TAHP’s Comments to HHSC on Outpatient Hospital Reimbursement Methodology
The proposed rule changes will implement a new outpatient prospective payment system reimbursement methodology, the 3MTM Enhanced Ambulatory Patient Groups (EAPGs) methodology. We appreciate the Health and Human Service Commission’s (HHSC) ongoing efforts to improve the Medicaid program in Texas, and we are in support of the proposed shift to the EAPG rate methodology. However, we respectfully request consideration of an implementation timeline of approximately 12 months, or a timeline that aligns with the completed modernization of the state’s new Medicaid Management Information System to allow for a seamless transition that does not disrupt services to Medicaid families or create unnecessary provider abrasion.
See the full letter.
