Primary Department: Public Health Services
Primary Department Head/Elected Official: Leah Barton - Executive Director
Secondary Department: N/A
Secondary Department Head/Elected Official:
Regular or Supplemental RCA: Regular RCA
Type of Request: Contract - Award
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): Texas Health and Human Services Commission
MWBE Contracted Goal (if applicable): N/A
MWBE Current Participation (if applicable): N/A
Justification for 0% MWBE Participation Goal: N/A - Goal not applicable to request
Grant Indirect Costs Rate (if applicable): N/A
Justification for 0% Grant Indirect Costs Rate (if applicable): N/A - Not a grant item
Request Summary (Agenda Caption):
title
Request for approval of a settlement agreement with the Texas Health and Human Services Commission for the Medicaid Administrative Claiming Reimbursement Program to cover services performed from July 1, 2024 through September 30, 2024.
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Background and Discussion:
The purpose of the Medicaid Administrative Claiming (MAC) program is to provide State-affiliated public agencies, such as Local Health Districts (LHDs) in Texas, the opportunity to submit reimbursement claims for administrative activities that support the Medicaid program. To participate in the Medicaid Administrative Claiming program, the Local Health Districts provider must be a public entity and enter into a Medicaid Administrative Claiming contract with the Texas Health & Human Services Commission (HHSC).
Expected Impact:
Revenue generated from Medicaid Administrative Claiming claims is dedicated to the provision of health services and may be used to enhance, improve, and expand the level and quality of health/medical services provided to clients within the community. HCPH can be reimbursed for certain medical and health-related activities. These funds can also support outreach services, which may be provided to a client and/or the client's family and may include activi...
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