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.

Become a Member

Membership with TAHP is an invaluable tool for integrating, building relationships, exchanging information and best practices, and promoting your services. You will be well-armed with the most timely and accurate information, strong relationships with key Texas leaders, and access to seasoned policy and regulatory experts.