tx-August72026-7: 1 TAC §355.8070 (Amendment) — Reimbursement Rates
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The executive commissioner of the Texas Health and Human Services Commission (HHSC) proposes an amendment to §355.8070, concerning Hospital Augmented Reimbursement Program (HARP). BACKGROUND AND PURPOSE The purpose of the proposal is to establish a calculation to allow for any unused HARP payment room to be distributed to other eligible hospitals within the same class based on an allocation proportionate to the remaining Medicaid charges in excess of all Medicaid payments, including supplemental payments and the portion of HARP payments for the inpatient fee-for-service (FFS) Medicare payment gap. An amendment to §355.8070 was adopted and effective on April 2, 2025. That amendment added the Centers for Medicare & Medicaid Services (CMS) definition of a nominal charge provider and clarified that the payment methodology for HARP payments would limit inpatient Medicaid payments so they would not exceed inpatient Medicaid charges for all providers, except those that meet the Medicare definition of a nominal charge provider. This proposal will establish a mechanism to distribute any unused payment room after the limitation is applied to other eligible hospitals within the same class....
The agency’s own summary, as published.
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