The Texas Health and Human Services Commission (HHSC) has approved rate changes for the Medicaid Community Hospice program, effective retroactively from October 1, 2020. These changes impact payment rates for continuous home care, inpatient respite care, general inpatient care, routine home care, and the service intensity add-on. The increased rates were calculated in accordance with federal regulations and are adjusted annually using data from the Centers for Medicare and Medicaid Services (CMS). The updated payment rates can be accessed on the HHSC website. Hospice providers must comply with quality reporting requirements under the Affordable Care Act to avoid a reduction in the market basket update. Providers can continue to bill using their normal process, and the electronic payment system will automatically apply the new rates for claims beginning October 1, 2020. No additional action is required from individual providers.

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