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AI- 54796
Health & Human Services Dept.   11.H.2.
CC - REGULAR
Meeting Date:
06/07/2016
Submitted For:
Dairen Sarmiento
Submitted By:
Dairen Sarmiento, HEALTH & HUMAN SERVICES DEPT.
Department:
HEALTH & HUMAN SERVICES DEPT.

Information

CAPTION

Discussion South Texas MCO Pass-Through Payment Pilot Program.

BACKGROUND

 As discussed above, HHSC will adopt managed care pass-through payments for hospitals in Cameron, Hidalgo, Maverick, Starr and Webb Counties (the “Counties”).  Hereinafter, we refer to this class of providers as the “Eligible Hospitals.” To implement pass-through payments, HHSC will increase the capitated rates under its contracts with MCOs that operate in the Counties, and the MCOs will in turn pass the enhanced capitation amounts through to the Eligible Hospitals. The non-federal share of the pass-through payments will be financed through intergovernmental transfers (“IGTs”) from the Counties.

Fiscal Impact

Attachments

Form Review

Inbox Reviewed By Date
Budget and Management Veronica Ortiz 05/27/2016 01:08 PM
Final Approval Monica Salinas 06/03/2016 05:59 PM
Form Started By:
Dairen Sarmiento
Started On:
05/24/2016 03:29 PM
Final Approval Date:
06/03/2016