Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 355 - REIMBURSEMENT RATES › Subchapter L - LOCAL FUNDS MONITORING › Section 355.8707 - Notification Requirements for the Creation of a Local Provider Participation Fund (LPPF)

Current through Reg. 49, No. 28; July 12, 2024
(a) A local
				  government, as defined in Texas Health and Safety Code Chapter 300, or a
				  district, as defined in Texas Health and Safety Code Chapter 300A, that creates
				  a new local provider participation fund (LPPF) as authorized by those chapters
				  must send HHSC notice of the creation of a new LPPF according to the following
				  procedures.
(1) HHSC must receive notice of a
				  newly created LPPF electronically to PFD_LFM@hhs.texas.gov no later than 10
				  business days from the date of the local government or district's creation of
				  the LPPF.
(2) The notice must
				  contain the following.
(A) Contact information
				  for at least two employees, board members, or elected officials of the local
				  government or district authorized to implement an LPPF, as well as any
				  individuals the local government or district authorizes to receive
				  informational updates related to LPPF formation and reporting. Contact
				  information shall include:
(i) full
				  names;
(ii) titles and description
				  of involvement with the LPPF (if not an employee, board member, or elected
				  official of the local government or district);
(iii) email addresses; and
(iv) phone numbers.
(B) Audio recordings of discussions or
				  written minutes from public meetings, such as commissioner's court meetings or
				  hospital district board meetings, that document the approval of LPPF formation
				  and any associated rate setting.
(C) Resolution approving rules and procedures
				  for LPPF mandatory assessment payments.
(D) Resolution authorizing the formation of
				  the LPPF, collection of a mandatory assessment payment, and use of funds from
				  the mandatory assessment payments.
(E) Public notices from a hardcopy or digital
				  source, such as a newspaper article, notifying providers in the jurisdiction of
				  the intent to create an LPPF and set associated rates.
(F) Copies of written notice provided to the
				  chief operating officer of each provider that will be required to pay a
				  mandatory assessment.
(G) Invoices
				  or other records of LPPF mandatory assessments and payments received from
				  providers, if any, have been made at the time notice is provided to
				  HHSC.
(H) Any agreements between
				  the local government or district implementing the LPPF (including a local
				  government that created the district under Texas Health and Safety Code §
												300A.0021) and
				  a health care provider or entity related to a health care provider that is
				  required to pay a mandatory assessment, if applicable.
(3) On receipt of a notice for the creation
				  of an LPPF, HHSC:
(A) acknowledges receipt of
				  the notice to the local government or district; and
(B) reviews the information submitted by the
				  local government or district.
(i) HHSC may
				  request additional information from the local government or district. The
				  additional information must be received by HHSC no later than 10 business days
				  from the date of the written request for additional information.
(ii) HHSC will extend this deadline for an
				  additional 10 business days if it receives a request for the extension prior to
				  the initial 10 business day due date. A request for an extension that is not
				  received by the stated deadline will not be accepted.
(4) No local government or
				  district may transfer local funds generated by an LPPF to HHSC via IGT until it
				  has completed the following steps.
(A) Notify
				  HHSC of the creation of the LPPF in accordance with this section and receive
				  acknowledgment of receipt from HHSC.
(B) Provide HHSC with any additional
				  information requested by HHSC as provided in this section.
(C) Establish a unique TexNet Account through
				  the Texas Comptroller.
(D)
				  Establish a Texas Identifier Number (TIN) through the Provider Finance
				  Department by emailing
RAD_Payments@hhs.texas.gov
.