Public Hearing: Proposed Payment Rates for Pediatric Long-term Care Facilities

July 12, 2021 – 9:00 a.m.

hearing. The Texas Health and Human Services Commission (HHSC) will hold a public hearing on July 12, 2021 at 9 a.m. to receive public comments on proposed payment rates for pediatric long-term care facilities.

Due to the declared state of disaster due to COVID-19, this hearing will take place online only. Physical access to the hearing is not allowed. Join the hearing here.

After registration you will receive a confirmation email with information about participating in the hearing. You can also dial in from your phone at (415) 655-0060, access code: 451-524-012.

If you are new to GoToWebinar, please download the GoToMeeting app here before the hearing begins.

The hearing will be held in accordance with Texas Human Resources Code §32.0282, which requires public notice and hearings on proposed Medicaid reimbursements. HHSC will archive the public hearing; the archive can be viewed here on request after the hearing.

Proposal. HHSC proposes to increase the daily rate for pediatric long-term care facilities to $383.08, effective September 1, 2021.

Methodology and justification. The rate increase is proposed to comply with General Appropriations Act 2022-2023, Senate Act (SB) 1, 87th Legislature, Regular Session, 2021, (Article II, HHSC, Rider 40), which requires a revision of the rate methodology for pediatric facilities for long-term care to reflect Medicare rates. HHSC intends to revise the rate methodology published in Title 1 of the Texas Administrative Code, §355,307 regarding the method of setting fees, in accordance with Rider 40, so that the fee for all facilities in this special fee class of nursing facilities will be based on the unadjusted federal daily rate for Medicare skilled nursing facilities nationwide for the most recent federal fiscal year. HHSC also plans to propose a new rule as part of this methodological review.

Rider 40 is appropriating funds for fiscal year 2022-23 from the state to support rate increases for pediatric long-term care facilities.

Brief package. A briefing pack describing the proposed payment rates is available here. Interested parties may also obtain a copy of the briefing package prior to the hearing by contacting the HHSC Provider Finance Department, by phone at (512) 424-6637, by fax at (512) 730-7475, or by email at PFD –

Written comments. Written comments on the payment rates may be submitted in lieu of or in addition to an oral statement until 5:00 pm on the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special mail, fax, or email.

US mail
Commission on Health and Human Services
Service Provider Finance, Postal Code H-400
PO Box 149030
Austin, Texas 78714-9030

Night mail or special delivery
Commission on Health and Human Services
Service Provider Finance, Postal Code H-400
North Austin Complex
4601 W Guadalupe St.
Austin, Texas 78751

Parcel Delivery Phone Number: (512) 730-7401

Fax machine
Note: Provider Finance at (512) 730-7475


Preferred Communication. During the current COVID-19 disaster situation, physical forms of communication are monitored less often than during normal business operations. For the fastest response, if possible, please use email or telephone to communicate with HHSC in connection with this public hearing.

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