Keep up with whats new at HHS. 346 0 obj / '#AtRn
s2U!uE' The Hospital Services program rules are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 354, SubChapter A, Division 6, Rules 1071-1073, 1075, and 1077. 0000007212 00000 n
endobj
hb```")``0pLma:
0 a`o`? 0000010872 00000 n
%
*h 1@ 8;w8W Hospitals must include inpatient and outpatient costs in the cost reports submitted annually. HTKo0+s8c;TUj(R! euP53&`dAzQ8nhmhW9;=,dX_^i(?v#\g$s)d &=3W~]19*
z9n3kv2y|3Kh_5=ELrcpfl3D 7V.D
0000002900 00000 n
BJpD'@%)=4K0-|o',NQ9Y!s^w(xMG1;|50T`dK{:{qu@FTl1m03UW@iUAV|J c5"R*r061&U20 H|Tn@yJ!RD)PiZz!aw."]~#kM\RT#rEUWuYUouHGl.uLU~Qv|BkU+^/-:\wmIW{]&/ $9 E+d)Hn uKl&iZZ$?
Reimbursement rules applicable to Hospitals, Outpatient Ratio of Cost to Charges (RCC Rates), Previous Outpatient Ratio of Cost to Charges, Comprehensive Hospital Increase Reimbursement Program, Delivery System Reform Incentive Payments (DSRIP), Rural Access to Primary and Preventive Services, Standard Dollar Amount (SDA) Add-on Status Verification. The provider must prepare one copy of the applicable CMS Cost Report Form. 0
hbbd``b`$A 271 0 obj
<>
endobj
, ,q18Z6S7N[slF8#_5xxZu]3 V9Xe`/!>%#V#u5Cu=]Z*MbQ`JfNoV+45
}wwJd,A}O[[pq"5S\nJ2z;cn\W'lzEwEA]2
\LW-vn.nfFDR]{= 0000005601 00000 n
0000004130 00000 n
289 0 obj
<>stream
C^P. k][4-o%Zmn%#tJ}[u
52`ONmv_?^Lg Vx
KfAdJeGC s 0000001785 00000 n
<>
0000002564 00000 n
/
ri(:
a(}[*g0@|=V;kGz
y_ Outpatient Ratio of Cost to Charges (RCC Rates)(.pdf) - effective 07/01/2022, Previous Outpatient Ratio of Cost to Charges (RCC Rates). 0000001409 00000 n
0000005771 00000 n
0000063596 00000 n
hb```b``AX,1+iP Notice: Rate Analysis Department has updated its name to Provider Finance Department. endstream
endobj
startxref
QAOa$'@20=1n
)O fH
0000028354 00000 n
startxref 3 0 obj
trailer #s"`gSr-a
RZ":U6%c1x"16OmCot? /UI
xhs25Q N*"$z='KX,&y!Q7?}U }sgxWjx?7}APmX+Ce: yHbj nl?Y_xDLTUO5Ck$7*.%n <>
This includes services provided to clients in a hospital setting, who are not confined for inpatient care. 0000004475 00000 n
e%P^y(hC#%j*9aMtp~~{pbt}.zMuM5katu\gg?nNwT'RE3ffi.y[WmX].WfF/uwY+du"SK{Sw0~Z-C[.]~VYAC 0;&YVW_1"q}`M 1yk=EwnmIY@rJ;5tA=-]Re P& 4 0 obj
%PDF-1.7
%
0000026056 00000 n
0000008456 00000 n
0000002727 00000 n
0000063846 00000 n
<>
0000003232 00000 n
h[k6Ke!Iva&B$s xiwfF}n[-aFlmB T
(LN Texas Health & Human Services Commission. 0000027941 00000 n
>L10` ;H. Update your bookmarks as our web address has changed tohttps://pfd.hhs.texas.gov. x][s~OU:5 BrkULxnm9KQow / $HH}AC2gt~byjuyv=[,jyvy9?.\E~%X,,$R$xi)_D+uy;1x*o_(Y$TG(,^JDy,"/_~u"N:9MO~u;|$;pU?{-p1U-G,4I$eX@.>~l3|M'\Ghlu_`!%~cXfuS") \nU^l'}!O~0L3U(rj endstream
endobj
237 0 obj
<>stream
0000000016 00000 n
0000027304 00000 n
8j.x"kXCr~K:&JT>XSVfvKg\~l@5OR ;;QPSq1(D,yj]=AjY%4P$}%dMDCq^%x2x`! ^${f8$ uDOtss=K+Kn
\>iw[r4g ZGj!E/#B8L2#M]Hz}9!W4k;{e1`X0Iq2DbP hbbd``b`Z$@`
+9 qX JQ$Le@#
0000027709 00000 n
endstream
endobj
272 0 obj
<>/Metadata 17 0 R/PageLayout/OneColumn/Pages 267 0 R/PieceInfo<>>>/StructTreeRoot 38 0 R/Type/Catalog/ViewerPreferences<>>>
endobj
273 0 obj
<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 113/Tabs/S/Type/Page>>
endobj
274 0 obj
<>stream
&~?af/CVOwJ ;GVpqv}rty71rlV?j5YbM&)? 0000001742 00000 n
%%EOF
"B@DP, V eb u,@q!3\` X
;=[?v"syy*I`v) ]clQ]xf>]}x%4 w@P3We,?,+m|ni@C2Yc=~%641foYJ%Ga))t)C?Z_k8aXlezcx86 endstream
endobj
232 0 obj
<>/Metadata 20 0 R/PageLayout/OneColumn/Pages 229 0 R/StructTreeRoot 26 0 R/Type/Catalog>>
endobj
233 0 obj
<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Type/Page>>
endobj
234 0 obj
<>stream
Copyright 2017-2022. }2 e$GvP
10~ 0n>dHV(6!J7gz!Wuk1tb7'0,8H#RN166eL>LUR5T*rvaZ}N,6AVL ]X:?+:O+(;_pw@hGhe_.O+|8X|=p]`gC)-s*CWuWJ|_Toane7TjMVqH~!WOB$'!W>WB(wy5cbaZ
6 cBn*t
\dl\&aX.yr3y4>J>-~QbIfUIsvvG?&.R4N7BG xi: Additional information is available on the Texas Medicaid & Health Partnership (TMHP) website. H|TMo0+. 2 0 obj
%PDF-1.6
%
endobj
0000002952 00000 n
<>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 19 0 R 20 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
231 0 obj
<>
endobj
%PDF-1.7
%
{(ww@3$"=Tbc,B|]kMJ'(@e!YWDf< 3d?d_KZqPsf\zf-g{t#K?S2Ap
-c~ytBd(4K{;"]D}bNSK!5@M4gqo@eJ3k)w$YdM=\TY*~8^v@$m I:.p?a>dim^"7~5 n0x*kSf|NDmDF_nJnz5E/{ibk70vW)=B*1gSf_ (
0000028424 00000 n
%%EOF endstream
endobj
startxref
hb```bB aB@l48*o``rqF(h#LH@12 256 0 obj
<>stream
0000003004 00000 n
1 0 obj
0000064340 00000 n
285 0 obj
<>/Filter/FlateDecode/ID[<09E0A81A0CA223938E39321649D198B2><4B10688C30EABC439187913DD5D46E5E>]/Index[271 19]/Info 270 0 R/Length 75/Prev 79585/Root 272 0 R/Size 290/Type/XRef/W[1 2 1]>>stream
0000001593 00000 n
%%EOF
Hospital outpatient services include those services performed in the emergency room or clinic setting of a hospital. endstream
endobj
236 0 obj
<>stream
Additional information is available on the Texas Medicaid & Health Partnership (TMHP) website. 0000007080 00000 n
endstream
endobj
238 0 obj
<>stream
0000009652 00000 n
6&'
gL. <>stream
0
<]/Prev 156698/XRefStm 1409>> ,1=t
B= Z3dr
3MSc(mX1k -p ~4rjHY (C
=s",zB)99-i-S?lI2eH).!P#uqY0 s5
0000002224 00000 n
346 40
endobj
385 0 obj Outpatient Services are reimbursed on a reasonable cost based on a percentage of the hospital's most recent tentative Medicaid cost report settlement as of August 31, 2013. 0000013469 00000 n
xref
stream
0000003907 00000 n
Za~=Nd(3fyUt4yV.`zQ`n%7D'/M 2_[\x{_WU 0000064152 00000 n
For cost reports settled on or after 09/01/2013, outpatient rates will not be upward adjusted. 0000003884 00000 n
%PDF-1.7
endstream
endobj
235 0 obj
<>stream
0000001096 00000 n
'% "^u&ar3u9-j^
Pi;K@g; v|hJI@J$/n [}gT[nKzC|3th~t?kG@>> ;qc RG*3$vkw\bsr' 0 endobj Reimbursement rules applicable to Hospitals are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter J, Division 4, Rules 8052, 8056, 8058, 8061, 8065, and 8066. <>/Metadata 1047 0 R/ViewerPreferences 1048 0 R>>
Visit our social media directory. 0000027540 00000 n
0000064313 00000 n
All rights reserved. QX`
['4$Z$0T9M3|%oRxTu8
20/y+_HQyoh}`@c$tIeB,n`,"
d^ iDB[Z0~RrEz 245 0 obj
<>/Filter/FlateDecode/ID[<578EBE07FD4D4240B9DEF14B1804F9C3>]/Index[231 26]/Info 230 0 R/Length 75/Prev 186276/Root 232 0 R/Size 257/Type/XRef/W[1 2 1]>>stream
0000012131 00000 n
The method of determining reasonable cost is similar to that used by Title XVIII (Medicare). 0000002392 00000 n
HSn1y+yE"HpQc>,T wJ/4x1) 0000003651 00000 n
hSmo0+jl0`#UHZt%D wZh:|:aZ@h52e.