SECTION 355.8702. Definitions

The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise.

(1) Centers for Medicare & Medicaid Services (CMS)--The federal agency within the United States Department of Health and Human Services responsible for overseeing and directing Medicare and Medicaid.

(2) Certified Public Expenditure (CPE)--An expenditure certified by a governmental entity to represent its contribution of public funds in providing services that are eligible for federal matching Medicaid funds.

(3) Federal Fiscal Year--A 12-month period beginning October 1 and ending September 30.

(4) Governmental Entity--A state agency or a political subdivision of the state, or a hospital authority, hospital district, health district, city, county, school district, or other unit of local government as established by Texas statute.

(5) Health care provider--The individual or entity that receives a Medicaid payment or payments for health care items or services provided or an entity related to such a health care provider.

(6) HHSC--The Texas Health and Human Services Commission.

(7) Interested party--A governmental entity that has non-federal share funds under review, as contemplated by this chapter.

(8) Intergovernmental Transfer (IGT)--A transfer of public funds from a governmental entity to HHSC.

(9) Non-federal share--The portion of Medicaid program expenditures that is not federal funds. The non-federal share is equal to 100 percent minus the federal medical assistance percentage (FMAP) for Texas for the state fiscal year corresponding to the program year and for the population served.

(10) Post-determination review--The informal re-examination of an action or determination by HHSC under this chapter requested by an interested party.

Source Note: The provisions of this §355.8702 adopted to be effective May 19, 2022, 47 TexReg 2849