1 Tex. Admin. Code § 355.8200 - Retained Funds for the Uncompensated Care Program
(a) Introduction. Texas Healthcare
Transformation and Quality Improvement Program under §1115(a), Medicaid
demonstration waiver payments available under this division help to defray the
uncompensated cost of charity care provided by eligible hospitals and physician
practices on or after October 1, 2019. Participation in the Texas Healthcare
Transformation and Quality Improvement Program is subject to an application
fee.
(b) Definition. A non-public
provider, when the term is used in this section, is defined as a provider who
is owned by any entity other than a unit of local, state, or federal
government.
(c) Applicability. The
requirement to submit an application fee applies to all non-public providers in
the state.
(d) Application Fee. An
application fee will be required with the submission of the application
described in §
355.8212(c)(2) of
this subchapter.
(1) The application fee will
be determined annually based upon an estimate of the amount equal to the
estimated costs necessary to administer the program and will be posted on the
Texas Health and Human Services Commission Provider Finance Department
website.
(2) Payment is due at the
time of the submission of the application. If no payment is received with the
application, an account receivable will be established. HHSC will offset the
next applicable payment to the provider against the account receivable until
the obligation to the state is discharged.
(3) Payment must be made in the manner
determined by HHSC and in compliance with payment instructions that will be
posted on the HHSC Provider Finance Department website.
(e) Uses of the Funds and Limitations.
(1) The total amount received from the
application fee may not exceed $8,000,000 annually when combined with any other
funds retained under the authority of Texas Government Code §
532.0102.
(2) HHSC will spend money retained under this
section to assist in paying the costs necessary to administer the program for
which the money is received. HHSC will not use the money to pay any type of
administrative cost that was funded with general revenue before June 1,
2019.
Notes
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