Information Letter No. 18-03 – This notice provides details on the 2018 Upper Payment Limit (UPL) Program that alerts providers of Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) that the window to participate in all Quarters for the 2018 Upper Payment Limit (UPL) program, covering October 1, 2017 -March 31, 2018, closes on February 22, 2018. According to the letter, there is no “roll-over” enrollment. If you wish to enroll in all Quarters you must complete all forms, regardless if you completed them for the 2017 UPL program or not.
Participation in this program is limited to non-state government-owned ICF/IID facilities. A non-state government-owned ICF/IID facility is defined as an ICF/IID facility where a non-state governmental entity holds the license and is party to the facility’s Medicaid contract. A non-state governmental entity is defined as a community center established under Chapter 534, Subchapter A of the Texas Health and Safety Code or a hospital authority, hospital district, healthcare district, city, or county. All information relating to this program including required forms are located on our website at the address below. Once you have entered the website, scroll down to “Upper Payment Limit (UPL) Supplemental Payment Program”.
View information regarding Upper Payment Limit (UPL) Supplemental Payment Program for non-state government-owned Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID).