Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 1. ADMINISTRATION |
PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 355. REIMBURSEMENT RATES |
SUBCHAPTER J. PURCHASED HEALTH SERVICES |
DIVISION 19. MEDICAID MANAGED CARE: STANDARDS FOR THE STATE OF TEXAS ACCESS REFORM (STAR) |
SECTION 355.8361. Rates and Payment Structures
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(a) The department shall develop payment methodologies based on state maximum capitation amounts or negotiated rates to determine payments for providing STAR Program services. (b) In a service arrangement in which the state contracts with a hospital to provide services for STAR Program members, the department may negotiate with hospitals to establish payment rates for inpatient and outpatient services. Source Note: The provisions of this §355.8361 adopted to be effective December 18, 1996, 21 TexReg 11822; transferred effective September 1, 1997, as published in the Texas Register December 11, 1998, 23 TexReg 12660