Reimbursement Rates
The Texas Health and Human Services Commission (HHSC) has proposed to amend §355.114, Consumer Directed Services Payment Option, in its Reimbursement Rates.
The reimbursement methodology for Consumer Directed Services (CDS) allocates a flat fee of the total payment rate for each CDS hour of service without regard for total payment. The amendment would change the rate to one that reflected the CDS Agency’s actual level of effort providing support services. See the relevant section of the July 6 Texas Register for more information.
Hearings
HHSC proposes to amend §357.305, concerning Administrative Review of Fair Hearing Decisions, and to promulgate new Subchapter R, concerning Judicial and Administrative Review of Hearings, §§357.701 – 357.703. The proposed rule would help implement new statutory requirements. See the relevant section of the July 6 Texas Register for more information.
Medicaid Eligibility
HHSC proposes to amend the administrative code to allow a $20 exclusion of unearned or earned income from an individual’s monthly income in determining an individual’s eligibility for community attendant services. See the relevant section of the July 6 Texas Register for more information.
State Children’s Health Insurance Program
HHSC proposes to amend the following rules under Chapter 370, State Children’s Health Insurance program: §370.4, Definitions; §370.20, Application Availability and File Date; §370.22, Completion of Telephone Applications; §370.43, Citizenship and Residency; §370.44, Income and Assets; §370.46, Waiting Period; §370.51, Deadline and Method for Requesting Review; §370.52, Disposition of a Request for Review; §370.303, Completion of Enrollment; §370.307, Continuous Enrollment Period, §370.325, Cost-Sharing Cap; and §370.401, Perinates.
The proposed rule amendments are designed to make changes to eligibility and cost sharing policy and procedures. See the relevant section of the July 6 Texas Register for more information.