The following information was obtained from the June 7 issue of the Texas Register.
Public Notice
HHSC intends to submit to CMS a request to amend the Texas Healthcare Transformation Quality Improvement Program waiver program. An excerpt:
Effective September 1, 2013, the expenditures for STAR+PLUS enrollees for elimination of the 30-day spell of illness limitation will no longer be authorized. Under this policy, after 30 days of inpatient care has been provided, additional inpatient care will not be covered until the enrollee has been out of an acute care facility for 60 consecutive days. HHSC will continue to waive the annual benefit limit in STAR+PLUS.
Adopted Rules
HHSC adopted §355.8201, Waiver Payments to Hospitals, and §355.8202, Waiver Payments for Physician Services, to conform to the approved protocols for payment, clarify eligibility requirements, describe payment methodologies in greater detail, and other changes. See the Texas Register for more information.
