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 Medicaid and Healthcare Partnership
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 that the County Judge execute a provider agreement with the Texas Health and Human Services Commission through the Texas Medicaid and Healthcare Partnership as part of the revalidation of enrollment in the Texas Medicaid Program.
end
Background and Discussion:
State and federal regulations require providers to periodically revalidate their enrollment in the Texas Medicaid program. This standard Provider Agreement between the Texas Health and Human Services Commission (HHSC) and participating healthcare providers through the Texas Medicaid and Healthcare Partnership (TMHP) provides for revalidation. It establishes the legal, operational, compliance, privacy, billing, and program integrity requirements necessary for participation in Medicaid, Texas Children’s Health Plan (CHIP), and related Texas public health programs.
Expected Impact:
For Harris County Public Health, the agreement is directly relevant to delivering and receiving reimbursement for clinical services such as family planning, immunizations, tuberculosis treatment, HIV/STI services, maternal and child health programs, behavioral health services, and case management.
Key implications for clinical care include:
• Compliance with Medicaid regulations, fraud prevention requirements, and audit standards
• Accurate clinical documentation and medical necessity reporting to support reimbursement
• Adherence to HIPAA, cybersecurity, and breach reporting requirements
• Ensuring equitable, non-discriminatory access to care, including language access services
• Protection of patient rights, including voluntary participation and advance directive policies
• Maintenance of strong billing, compliance, and revenue cycle management processes
The agreement also specifically references public entity providers and programs commonly associated with local public health agencies, including tuberculosis clinics, mental health services, and case management.
Alternative Options:
The alternative option of not approving this revalidation agreement would prohibit Harris County Public Health from billing for any Medicaid-eligible services.
County Strategic Plan Goal: 4. Improve physical and mental health outcomes across all communities.
County Strategic Plan Objective: O: Increase access to quality health care, including preventive and behavioral health.
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): O3: Increase utilization of health-related public benefits.
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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Anticipated Court Date: 6/11/2026
Anticipated Implementation Date (if different from Court date): 6/11/2026
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): Agreement, Court Order