1 TAC §355.8021
The Health and Human Services Commission (HHSC) adopts an
amendment to §355.8021 concerning reimbursement methodology for home
health services without changes to the proposed text published in the January
5, 2001, issue of the
Texas Register
(26 TexReg
13).
Section 355.8021 is amended to continue the current reimbursement methodology
for skilled nursing visits, home health aide visits, physical therapy, and
occupational therapy services provided by Texas Medicaid enrolled home health
agencies. Medicaid enrolled home health agencies will be reimbursed the reasonable
cost of supplying the service, applying the same standards, cost reporting
period, and cost reimbursement principles used in computing reimbursement
for comparable services under Title XVIII Medicare prior to October 1, 2000.
Effective October 1, 2000, the Medicare program began reimbursing home health
services utilizing a prospective payment system (PPS).
A public hearing was held on January 22, 2001, to accept comments concerning
the proposal. The following comments were received from the Texas Hospital
Association and Texas Children's Hospital Home Health concerning the proposed
rules.
Comment: Concerning the rules in general, both commenters support continuing
the current reimbursement methodology for services provided by Medicaid enrolled
home health agencies.
Response: Commission agrees with the commenters and will not make any changes
to the proposed rule amendment.
The amendment is adopted under the Texas Government Code, §531.033,
which provides the commissioner of HHSC with broad rulemaking authority; Human
Resources Code, §32.021 and the Texas Government Code, §531.021(a),
which provide the Health and Human Services Commission (HHSC) with the authority
to administer the federal medical assistance (Medicaid) program in Texas;
and the Texas Government Code, §531.021(b), which provides HHSC with
the authority to adopt rules governing the determination of Medicaid reimbursements.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on March 20, 2001.
TRD-200101597
Marina Henderson
Executive Deputy Commissioner
Texas Health and Human Services Commission
Effective date: April 9, 2001
Proposal publication date: January 5, 2001
For further information, please call: (512) 458-7236