Legislation Details

File #: 26-1048    Version: 1 Name:
Type: Contract - Award Status: Passed
File created: 2/2/2026 In control: Commissioners Court
On agenda: 2/12/2026 Final action: 2/12/2026
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.
Attachments: 1. 0212_PHS_MAC Settlement Agreement.pdf

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.

end

 

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 activities such as coordinating, referring, or assisting clients in accessing needed health or mental care services.

 

Alternative Options:

This additional reimbursement helps to maximize other sources of funds that support Goal 4 of the Countywide Strategic Plan by providing additional resources to help improve the health behaviors of the community and increase access to quality care. These funds currently support our revenue cycle management and community health services. These funds can also help expand services that could be provided to other departments such as immunizations and chronic disease prevention.

 

County Strategic Plan Goal:  1. Make Harris County safer and more just.

County Strategic Plan Objective: Choose an item.

Justice/Safety Initiative (Goal 1):  Choose an item.

Infrastructure Initiative (Goal 2):  Choose an item.

Economy Initiative (Goal 3): Choose an item.

Health Initiative (Goal 4): Choose an item.

Climate/Resilience Initiative (Goal 5): Choose an item.

Housing Initiative (Goal 6): Choose an item.

 

Additional notes related to the Strategic Plan:

 

Prior Court Action (if any):

Date

Agenda Item #

Action Taken

N/A

 

 

 

Location:

Address (if applicable): N/A

Precinct(s): Countywide

 

Fiscal and Personnel Summary

Service Name

 

 

 

Current Fiscal Year Cost

Annual Fiscal Cost

 

Labor

Non-Labor

Total

Recurring Expenses

Funding Sources

 

Existing Budget

 

 

 

 

Choose an item.

$

$

$

$

Choose an item.

$

$

$

$

Choose an item.

$

$

$

$

Total Existing Budget

$

$

$

$

Additional Budget Request (Requires Fiscal Review Request Form)

 

Choose an item.

$

$

$

$

Choose an item.

$

$

$

$

Choose an item.

$

$

$

$

Total Additional Budget Request

$

$

$

$

Total Funding Sources

$

$

$

$

Grants - Proposed Budget (For Grants Items only)

 

Labor

Non-Labor

Total

No. of Grant Years

Local Match Source - Existing Budget: Choose an item.

$

$

$

 

Local Match Source - Additional Budget Request: Choose an item.

$

$

$

 

Grant Funds Applied for/Awarded (Total)

$

$

$

 

Personnel (Fill out section only if requesting new Position Control Numbers (PCN)s)

 

Current Position Count for Service

-

-

-

-

Additional Positions Request

-

-

-

-

Total Personnel

-

-

-

-

 

County Attorney’s Office Legal Review (for Harris County Code Items only)

CAO Reviewer Name and Title

 

CAO Review Completion Date

Click or tap to enter a date.

 

Anticipated Court Date: 2/12/2026

Anticipated Implementation Date (if different from Court date): 2/12/2026

 

Emergency/Disaster Recovery Note: Not an emergency, disaster, or ARPA related item

 

Contact(s) name, title, department: Richard Williams, Deputy Chief Financial Officer, Public Health Services

 

Attachments (if applicable): Medicare Settlement Agreement, Court Order