Provider Finance Department | Provider Finance Department

The Provider Finance Department develops reimbursement methodology rules for determining payment rates or rate ceilings for recommendation to the Health and Human Services Commission for Medicaid payment rates and non-Medicaid payment rates for programs operated by the Department of State Health Services, the Department of Family and Protective Services and the Health and Human Services Commission.

Acute Care Services

Reimbursement methodology rules for determining payment rates/fees for Medicaid Acute Care Services.

Hospital and Clinic Services

Reimbursement methodology rules for determining payment rates/fees for Medicaid Hospital Services.

Long-term Services and Supports

Reimbursement methodology rules for determining payment rates or rate ceilings for Medicaid payment rates and non-Medicaid payment rates for HHSC and DFPS services.

Local Funds Monitoring

Monitors the non-federal share funds of Medicaid payments that are provided by local governmental entities.

Provider Finance Communications

Communications sent out by HHSC Provider Finance, meeting materials, GovDelivery archives and other reference information.

Rate Packet Information

Notices and Rate Packet information for proposals to payment rates and fees.