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1115 Medicaid Waiver Rules Open for Public Comment

The Health and Human Services Commission (HHSC) published proposed waiver reimbursement rules for hospitals and physician services on the Texas Register website. The rules were published in the April 20, 2012 edition of the Texas Register, which triggers the 30-day comment period.

These rules provide detailed direction for waiver program participation, including information regarding county requirements. Waiver Payments to Hospitals, Rule No. 2 below, gives more direction for county involvement.

1. 1 TAC §355.8066: Hospital Specific Limit Methodology. The hospital specific limit methodology is used in the calculation of a hospital’s uncompensated-care waiver payments and disproportionate-share hospital program payments.

2. 1 TAC §355.8201: Waiver Payments to Hospitals.

3. 1 TAC §355.8202: Waiver Payments for Physician Services. If you are interested in providing comments on the proposed waiver reimbursement rules, you may do so either at the public hearing or by submitting written comments to HHSC, as explained below. Should your county provide comments, please copy TAC Senior Legislative Liaison .

Public Hearing
The Medical Care Advisory Committee (MCAC) meeting on May 10, 2012, will function as a public hearing to receive public comment on the proposed rules. The MCAC meeting will be held in the John H. Winters Public Hearing Room at 701 West 51st Street, Austin, Texas. Entry is through security at the main entrance of the building, which faces 51st Street. Persons requiring American with Disabilities Act (ADA) accommodation or auxiliary aids or services should contact Carol Chavez by calling (512) 491-1763 at least 72 hours prior to the meeting to make appropriate arrangements.

Public Comment
Written comments on the proposal may be submitted to Jill Seime, Hospital Rate Analysis Department, Texas Health and Human Services Commission, Mail Code H-400, P.O. Box 85200, Austin, TX 78708-5200, by fax to (512) 491-1436, or by e-mail to within 30 days of publication of this proposal in the Texas Register.

TAC will continue to review the proposed rules and will comment at a later date.