comments (if any):

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