UC Payments Protocol

The Centers for Medicare & Medicaid Services (CMS) approved the revised Texas Uncompensated Care (UC) payment protocol on July 26, 2018.  This protocol should be read in conjunction with several accompanying draft Excel workbooks that illustrate how to follow the procedures in the protocol.  The data in these workbooks are only for analysis purposes and should not be used only and the data therein  is not suitable for any other purpose.  Further, tThese workbooks have not yet been approved by CMS and are subject to change. Further, these workbooks have not yet been approved by CMS and are subject to change.  The protocol and the workbooks can be viewed at the following links:

Approved Waiver Renewal Payment Protocol (.pdf) (Updated 12/02/2024)

 Ambulance Cost Report (.xlsx) (Updated 12/02/2024)

 Dental Cost Report (.xlsx)

 Texas Hospital UC Application (TXHUC) (.xlsx) (Updated 04/10/2024)

 Texas Physician Group Application (TXPUC) (.xlsx)

 Mid-Level Time Study Form (.xlsx)

 Mid-Level Time Study Summary (.xlsx)

Physician Time Study Form (.xlsx)

 Physician Time Study Summary (.xlsx)