Dear RHP 2 Providers (Related to Uncompensated Care):
Just a quick reminder that IGT commitment forms are due today, Friday August 19, 2016 by 5 PM CT.
Below, I have noted the updated dates that HHSC shared with us and providers yesterday. Please note there have been changes for both TexNet entries and settlements.
If you have any questions please do not hesitate to contact HHSC Rate Analysis or the RHP 2 Anchor Office.
August 19th IGT Commitments Due
August 25th UC IGT Notification
September 8th Last Day to Enter into TexNet
September 9th IGT Settlement Date
September 30th Latest Date for DY5 UC Payments
Craig S. Kovacevich, MA
Associate Vice President
Waiver Operations & Community Health Plans
Office of the President
The University of Texas Medical Branch at Galveston
UTMB Multi-Share, UTMB ChoiceONE Select and UTMB HealthCare Systems™
Region 2, 1115 Medicaid Waiver
University of Texas Medical Branch
301 University Blvd., Galveston, TX 77555-0985
Subject: Immediate Action Required DY5 UC IGT Commitment Notification
The purpose of this e-mail is to provide demonstration year 5 (DY 5) uncompensated care (UC) and intergovernmental transfer (IGT) data to all UC providers for the UC payment to be processed in September 2016. The attached file contains the maximum UC payment for this round of the DY 5 payment, the maximum IGT commitment for each provider and a request for the final IGT commitment from providers. This is not the final DY 5 UC payment. There will be a final DY 5 UC payment pending the resolution of Texas Children’s Hospital and Seattle Children’s Hospital vs. Burwell et al., Civil Action No. 14-2060, in the US District Court for the District of Columbia. HHSC is holding back 5 percent of the total DY 5 UC allocation to address possible changes to all hospitals’ HSLs pending the resolution of Texas Children’s Hospital and Seattle Children’s Hospital vs. Burwell et al., Civil Action No. 14-2060, in the US District Court for the District of Columbia. Upon final resolution of this case, HHSC will make a final DY 5 UC payment based on the court decision.
At this point, eligible providers and/or their government entities are asked to view the “IGT Commitments by TPI” tab of the attached workbook, locate their hospital and its associated “Maximum IGT (Commitment Cannot Exceed this Amount)” in Column E and complete the IGT commitment form by entering the IGT amount they are committing for the September 2016 DY 5 UC payment. The commitment form must be returned to HHSC at RAD_UC_Payments@hhsc.state.tx.us by close of business on August 19, 2016.
Please determine the IGT amount you wish to commit up to the limit contained in Column E. While you may commit to IGT the maximum amount in Column E, providers have the option to commit less than the maximum in order to ensure that they do not exceed their HSLs at the time of the UC interim and final reconciliations or if they do not have enough IGT available to fund the maximum amount. Provider’s IGT commitments should take into consideration their own determinations of whether they might be paid above their HSLs at the time of the interim and final UC reconciliations. Being paid above their HSLs would subject providers to recoupment at the time of the reconciliations.
It is the responsibility for each provider to coordinate with their Government entities to determine the amount(s) that each Government entity is committing to. This is necessary to ensure that providers do not exceed their maximum IGT commitment. It is the responsibility of the provider receiving the payment to submit this form to HHSC by the designated due date.
HHSC will impose a “haircut” to determine the actual DY 5 UC payments upon receipt of their proposed IGT commitments. The size and distribution of the haircut will be dependent on amount the IGT commitments and the DY 5 funds available.
To ensure that all government entities receive this notification, HHSC strongly encourages anchors and providers to send this information to any government entity who is IGT’ing on their behalf.
Below are the pertinent dates associated with the DY 5 UC payment:
- August 19 DY 5 UC IGT Commitment Due
- August 25 DY 5 UC IGT Notification sent to industry
- August 30 Last date to transfer funds into TexNet
- September 1 DY 5 UC IGT Settlement Date
- September 12 DY 5 Transferring Entities (Big 6) Payment Date
- September 30 Latest DY 5 UC Payment Date
To avoid having to revise your TexNet entries, do not enter your IGT amount into TexNet until you receive the final version of the calculation workbook from HHSC. The final version, with the haircut, is expected to be released on August 25, 2016.
If you have questions regarding the UC payment process, please send an email to RAD_UC_Payments@hhsc.state.tx.us
HHSC Hospital Rate Analysis
Texas Health and Human Services Commission
P.O. Box 149030, Mail Code H-400
4900 N. Lamar Blvd.
Austin, TX 78714-9030