HHSC: Proposed Medicaid Payment Rates for Ambulance and Dental Services

The Texas Health and Human Services Commission (HHSC) conducted a public hearing to receive public comment on proposed Medicaid payment rates for Ambulance and Dental Services.  The proposed rate actions are consistent with the legislative directive in Rider 33, Article II of the General Appropriations Act for the 2018-2019 Biennium, that HHSC develop and implement cost containment initiatives, including fee-for-service payment changes that incentivize the most appropriate and effective use of services. The hearing was held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. Proposal.  The payment rates are proposed to be effective September 1, 2018, for the following services: Ambulance Services; and Dental Services (Texas Health Steps Dental/Orthodontia). Methodology and Justification. The proposed payment rates were calculated in accordance with Title 1 of the Texas Administrati