TX Register Updates: 2/13 Hearing, Potentially Preventable Events
The following information was obtained from the February 8 issue of the Texas Register.
Public Hearing and Notice
HHSC will hold a public hearing on Wednesday, February 13, 2013, at 1:30 p.m., to receive comment on proposed Medicaid payment rates for Outpatient Behavioral Health Services.
The public hearing will be held in the Lone Star Conference Room.
HHSC intends to submit transmittal number 13-002 to the Texas State Plan for Medical Assistance, which would remove outdated language which states that the State has obtained a waiver under 433.139(e) to pay and chase the recovery of Medicaid costs in the Long Term Care Institutional Care and Vendor Drug programs.
For more information, see the Texas Register.
HHSC proposed to amend §354.1070, Definitions, §354.1072, Authorized Inpatient Hospital Services, and add new Division 35, Reimbursement Adjustments for Potentially Preventable Events, to include new §354.1445, Potentially Preventable Readmissions, and §354.1446, Potentially Preventable Complications. The changes include adding a definition of potentially preventable events to include the various types of potentially preventable events and clarifying that reimbursement denials or reductions can be imposed on the various types of potentially preventable events in addition to preventable adverse events.
HHSC proposed to repeal §§355.8043 and 355.8068 – 355.8072, the methodology by which HHSC calculated supplemental Medicaid Upper Payment Limit payments for inpatient, outpatient, and physician services to transition to a new supplemental payment process in a managed care environment under the Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver.
See the Texas Register for more information about each entry.