2019 Accountability Reports

Overview

The purpose of a Medicaid Accountability Report is to gather financial and statistical information for HHSC to use in the determination of accountability under the Attendant Compensation Rate Enhancement program.

For all CLASS, DAHS, DBMD, HCS, ICF/IID, PHC, RC, and TxHmL providers, Title 1 of the Texas Administrative Code (TAC) §355.112(h)(2)(F) states that "Existing providers who become participants in the Attendant Compensation Rate Enhancement as a result of the open enrollment process on any day other than the first day of their fiscal year are required to submit an Attendant Compensation Report with a reporting period that begins on their first day of participation in the enhancement and ends on the last day of the provider's fiscal year." This report is in addition to the provider's 2018 Cost Report and will be used to determine compliance with Attendant Compensation Rate Enhancement spending requirements for the period beginning September 1, 2017, and ending on the last day of the provider's fiscal year that encompasses September 1, 2018.

For all NF providers, Title 1 of the Texas Administrative Code (TAC) §355.308(f)(2)(F) states that "Existing facilities which become participants in the enhancement as a result of the open enrollment process on any day other than the first day of their fiscal year are required to submit a Staffing and Compensation Report with a reporting period that begins on their first day of participation in the enhancement and ends on the last day of the provider's fiscal year." This report is in addition to the provider's 2018 Cost Report and will be used to determine compliance with Direct Care Staff Rate Enhancement spending requirements for the period beginning September 1, 2017, and ending on the last day of the provider's fiscal year that encompasses September 1, 2018.

This special report is called an Accountability Report which will be submitted electronically using the State of Texas Automated Information Reporting System (STAIRS).

As described in Title 1 of the Texas Administrative Code (TAC) 355.112(h)(2), contracts that were participating in Rate Enhancement may be required to submit an acceptable report in certain circumstances, such as a change of ownership, contract terminations, mid-year withdrawal from the Rate Enhancement, new participants for a partial year or other reason specified by the Health and Human Services Commission (HHSC) Rate Analysis Department (RAD). Providers are notified of the requirement to submit this report in an HHSC Rate Analysis letter that specifically requests this report.

To help providers/facilities determine if they are required to complete an Accountability Report for the reasons detailed above, the Texas Health and Human Services Commission (HHSC) Rate Analysis Department (RAD) has created a list containing the contract numbers and specific reporting periods of those providers that must submit an Accountability Report.

  • For all programs except ICF/IID and HCS/TxHmL and RC providers must submit one Accountability Report for each contract number listed on the referenced chart. Providers with more than one contract number listed on the referenced chart must file a separate Accountability Report for each contract.
  • For the ICF/IID program, providers are required to submit one Accountability Report for each component code listed on the referenced chart. This single report is to be completed for all contracts and facility sizes held under the component code. Providers with more than one component code listed on the referenced chart must file a separate Accountability Report for each component code.
  • For the HCS/TxHmL program, providers are required to submit one Accountability Report for each component code listed on the referenced chart. This single report should be completed for all contracts held under the component code. Providers with more than one component code listed on the referenced chart must file a separate Accountability Report for each component code.
  • For RC providers who have both a RC and a CBA AL contract listed on the referenced chart, must file one Accountability Report containing both contracts.

2019 Accountability Reports Documents

View the Program Specific Methodology Rules

View the Accountability Report Program Specific Instructions

View the Accountability Report Worksheets and Worksheet Instructions

View the Accountability Report Schedules

Due Date and Submission Address

This report is due at HHSC Rate Analysis as specified in the HHSC Rate Analysis e-mail requesting the Accountability Report. All attachments and signed and notarized certification pages must be uploaded into STAIRS. Reports will not be considered “received” until the online report has been finalized and all required supporting documents uploaded. Documentation mailed rather than uploaded into the system will not be accepted.