A. Discussion, consideration and approval to draw down funds for Demonstration Year 5 UC Payments in the amount to be determined by HHSC instructions on 4/1/16  from the Local Provider Participation Fund (LPPF) with a settlement date of 4/8/16.

B. Approval of Certification of Revenues as certified by the County Auditor from the LPPF in the amount to be determined by HHSC instructions on 4/1/16.

C. Approval of 2016 Appropriation of funds from the LPPF in the amount to be determined by HHSC instructions on 4/1/16. 

 Providers, Government Entities, and Anchors:

Please read this entire message carefully and make note of the information provided below that failure by IGT entities and providers to submit the required forms may result in a delayed payment for the providers.

HHSC is providing notice to IGT for the DY5 Advance UC Payment.

Dates pertinent to this payment:

4/07/16 Last day to submit your IGT into TexNet

4/08/16 IGT Settlement date

4/18/16 Pay Transferring Hospitals, i.e. Large public hospitals, as defined in 1 Tex. Admin. Code §355.8201(b)(14)

4/18/16 State Owned Hospitals submit journal entry

4/22/16 Pay State Owned Hospitals

4/29/16 Pay all other UC Providers- Public entities will be paid as soon as possible after April 18th, with the private entities also being paid as soon as possible but no later than April 29th.



Attached to this email are the following documents:


· DY5 UC Advance Payment Calculation spreadsheet

· Master Affiliation as of 04_01_16 for Distribution spreadsheet;

· DY5 UC Allocation Form


The amount that needs to be submitted into TexNet, for non-state owned entities, is in Column W. Please ensure you select the applicable UC bucket in TexNet when you enter your IGT. It is imperative that you send a screen shot/PDF copy of the confirmation/trace sheet from TexNet or an email with the trace number, IGT amount and settlement date, if the TexNet is submitted over the phone, to RAD_UC_Payments@hhsc.state.tx.us. Please include two contacts and their phone numbers and email addresses, should HHSC have any questions regarding the TexNet received.



The amount that needs to be submitted via journal entry for state owned entities is in Column V. Please ensure that a copy of your journal entry is submitted to RAD_UC_Payments@hhsc.state.tx.us.



Government Entities that are IGT'ing for multiple providers may submit one lump sum IGT for their affiliates. All IGTs, even for entities submitting IGT for themselves, must complete and submit the attached allocation form. If a Trace Sheet is received without an IGT allocation form HHSC will allocate the IGT received in accordance with 1 Tex. Admin. Code §355.8201(h)(ii). In the absence of the notification described in 1 Tex. Admin. Code §355.8201(h)(i), each hospital owned by or affiliated with the governmental entity will receive a portion of its payment amount for that period, based on the hospital's percentage of the total payment amounts for all hospitals owned by or affiliated with that governmental entity.



In accordance with 1 Tex. Admin. Code §355.8201(h)(ii)(C), if a government entity transfers more than the maximum IGT amount that can be provided for that hospital, and that hospital is affiliated with multiple governmental entities, then HHSC will calculate the amount of IGT funds necessary to fund the hospital's payment and HHSC will issue a pro-rata refund to the governmental entity/entities identified by HHSC. HHSC will determine the pro-rata refund, not the government entity/entities or their representative(s).



If you have questions regarding the UC payment process, please send an email to RAD_UC_Payments@hhsc.state.tx.us.



If you have questions regarding the payment calculation file, please send an email to uctools@hhsc.state.tx.us



HHSC Hospital Rate Analysis

Texas Health and Human Services Commission

P.O. Box 149030, Mail Code H-400

Brown-Heatly Building

4900 N. Lamar Blvd.

Austin, TX 78714-9030