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 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 Rate Increase (UHRIP) 3
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 – 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 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 • 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