TX · guidance
Tex. HHSC Medicaid Hospice Provider Manual § 5100
General Information
Revision 05-1; Effective December 2, 2005
The Medicaid Hospice Program establishes and pays prospective hospice per diem rates that are no lower than the Medicare Hospice Program rates (Part A of Title XVIII of the Social Security Act). Medicaid rates are calculated on a yearly basis, based on information provided by the Centers for Medicare & Medicaid Services. The Medicaid hospice per diem rates are calculated by using the Medicare hospice methodology, but adjusted to disregard cost offsets allowed for Medicare deductibles and coinsurance amounts. HHSC does not apply or follow Medicare hospice rate freezes. Retroactive adjustments are not allowed other than for the
application of the cap on overall Medicaid hospice payments,
limitation on payments for inpatient care days, and
recoupment of inaccurate payments made to providers.
The rates are effective from October 1 through September 30 of each federal fiscal year.
Provenance
- Source
- fhb.hhs.texas.gov
- Retrieved
- 2026-10-01
- Edition
- mhpm-2011-05-11
- Content hash
2c9017d1fcb3363a34ef556c3edb88bd357000eee7c747e33fc1b68de681a45f
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