Local Provider Participation Funds Donald Lee dontehp org

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Local Provider Participation Funds Donald Lee don@tehp. org Jamie Whitney jamie@ahcv. com

Local Provider Participation Funds Donald Lee don@tehp. org Jamie Whitney jamie@ahcv. com

LPPFs Are a Vital Part of Hospital Funding What are LPPFs? Why do LPPFs

LPPFs Are a Vital Part of Hospital Funding What are LPPFs? Why do LPPFs exist? What is the future for LPPFs? Answering your Questions about LPPFs. 2

Supplemental Payment Programs 1115 Waiver Programs Demonstration Programs (DSRIP) Uncompensated Care (UC) Managed Care

Supplemental Payment Programs 1115 Waiver Programs Demonstration Programs (DSRIP) Uncompensated Care (UC) Managed Care Rate Increase (UHRIP) 3

LPPF FUNDS FLOW 3 2 Federal Match Applied to IGT HHSC IGT LPPF 4

LPPF FUNDS FLOW 3 2 Federal Match Applied to IGT HHSC IGT LPPF 4 1 Supplemental Funding to Hospitals Mandatory Payments Account Governmental Entity 4

28 LPPFs Now Exist in Texas City BEAUMONT County ANGELINA – BELL – BOWIE

28 LPPFs Now Exist in Texas City BEAUMONT County ANGELINA – BELL – BOWIE – BRAZOS CAMERON – CHEROKEE – ELLIS – GRAYSON GREGG – HAYS – HIDALGO – MCLENNAN SMITH – TAYLOR – TOM GREEN – TRAVIS WEBB – WICHITA – WILLIAMSON Hospital District CITY OF AMARILLO – BEXAR COUNTY DALLAS COUNTY – EL PASO COUNTY HARRIS COUNTY – LUBBOCK COUNTY NUECES COUNTY – TARRANT COUNTY 5

Supplemental Payments Are Growing with LPPFs Texas Uncompensated Care (UC) (Non-Government Facilities) 4 Billions

Supplemental Payments Are Growing with LPPFs Texas Uncompensated Care (UC) (Non-Government Facilities) 4 Billions 3 33% 2 100% Non-LPPF Funded 34% 1 67% 66% - SFY 2018 SFY 2019 SFY 2020* * DY 9 Projections based on $3. 9 Billion UC Pool 6

Latest Updates • HB 4289 – Statewide authority for LPPFs that last 2 years

Latest Updates • HB 4289 – Statewide authority for LPPFs that last 2 years • SB 2138 – Allows HHSC Administrative Fee from LPPF funds IGTs • New quarterly reporting requirements by HHSC – Online portal for submitting data 7

Donald Lee ◊ don@tehp. org Jamie Whitney ◊ jamie@ahcv. com

Donald Lee ◊ don@tehp. org Jamie Whitney ◊ jamie@ahcv. com