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):
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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 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):
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Precinct(s): Countywide
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Personnel (Fill out section only if requesting new Position Control Numbers (PCN)s) |
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County Attorney’s Office Legal Review (for Harris County Code Items only) |
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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