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Rate Analysis for Hospital Services

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Overview

The Health and Human Services Commission (HHSC) Rate Analysis for Hospital Services develops reimbursement methodology rules for determining payment rates/fees for Medicaid Hospital Services.  General Medicaid program rules for Hospital Services are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 354, SubChapter A, Division 10, Rule 354.1121.  Additional general Medicaid program rules for Hospital Services are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 354, SubChapter A, Division 11, Rules 1131-1190.   HHSC Rate Analysis for Hospital Services develops payment rates/fees in accordance with published rules and policy guidelines for Hospital Services.

Announcements

HHSC is currently in the process of reviewing the 2014 DSH/UC Tools submitted by providers.  We anticipate that the reviews will be completed by the end of February 2015.  FFY 2014 DSH payments are tentatively scheduled for April 2015 and DY 3 UC payments are tentatively scheduled for May 2015.

Please contact uctools@hhsc.state.tx.us with any DSH and UC related questions.

Draft Hospital Supplemental Payment Schedule

In order to provide information that might assist hospitals in their cash flow planning, HHSC has developed a preliminary draft schedule for hospital supplemental payments for CY 2014 and CY 2015.

Please note that the draft schedule is subject to change. HHSC will continue to communicate closely with the hospital community the detailed timeline related to each supplemental payment program as the dates in the draft schedule draw closer.

Please direct any queries on the draft hospital supplemental payment schedule to rateanalysisdept@hhsc.state.tx.us.

Clinic and Facility Services

Hospital Services

Other Reporting

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Updated: March 26, 2015