The Texas Health and Human Services Commission (HHSC) has approved a payment rate change for pediatric care facilities, effective September 1, 2021. This change complies with the 2022-23 General Appropriations Act and revises the reimbursement methodology for pediatric long-term care facilities to mirror Medicare reimbursement. The new Pediatric Long-term Care Facility Reimbursement per diem rate is $363.45, an increase from the previous rate of $302.02. Additionally, a COVID-19 add-on rate of $19.63 is included, making the total rate $383.08 for the duration of the COVID-19 public health emergency. Providers should continue to bill using their normal billing process, and no additional action is required. For questions regarding the rates or the letter, providers can contact the HHSC Provider Finance Long-term Services and Supports Customer Information Team.

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