November 13, 2020 - 9:00am

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Due to the declared state of disaster stemming from COVID-19, this hearing will be conducted online only.

Please Register for the HHSC Public Rate Hearing for Medicaid Calendar Fee Review, HCPCS Updates, and Medical Policy Updates to be held on November 13, 2020, at 9:00 AM CST here.

After registering, you will receive a confirmation email containing information about joining the webinar.

Hearing.  The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medical Policy Review of Wound Care. The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. HHSC will broadcast the public hearing; the broadcast can be accessed here.  The broadcast will be archived and can be accessed on demand at the same website.

Proposal.  The payment rates for the Medical Policy Review of Wound Care are proposed to be effective March 1, 2021.

Methodology and Justification. The proposed payment rates were calculated in accordance with Title 1 of the Texas Administrative Code,

§355.8023, which addresses the reimbursement methodology durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS);

§355.8121, which addresses the reimbursement for ambulatory surgical centers; and

§355.8441, which addresses the reimbursement methodology for early and periodic screening, diagnosis, and treatment services.

Rate Hearing Packet. A briefing packet describing the proposed payments rates will be made available here on or after October 30, 2020. Interested parties may obtain a copy of the briefing packet on or after that date by contacting Provider Finance by telephone at (512) 730-7401; by fax at (512) 730-7475; or by e-mail at RADAcuteCare@hhsc.state.tx.us.

Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or e-mail:

U.S. Mail
Texas Health and Human Services Commission
Attention: Provider Finance, Mail Code H-400
P.O. Box 149030
Austin, Texas 78714-9030

Overnight mail, special delivery mail, or hand delivery
Texas Health and Human Services Commission
Attention: Provider Finance, Mail Code H-400
Brown-Heatly Building
4900 North Lamar Blvd
Austin, Texas 78751

Phone number for package delivery: (512) 730-7401

Fax
Attention:  Provider Finance at (512) 730-7475

E-mail
RADAcuteCare@hhsc.state.tx.us

Persons with disabilities who wish to attend the hearing and require auxiliary aids or services should call Provider Finance at (512) 730-7401 at least 72 hours before the hearing so appropriate arrangements can be made.