The Committee gathered to discuss maintaining resource utilization groups (RUGs) with reduced levels; hear updates from the Economic Subcommittee and the Clinical Case Mix Subcommittee; and take public comment.
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The Nursing Facility Payment Methodology Advisory Committee studies and makes recommendations on the development of a nursing facility reimbursement methodology that incentivizes quality care for people served in a nursing facility, and is cost-effective, streamlined and transparent. The executive commissioner appointed members to the committee to serve a term expiring Aug. 31, 2022.
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The Nursing Facility Payment Methodology Advisory Committee (NF-PMAC) is established by Title 1 of the Texas Administrative Code (1 TAC) §351.839. The committee:
Background. The Health and Human Services Commission (HHSC) conducted a public hearing on August 27, 2019 to receive comments on proposed Interim Rates and 2018 Settlement Payment Rates for State…
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Hearing. The Texas Health and Human Services Commission (HHSC) conducted a public hearing to receive public comment on proposed Medicaid rules for §353.1303, Quality Incentive Payment Program for Nursing Facilities.…
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The Health and Human Services Commission conducted two public hearings today using a combined hearing format. The first was related to Proposed Medicaid Payment Rates for the Medicaid Biennial Calendar…
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The Health and Human Services Commission conducted two public hearings today using a combined hearing format. The first was related to Proposed Medicaid Payment Rates for the Medicaid Biennial Calendar Fee Review. The second was related to Private Duty Nursing Services.
First Hearing. The Texas Health and Human Services Commission (HHSC) conducted a public hearing to receive public comment on proposed Medicaid payment rates for the Medicaid Biennial Calendar Fee Review. 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 for the Medicaid Biennial Calendar Fee Review are proposed to be effective April 1, 2018, for the following services:
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