Discussion, consideration, and approval to draw down funds for MCO Pass-Through Payment Pilot Program from the Local Provider Participation fund to be determined by HHSC instructions with a settlement date of June 2016.

Approval of Certification of revenues as certified by the County auditor from the LPPF in the amount to be determined by HHSC instructions in June 2016.

Approval of 2016 Appropriation of funds from the LPPF in the amount to be determined by HHSC instructions in June 2016. 

  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.