Flu Season Alert!Alerta de temporada de influenza:
Don’t let germs win this season – protect yourself and your family!
The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!
¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!
La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más
2024 Annual Hospitals Standard Dollar Amount Verification
Date: July 19, 2023
Attention: Non-Rural and Non-State-Owned Hospital Providers
Due date for the SDA Add-on Status Verification Form, if required: July 24, 2023
Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers about the 2024 Annual Hospitals Standard Dollar Amount Verification.
Background information: In accordance with Texas Administrative Code (TAC), §355.8052(d)(9), related to Medicaid Inpatient Hospital Reimbursement, hospitals may receive an annual standard dollar amount (SDA) adjustment based upon their trauma and/or safety-net designation. If qualified, hospitals may also receive a medical education add-on to their SDA. To comply with (TAC), §355.8052(d)(9), HHSC requires verification of the facility-specific information related to these SDA add-ons.
How this impacts providers: To ensure that each provider receives the appropriate add-on to its SDA, each hospital must review and verify that its facility-specific information contained in the following two files (also available with additional instructions on the HHSC Provider Finance Department website) is true and accurate:
If the add-on status in this file is not correct, the provider must submit the SDA Add-on Status Verification Form to inform HHSC of changes that should be made to correct the information contained in the verification files.
For the revised add-on status to be considered for rates effective September 1, 2023, the SDA Add-on Status Verification Form must be completed and returned to HHSC at the email or mailing address contained on the form by July 24, 2023.
If no errors are found in your hospital's data on the SDA Status Verification File, no response is required. HHSC will calculate the facility specific add-ons for the hospital's final SDA using the information contained in the file.
Next steps for providers: Applicable providers should adhere to the guidance outlined in this communication to validate their facility-specific information and submit a status verification form, if needed.
