TITLE administration

Part XII. Advisory Commission on State Emergency Communications

Chapter 251. Regional Plans-Standards

1 TAC §251.3

The Advisory Commission on State Emergency Communications (ACSEC) proposes an amendment to §251.3, concerning Guidelines for Addressing Funds to ensure the collection of address data.

The amendment requires the reporting to the ACSEC of such addressing data on a quarterly basis, at a minimum, or on an as-needed basis. The amendment also addresses the reallocation of pool funds.

This section is amended as part of the agency's rule review of Chapter 251, Pursuant to the Appropriations Act of 1997, HB 1, Article IX, Section 167. The proposed rule review of Chapter 251 was previously published in the June 4, 1999, issue of the Texas Register (24 TexReg 4255)

James D. Goerke, executive director, ACSEC, has determined that for the first five-year period the rule is in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the rule.

Mr. Goerke also has determined that for each year of the first five years the section is in effect, the public benefit anticipated as a result of enforcing the section will be improved record keeping for accountability of 9-1-1 funds. No historical data is available, however, there appears to be no direct impact on small or large businesses. There is no anticipated economic cost to persons who are required to comply with the section as proposed. There is no anticipated local employment impact as a result of enforcing the section.

Comments on the amendment may be submitted in writing within 30 days after publication of the proposal in the Texas Register to: James D. Goerke, Executive Director, Advisory Commission on State Emergency Communications, 333 Guadalupe Street, Suite 2-212, Austin, Texas 78701-3942.

The amendment is proposed under Health and Safety Code, Chapter 771, §§771.051, 771.056, and 771.075, which authorize the Commission to adopt policies and procedures prescribing the distribution and use of 9-1-1 funds for providing 9-1-1 service.

No other statutes, articles or codes are affected by the proposed amendment.

§251.3.Guidelines for Addressing Funds.

(a)

(No change.)

(b)

Definitions. The following words and terms, when used in this section, shall have the following meanings, unless the context clearly indicates otherwise.

(1)-(10)

(No change.)

(11)

Regional Plan. Each regional planning commission shall develop and plan for the establishment and operation of 9-1-1 service throughout the region that the regional planning commission serves. The service must meet the standards established by the [ Advisory ] Commission.

(12)-(16)

(No change.)

(17)

Unaddressed Land Parcel Count. The estimated number of county land parcels, which have not been addressed, [ no address ] as calculated by counties [ to be addressed ].

(18)-(20)

(No change.)

(c)

Policy and Procedures. The Commission authorizes and allocates addressing funds to include Addressing Pool Funds and 9-1-1 Funds. Addressing Pool Funds may include funds not actually provided ACSEC but placed under its control by a third party specifically for the purposes of this program.

(1)

Any unaddressed county which [ who ] is implementing or operating 9-1-1 service, or a RPC [ COG ] or emergency communication district applying on behalf of such a county are considered eligible.

(2)-(4)

(No change.)

(5)

Addressing Pool Funds may be reallocated by the Commission, at their discretion, to other participating counties with the concurrence of the appropriate local 9-1-1 planning entity, until such time as the Pool Funds have been depleted.

(6)

[ (5) ] For the purposes of this rule, the Addressing Pool Funds and 9-1-1 Funds may be used only for costs associated with eligible addressing activities.

(7)

[ (6) ] A county must provide $1.00 of local funds for every $3.00 (25% match) allocated or authorized under this fund. However, if the project can be completed in accordance with subsection (b)(2) of this section, Definitions of Addressing Completion, and total costs of the project do not exceed 75% of the eligible costs, then no local funds for match are required.

(8)

[ (7) ] Under no circumstances will funds be allocated or approved under this program that exceed total net funds needed as calculated by the cost-estimate worksheet.

(9)

[ (8) ] In accordance with this policy, eligible counties or emergency communications districts which have already started addressing activities and incurred costs may request reimbursement of those documented addressing expenditures, if costs were incurred since January 1, 1991.

(10)

[ (9) ] Funds under this program must be requested by a deadline to be established by the Commission. Funds may be awarded by the Commission following this established date on a case-by-case basis.

(11)

[ (10) ] Where 9-1-1 funds are applied to the cost of addressing, addressing component costs may be capped by the Commission through the cost-estimate worksheet.

(d)

Requesting Addressing Pool Funds and 9-1-1 Funds. A regional plan amendment from a RPC [ COG ] or a request from an emergency communications district is required as a means of requesting funds under this program.

(1)

A regional plan amendment or request for funds from a COG must contain the following:

(A)-(B)

(No change.)

(C)

An approved strategic plan budget [ projected COG financial cash flow ] if 9-1-1 funds are requested;

(D)

If necessary, a request to amend the RPC [ COG ] administrative budget for additional staff, equipment or services whether through hiring or through personnel contract services; and

(E)

A county commissioners court order in support of the addressing request where a RPC [ COG ] is performing addressing on behalf of the county.

(2)

(No change.)

(3)

Regional plan amendments and requests for funds under this program should be submitted by the RPC [ COG ] or the emergency communication district to the Commission five weeks prior to the scheduled Commission meeting at which the amendment or request will be considered.

(e)

Reporting. Addressing funds will be allocated to RPCs [ COGs ] and emergency communication districts on a reimbursement basis. A performance and financial report is to be submitted to the Commission, at least quarterly, in accordance with established Commission policy. The performance report shall include phases of addressing activities for progress and shall be submitted along with each financial report requesting addressing funds. Where a RPC [ COG ] or an emergency communication district is the primary contractor but a county is providing services under this program, said reports shall be provided to the Commission prior to RPC [ COG ] or emergency communications district reimbursement of related county expenses. Counties, emergency communications districts, and RPCs [ COGs ] are required to follow local government statutes as they apply to competitive proposals for purchases of services and equipment.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on June 14, 1999.

TRD-9903524

James D. Goerke

Executive Director

Advisory Commission on State Emergency Communications

Earliest possible date of adoption: July 25, 1999

For further information, please call: (512) 305-6933


1 TAC §251.6

The Advisory Commission on State Emergency Communications (ACSEC) proposes an amendment to §251.6, concerning Guidelines for Strategic Plans, Amendments and Equalization Surcharge Allocation. The amendment provides language consistent with new legislation; provides for a biennial review of strategic plans; provides additional minimum standards for reporting; and updates administrative requirements and processes.

This section is amended as part of the agency's rule review of Chapter 251, Pursuant to the Appropriations Act of 1997, HB 1, Article IX, Section 167. The proposed rule review of Chapter 251 was previously published in the June 4, 1999, issue of the Texas Register (24 TexReg 4255)

James D. Goerke, executive director, ACSEC, has determined that for the first five-year period the rule is in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the rule.

Mr. Goerke also has determined that for each year of the first five years the section is in effect, the public benefit anticipated as a result of enforcing the section will be improved system for quantitative reporting and monitoring mechanisms for the 9-1-1 program statewide. No historical data is available, however, there appears to be no direct impact on small or large businesses. There is no anticipated economic cost to persons who are required to comply with the section as proposed. There is no anticipated local employment impact as a result of enforcing the section.

Comments on the amendment may be submitted in writing within 30 days after publication of the proposal in the Texas Register to: James D. Goerke, Executive Director, Advisory Commission on State Emergency Communications, 333 Guadalupe Street, Suite 2-212, Austin, Texas 78701-3942.

The amendment is proposed pursuant to the Texas Health and Safety Code, Chapter 771, §§771.051, 771.071, 771.0711, 771.072, and 771.075, which authorize the Commission to adopt policies and procedures prescribing the distribution and use of 9-1-1 funds for providing 9-1-1 service.

No other statutes, articles or codes are affected by the proposed amendment.

§251.6.Guidelines for Strategic Plans, Amendments, and Equalization Surcharge Allocation.

(a)

Policy and Procedures. As authorized by the Texas Health and Safety Code, Chapter 771, the Advisory Commission on State Emergency Communications (Commission) [ (ACSEC) ] may impose 9-1-1 emergency service fees and equalization surcharges to support the planning, development, and provision of 9-1-1 service throughout the State of Texas. In accordance with §771.055, such service implementation shall be consistent with regional plans developed by regional planning commissions. These regional plans must meet standards established by the Commission [ (ACSEC) ] and "...include a description of how money allocated to the region under this chapter is to be allocated in the region." Section 771.057 addresses amendments to regional plans and indicates that such amendments may be adopted in accordance with procedure established by the Commission [ (ACSEC) ].

(b)

Strategic Plan Levels. Regional strategic plans developed in accordance with Chapter 771, along with the commensurate allocation of the above described funds, shall reflect implementation consistent with the following three major strategic plan levels (in order of priority).

(1)

Level I: 9-1-1 service generally associated with Automatic Number Identification (ANI), to include the following components and associated costs:

(A)-(E)

(No change.)

(F)

Maintenance /Repair [ and repair ] (ANI/TDD); and

(G)

(No change.)

(2)

Level II: 9-1-1 service generally associated with ANI, Selective Routing (SR), [ and ] Automatic Location Identification (ALI) and any other network and/or database system enhancement , to include the following components and associated costs:

(A)-(E)

(No change.)

(F)

Maintenance /Repair (CPE); [ and}

(G)

Capital recovery ([ addressing and ] telephone equipment); and

(H)

Capital Recovery (addressing)

(3)

Level III: Other 9-1-1 equipment, services and enhancements to same, to include, but not limited to the following components and associated costs:

(A)-(J)

(No change.)

(K)

Maintenance/Repair (ancillary equipment);

(L)

[ (K) ] Capital Recovery ( ancillary equipment [ emergency power, recorders, training positions ]); and

[ (L)

Maintenance (recorders, ancillary equipment) ]

(M)

Other.

(c)

Strategic Plans. Regional strategic plans developed in compliance with Chapter 771 shall include a strategic plan that projects regional 9-1-1 service costs, and service fee and other non-equalization surcharge revenues at least two [ three ] years into the future; and program goals and strategies at least five years into the future. Within the context of §771.056(d), the Commission [ (ACSEC) ] shall consider any revenue insufficiencies to represent need for equalization surcharge funding support.

(1)

The Commission [ (ACSEC) ] may establish the format of strategic plans for the sake of identifying overall statewide requirements in its implementation.

(2)

Strategic plans shall be reviewed and amended, as appropriate, on a [ an ] biennial [ annual ] basis.

(3)

Each biennial [ annual ] review and update of strategic plans shall reflect a reconciliation of all actual implementation costs by component incurred for the year involved against projected strategic plan costs and revenues.

(4)

Strategic plans shall be consistent with the three major implementation priority levels identified above , in subsection (b)(1), (2) and (3) of this section , and all applicable Commission [ (ACSEC) ] policies and rules.

(5)

A regional planning commission shall submit financial and performance reports at least quarterly on a schedule to be established by the Commission [ (ACSEC) ]. The financial report shall identify actual implementation costs by county, strategic plan priority level and component. The performance report shall be submitted along with each financial report requesting 9-1-1 funds and shall reflect the progress of implementing the region's strategic plan, including the status of equipment, services and program deliverables , in a format to be determined by the Commission .

(d)

Amendments to Regional Strategic Plans.

(1)

A regional planning commission may make changes to its approved regional strategic plan to accommodate unanticipated requirements and/or to prevent disruption of its implementation schedule, contingent upon compliance with all Commission [ (ACSEC) ] policies and procedures.

(A)

The changes do not require additional equalization surcharge funds; and

(B)

The changes are consistent with all Commission [ (ACSEC) ] policies and procedures.

(2)

Changes made to the regional plan must be reported in writing to the Commission [ (ACSEC) ] within 15 working days of making the change. The documentation required for changes will be an amended budget, narrative, [ and ] related worksheets and a letter indicating executive approval of the amendment.

(3)

Emergency situations requiring amendments to regional plans that require additional funding may be presented to the Commission [ (ACSEC) ] for review and consideration contingent upon the availability of such funds within level priorities as established by the Commission .

(e)

Allocation of Equalization Surcharge Funds.

(1)

Consistent with this rule, the Commission [ (ACSEC) ] shall allocate, by agreement, equalization surcharge funds to regional planning commissions and emergency communication districts based upon statewide strategic plan and district needs coupled with the projected availability of such funds over a two [ three ] year period.

(2)

Equalization surcharge funds shall be allocated first to eligible recipients requiring such funds for administrative budgetary purposes, followed by Level I, II, and III activities in that order.

(3)

If sufficient equalization surcharge funds are not available to fund all regional planning commission strategic plan and district requests, funds shall be allocated to provide a consistent level of 9-1-1 service throughout the State of Texas in accordance with the priority levels described. Such allocation methods may include, but are not limited to, one or more of the following:

(A)

In reverse order of priority, reducing the number of priority level components supported with equalization surcharge funds;

(B)

Requesting that regional [ appropriate ] strategic plans [ to ] be adjusted to allow for more implementation time as appropriate ; and/or

(C)

In order of priority, proportionally allocating available funds among requesting agencies.

(4)

The Commission [ (ACSEC) ] may elect to hold a balance of equalization surcharge funds in reserve for emergencies and other contingencies.

(f)

Funding Parameters. The Commission will look favorably on plan amendments for tandem and/or database service arrangements and ancillary equipment that will improve the effectiveness and reliability of 9-1-1 call delivery systems. This will include the following when the equipment is for 9-1-1 call delivery: surge protection devices, uninterrupted power source (UPS), power backup, voice recorders, paging systems for 9-1-1 call delivery, security devices, and other back-up communication services.

(1)

Paging Systems. Funding for the paging systems may be approved when such systems are the most effective means of 9-1-1 call delivery and they do not replace other paging or radio alerting systems. Funding for paging will be limited to systems, where alternative systems or the systems now in use cause significant delay in 9-1-1 call delivery and where existing radio systems can be modified to accommodate paging. Funding for pagers (receivers) will be limited to three, providing pagers to only [ those ] necessary [ to alert the ] core responders within an organization (e.g., in a 15-member volunteer emergency medical group, only the on-call ambulance driver and one or two attendants would be furnished pagers).

(2)

Voice Recording Equipment. Voice loggers may be approved when the primary use of the equipment is in support of the 9-1-1 call-taking and call-delivery function. Extra capacity on such systems may be used for other public safety functions (such as dispatch); however, 9-1-1 funding will not be authorized for systems whose capacity clearly exceed actual or anticipated 9-1-1 requirements. Shared funding of larger systems to accommodate both a 9-1-1 PSAP and a PSAP operating agency's other needs will be considered on a case-by-case basis . Other considerations include:

(A)

The Commission will normally fund voice recording capability in a PSAP to record the conversation on each answering position used to answer emergency calls on a regular basis. (This means one recording channel per 9-1-1 answering position instead of one channel per incoming line.)

(B)-(F)

(No change.)

(G)

When the operator of a 9-1-1 PSAP and the providers of emergency services desire to use the same recording equipment funded by Regional Strategic Plan, the following guidelines will apply to determine the amount to be funded by the Commission:

(i)

(No change.)

(ii)

When the PSAP requires a given size of recording equipment, and the other agency requires additional channels, the Commission will fund the size of recording equipment needed to record only the delivery of 9-1-1 calls, and the other agency will fund all additional equipment.

(iii)

When the recording requirements of the other agency requires additional features or capabilities than would be required by the PSAP alone, the Commission will fund the equivalent amount of the system needed to serve the 9-1-1 functions of the PSAP alone. For instance, if the PSAP could use a recording system to record the delivery of 9-1-1 calls, but another agency needs to record a radio channel that requires the capacity of a larger recorder, the Commission will fund the equivalent cost of the smaller system.

(H)-(I)

(No change.)

(J)

The Commission will consider funding of recording capabilities greater than those suggested by the guidelines when sufficient justification is provided as part of a Regional Strategic Plan.

(g)

Emergency Power Equipment. Each PSAP location should be evaluated by the RPC to determine if an emergency power system is required to insure the ability to answer 9-1-1 calls in the event that the standard power supply is interrupted . A PSAP that receives a relatively small number of emergency calls per day may be able to provide acceptable service without the availability of ANI or ALI for short periods of time. If the same PSAP is located in a location that is subject to prolonged power outages, it may need emergency power sources. Other considerations include:

(1)

Where conditions exist that indicate a need for emergency power systems to support 9-1-1 call delivery, UPS should be considered as the emergency power system. Emergency generators (power backup) should be approved only in locations with a documented history of or potential for extended interruptions of commercial power supplies. Generally, 9-1-1 funding will not be used to provide both a generator [ emergency power ] and UPS. At least 75% of the capacity of any UPS system or generator funded should directly support an existing (or planned) 9-1-1 system.

(2)

Each request for UPS must include a worksheet showing the calculations used to determine the system size and batteries required. This worksheet must identify all equipment to be powered and the operating voltage and current drain of each piece of equipment. The request for UPS must identify the load capacity of the system requested and the length of time the batteries will operate the PSAP 9-1-1 equipment. The request should also indicate whether the 9-1-1 equipment has any built-in UPS capability.

(3)

The length of time that a [ an ] UPS battery will be required to provide emergency power is a major factor in determining the cost of the UPS system. Each request for UPS must provide information justifying the size of the batteries requested. Information concerning the history of power failures at the PSAP location and the average time to restore power should be obtained from the local power company.

(4)

If the history of power failures, or the expected restoration [ restoral ] time, is more than can be economically justified for UPS batteries, an emergency generator [ backup power ] can be considered. Any request for an emergency generator, in addition to an UPS, shall include a comparison of the cost of an UPS [ system ] with sufficient batteries to the cost of the combination of the UPS and an emergency generator [ backup power ].

(5)

There may be circumstances that justify the installation of an emergency generator (backup power), in addition to an UPS, as the primary system for a PSAP location. In these cases, the request for the emergency generator [ power ] must include an explanation and comparison of the relevant costs.

(6)

(No change.)

(7)

Funding may be approved for surge protection devices when they are used for protection of 9-1-1 specific electronic equipment. Documented justification must be provided .

(h)

Definitions. The following words and terms when used in this section, shall have the following meanings, unless the context clearly indicates otherwise.

(1)-(6)

(No change.)

(7)

Regional Strategic Plan. Each regional planning commission shall develop and plan for the establishment and operation of 9-1-1 service throughout the region that the regional planning commission serves. The service must meet the standards established by the Commission [ (ACSEC) ].

(8)-(9)

(No change.)

(10)

Strategic Plan. As part of a regional strategic plan, a document identifying 9-1-1 equipment and related activity, by strategic plan component, required to support planned levels of 9-1-1 service within a defined area of the state. The strategic plan shall cover [ normally covers at least ] a two [ three ] year financial planning period and a five year plan outlining regional goals and strategies , and specifically projects 9-1-1 implementation costs and revenues associated with the above including equalization surcharge requirements.

(A)

(No change.)

(B)

Strategic Plan Level. A [ An ] Commission [ (ACSEC) ] established statewide implementation priority generally associated with a level of 9-1-1 service - e.g., Automatic Number Identification, ANI.

(11)-(12)

(No change.)

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on June 14, 1999.

TRD-9903523

James D. Goerke

Executive Director

Advisory Commission on State Emergency Communications

Earliest possible date of adoption: July 25, 1999

For further information, please call: (512) 305-6933


Part XV. Texas Health and Human Services Commission

Chapter 355. Medicaid Reimbursement Rates

Subchapter A. Cost Determination Process

1 TAC §355.101, §355.105

The Texas Health and Human Services Commission (HHSC) proposes amendments to §355.101, concerning Introduction, and §355.105, concerning General Reporting and Documentation Requirements, Methods, and Procedures, in its Medicaid Reimbursement Rates chapter. This proposal is submitted simultaneously with a proposal by the Texas Department of Human Services (DHS) to amend corresponding provisions of Title 40, Chapter 20, of the Texas Administrative Code. The purpose of the amendments is to comply with changes in state and federal laws. One proposed amendment reflects a change in the Medicaid program rate approval process. The proposed amendment reflects the current process in which the Texas Board of Human Services no longer recommends rates to HHSC, because HHSC was assigned responsibility for Medicaid rate determination by a change in state law in House Bill 2913, 75th Legislature. Since rates for most non-Medicaid payment rates have a Medicaid counterpart, approval of the Medicaid rates by HHSC effectively determines the non- Medicaid counterpart rates. Thus, a proposed amendment provides that non-Medicaid payment rates will be set to coincide with the counterpart Medicaid rates. A proposed amendment also removes references to the federal Boren Amendment, which formerly applied to the nursing facility program, because it is no longer in effect as a result of a change in federal law.

Don Green, Chief Financial Officer, has determined that for the first five-year period the sections are in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the sections.

Commissioner Don Gilbert has determined that for each year of the first five years the sections are in effect the public benefit anticipated as a result of enforcing the sections will be that the rules will reflect the changes in federal and state law and that providers will have defined for them the payment rate approval process. There will be no effect on small businesses, because the amendments reflect HHSC and DHS current Medicaid rate approval processes, based on changes in state law; and establish consistency in non-Medicaid rate approval processes. The amendments also delete references to the federal Boren Amendment, which is no longer in effect as a result of a change in federal law. No changes in practice are required of any businesses, large or small. There is no anticipated economic cost to persons who are required to comply with the proposed sections.

For further information, contact local offices of DHS or Kathy Hall at (512) 438-3702 in DHS's Rate Analysis Department. Written comments on the proposal may be submitted to Supervisor, Rules and Handbooks Unit-200, Texas Department of Human Services E-205, P.O. Box 149030, Austin, Texas, 78714-9030, within 30 days of publication in the Texas Register .

The amendments are proposed under the Government Code, §531.033, which authorizes the commissioner of the Health and Human Services Commission to adopt rules necessary to carry out the commission's duties, and §531.021(b), which establishes the commission as the agency responsible for adopting reasonable rules governing the determination of fees, charges, and rates for medical assistance payments under Chapter 32, Human Resources Code.

The amendments implement the Government Code, §531.033 and §531.021(b).

§355.101.Introduction.

(a)-(b)

(No change.)

(c)

The Texas Department of Human Services (DHS) reimburses providers for contracted client services through reimbursement amounts determined as described in this chapter and in reimbursement methodologies for each program. Non-Medicaid, statewide, uniform reimbursements and reimbursement ceilings are approved by the Texas Department [ Board ] of Human Services [ (board) ]. Medicaid, statewide, uniform reimbursements, and reimbursement ceilings are approved by [ The board recommends for approval to ] the Texas Health and Human Services Commission (HHSC) [ medical assistance or Medicaid reimbursements that are uniform by class ]. In Medicaid programs where reimbursements are contractor-specific, [ the board recommends for approval to ] the HHSC approves the reimbursement parameter dollar amounts, e.g., ceilings, floors, or program reimbursement formula limits. In approving reimbursement amounts DHS or the HHSC [ the board ] takes into consideration staff recommendations based on the application of formulas and procedures described in this chapter and in reimbursement methodologies for each program. However, DHS or the HHSC [ the board ] may adjust staff recommendations when DHS or the HHSC [ the board ] deems such adjustments are warranted by particular circumstances likely to affect achievement of program objectives, including economic conditions and budgetary considerations. [ For the nursing facility program subject to the federal Boren Amendment, any downward reimbursement adjustments may not exceed the amount of any mark-up or margin over projected costs. For the nursing facility program, this limitation ensures that downward reimbursement adjustments do not reduce reimbursement below the costs which must be incurred by efficient and economic providers meeting federal and state standards. ] Medicaid reimbursement methodology rules are developed and recommended for approval [ by the board ] to the HHSC. The HHSC has oversight authority with respect to the state's Medicaid rules.

(1)-(2)

(No change.)

§355.105.General Reporting and Documentation Requirements, Methods, and Procedures.

(a)-(c)

(No change.)

(d)

Amended cost report due dates. DHS accepts submittal of provider-initiated or DHS-requested amended cost reports as follows.

(1)

Provider-initiated amended cost reports must be received no later than the date in subparagraph (A) or (B) of this paragraph, whichever occurs first. Amended cost reports received after the required date have no effect on the reimbursement determination. Amended cost report information that cannot be verified will not be used in reimbursement determinations. Provider-initiated amended cost reports must be received no later than the earlier of:

(A)

(No change.)

(B)

for Medicaid programs, 30 days prior to the public hearing on proposed reimbursement or reimbursement parameter amounts; and for non-Medicaid programs 30 days prior to the administrative closing of the cost report database for reimbursement determination [ 45 days, prior to the DHS board meeting to approve reimbursement or reimbursement parameter amounts ].

(2)

(No change.)

(e)-(f)

(No change.)

(g)

Public hearings.

(1)

Uniform reimbursements. For Medicaid programs where reimbursements are uniform by class of service and/or provider type, DHS and the HHSC will hold a public hearing on proposed reimbursements before the HHSC [ Texas Board of Human Services (board) ] approves reimbursements. The purpose of the hearing is to give interested parties an opportunity to comment on the [ DHS's ] proposed reimbursements. Notice of the hearing will be provided to the public. The notice of the public hearing will identify the name, address, and telephone number to contact for the materials pertinent to the proposed reimbursements. At least ten working days before the public hearing takes place, material pertinent to the proposed statewide uniform Medicaid reimbursements will be made available to the public. This material will include the proposed reimbursements, the inflation adjustments used to determine them, and the impact on reimbursements of the major cost limits. This material will be furnished to anyone who requests it. After the public hearing, if negative comments are received, a [ written ] summary of the comments made during the public hearing will be presented to the HHSC [ board ].

(2)

Contractor-specific reimbursements. For Medicaid programs in which [ In programs where ] reimbursements are contractor-specific, DHS and the HHSC will hold a public hearing on the reimbursement determination parameter dollar amounts (e.g., ceilings, floors, or program reimbursement formula limits) before the HHSC [ board ] approves parameter dollar amounts. The purpose of the hearing is to give interested parties an opportunity to comment on the [ DHS's ] proposed reimbursement parameter dollar amounts. Notice of the hearing will be provided to the public. The notice of the public hearing will identify the name, address, and telephone number to contact for the materials pertinent to the proposed reimbursement parameter dollar amounts. At least ten working days before the public hearing takes place, material pertinent to the proposed reimbursement parameter dollar amounts will be made available to the public. This material will include the proposed reimbursement parameter dollar amounts, the inflation adjustments used to determine them, and the impact on the reimbursement parameter dollar amounts of the major cost limits. This material will be furnished to anyone who requests it. After the public hearing, if negative comments are received, a [ written ] summary of the comments made during the public hearing will be presented to HHSC [ the board ].

(h)

(No change.)

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on June 9, 1999.

TRD-9903399

Marina Henderson

Executive Deputy Commissioner

Texas Health and Human Services Commission

Proposed date of adoption: September 1, 1999

For further information, please call: (512) 438-3765