HHSC: Public Hearing on Proposed Medicaid Payment Rates for the Residential Care Program, Assisted Living Services, and Personal Care 3 Services

Regulatory
January 6, 2020
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Hearing. The Texas Health and Human Services Commission (HHSC) conducted a public hearing to receive comment on proposed Medicaid payment rates for the Residential Care (RC) program, Assisted Living (AL) services, and Personal Care 3 (PC3) services. The proposed rates for the RC program will be utilized in the fee-for-service payment model, and the proposed rates for AL and PC3 services will be utilized in the calculation of the STAR+PLUS managed care capitation rates for the Home and Community-Based Services risk group. Proposal. HHSC proposes to reduce the Service Support cost component for the RC program and for AL and PC3 services to reflect the most recent increase in federal Supplemental Security Income (SSI) payments in accordance with the rate-setting methodologies below. The methodologies require that when SSI is increased, the per diem reimbursement will be reduced by an amount equal to that increase in SSI received by clients. The payment rates are proposed to be effectiv

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