Texas Register, Volume 34, Number 4, Pages 393-490, January 23, 2009 Page: 463
393-490 p. ; 28 cm.View a full description of this periodical.
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the reimbursement methodology for durable medical equipment
(DME) as home health services, and 1 TAC 355.8441(3), relating
to the reimbursement methodology for DME under the Early and
Periodic Screening, Diagnosis, and Treatment (EPSDT) Program
(known in Texas as Texas Health Steps).
Briefing Package. A briefing package describing the proposed pay-
ment rates will be available on or after February 2, 2009. Interested
parties may obtain a copy of the briefing package prior to the hearing
by contacting Josie Wheatfall by telephone at (512) 491-1445; by fax at
(512) 491-1998; or by e-mail at josie.wheatfall@hhsc.state.tx.us. The
briefing package also will be available at the public hearing.
Written Comments. Written comments regarding the proposed pay-
ment rates may be submitted in lieu of, or in addition to, oral testi-
mony until 5 p.m. the day of the hearing. Written comments may
be sent by U.S. mail to the attention of Josie Wheatfall, HHSC, Rate
Analysis, Mail Code H-400, P.O. Box 85200, Austin, Texas 78708-
5200; by fax to Josie Wheatfall at (512) 491-1998; or by e-mail to
josie.wheatfall@hhsc.state.tx.us. In addition, written comments may
be sent by overnight mail or hand delivered to Josie Wheatfall, HHSC,
Rate Analysis, Mail Code H-400, Braker Center, Building H, 11209
Metric Boulevard, Austin, Texas 78758-4021.
Persons with disabilities who wish to attend the hearing and require
auxiliary aids or services should contact Josie Wheatfall at (512) 491-
1445 at least 72 hours in advance, so appropriate arrangements can be
made.
TRD-200900147
Steve Arag6n
Chief Counsel
Texas Health and Human Services Commission
Filed: January 13, 2009
Notice of Public Hearing on Proposed Medicaid Payment Rates
Hearing. The Texas Health and Human Services Commission (HHSC)
will conduct a public hearing on February 17, 2009, at 1:30 p.m., to
receive public comment on proposed Medicaid payment rates for elec-
tric patient lifts associated with Home Health Mobility Aids medical
policy changes. The public hearing will be held in the Lone Star Con-
ference Room of HHSC, Braker Center, Building H, located at 11209
Metric Boulevard, Austin, Texas. Entry is through Security at the main
entrance of the building, which faces Metric Boulevard. The hearing
will be held in compliance with Human Resources Code 32.0282 and
Texas Administrative Code (TAC) Title 1, 355.201(e) - (f), which re-
quire public notice of and hearings on proposed Medicaid reimburse-
ments.
Proposal. The proposed payment rate for the seat lifts are proposed to
be effective April 1, 2009.
Methodology and Justification. The proposed payment rate was cal-
culated in accordance with 1 TAC 355.8021(c), which addresses the
reimbursement methodology for durable medical equipment (DME) as
home health services, and 1 TAC 355.8441(3), relating to the reim-
bursement methodology for DME under the Early and Periodic Screen-
ing, Diagnosis, and Treatment (EPSDT) Program (known in Texas as
Texas Health Steps).
Briefing Package. A briefing package describing the proposed pay-
ment rates will be available on or after February 2, 2009. Interested
parties may obtain a copy of the briefing package prior to the hearing
by contacting Josie Wheatfall by telephone at (512) 491-1445; by fax at
(512) 491-1998; or by e-mail at josie.wheatfall@hhsc.state.tx.us. The
briefing package also will be available at the public hearing.Written Comments. Written comments regarding the proposed pay-
ment rates may be submitted in lieu of, or in addition to, oral testi-
mony until 5 p.m. the day of the hearing. Written comments may
be sent by U.S. mail to the attention of Josie Wheatfall, HHSC, Rate
Analysis, Mail Code H-400, P.O. Box 85200, Austin, Texas 78708-
5200; by fax to Josie Wheatfall at (512) 491-1998; or by e-mail to
josie.wheatfall@hhsc.state.tx.us. In addition, written comments may
be sent by overnight mail or hand delivered to Josie Wheatfall, HHSC,
Rate Analysis, Mail Code H-400, Braker Center, Building H, 11209
Metric Boulevard, Austin, Texas 78758-4021.
Persons with disabilities who wish to attend the hearing and require
auxiliary aids or services should contact Josie Wheatfall at (512) 491-
1445 at least 72 hours in advance, so appropriate arrangements can be
made.
TRD-200900155
Steve Arag6n
Chief Counsel
Texas Health and Human Services Commission
Filed: January 13, 2009+*+
+
Notice of Public Hearing on Proposed Medicaid Payment Rates
Hearing. The Texas Health and Human Services Commission (HHSC)
will conduct a public hearing on February 17, 2009, at 1:30 p.m., to re-
ceive public comment on proposed Medicaid payment rates for 2009
Healthcare Common Procedure Coding System (HCPCS) annual ben-
efit additions. The public hearing will be held in the Lone Star Con-
ference Room of HHSC, Braker Center, Building H, located at 11209
Metric Boulevard, Austin, Texas. Entry is through Security at the main
entrance of the building, which faces Metric Boulevard. The hearing
will be held in compliance with Human Resources Code 32.0282 and
Texas Administrative Code (TAC) Title 1, 355.201(e) - (f), which re-
quire public notice of and hearings on proposed Medicaid reimburse-
ments.
Proposal. The multiple procedure codes covered by the 2009 HCPCS
annual benefit additions include Durable Medical Equipment, Prosthet-
ics, Orthotics, and Supplies (DMEPOS) codes; medical, surgery, assis-
tant surgery and anesthesia services delivered by physicians and cer-
tain other practitioners procedure codes; laboratory procedure codes;
radiation treatment services, including total component, professional
component, and technical component procedure codes; physician-ad-
ministered drugs/biologicals procedure codes; clinical laboratory pro-
cedure codes; and ambulatory surgical center (ASC) procedure codes.
The proposed payment rates for 2009 HCPCS annual benefit additions
are proposed to be effective January 1, 2009.
Methodology and Justification. The proposed payment rates were
calculated in accordance with 1 TAC 355.8021, which addresses the
reimbursement methodology for DMEPOS; 1 TAC 355.8085, which
addresses the reimbursement methodology for physician services,
including medical service, surgery, assistant surgery, anesthesia and
physician-administered drugs/biologicals; 1 TAC 355.8081, which
addresses the reimbursement methodology for non-clinical laboratory
services and radiation treatment services; 1 TAC 355.8610, which
addresses the reimbursement methodology for clinical laboratory
services; and 1 TAC 355.8121, which addresses the reimbursement
methodology for ASCs.
Briefing Package. A briefing package describing the proposed pay-
ment rates will be available on or after February 2, 2009. Interested
parties may obtain a copy of the briefing package prior to the hearing
by contacting Josie Wheatfall by telephone at (512) 491-1445; by fax atIN ADDITION January 23, 2009 34 TexReg 463
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Texas. Secretary of State. Texas Register, Volume 34, Number 4, Pages 393-490, January 23, 2009, periodical, January 23, 2009; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth90836/m1/67/: accessed May 27, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.