|(a) Introduction. Texas Healthcare Transformation and
Quality Improvement Program under §1115(a), Medicaid demonstration
waiver payments available under this division help to defray the uncompensated
cost of charity care provided by eligible hospitals and physician
practices on or after October 1, 2019. Participation in the Texas
Healthcare Transformation and Quality Improvement Program is subject
to an application fee.
(b) Definition. A non-public provider, when the term
is used in this section, is defined as a provider who is owned by
any entity other than a unit of local, state, or federal government.
(c) Applicability. The requirement to submit an application
fee applies to all non-public providers in the state.
(d) Application Fee. An application fee will be required
with the submission of the application described in §355.8212(c)(2)
of this subchapter.
(1) The application fee will be determined annually
based upon an estimate of the amount equal to the estimated costs
necessary to administer the program and will be posted on the Texas
Health and Human Services Commission Provider Finance Department website.
(2) Payment is due at the time of the submission of
the application. If no payment is received with the application, an
account receivable will be established. HHSC will offset the next
applicable payment to the provider against the account receivable
until the obligation to the state is discharged.
(3) Payment must be made in the manner determined by
HHSC and in compliance with payment instructions that will be posted
on the HHSC Provider Finance Department website.
(e) Uses of the Funds and Limitations.
(1) The total amount received from the application
fee may not exceed $8,000,000 annually when combined with any other
funds retained under the authority of Texas Government Code §531.021135.
(2) HHSC will spend money retained under this section
to assist in paying the costs necessary to administer the program
for which the money is received. HHSC will not use the money to pay
any type of administrative cost that was funded with general revenue
before June 1, 2019.