2021 Accountability Reports

Overview

View the Rate Analysis Digital Signature Authorization information.

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 or Direct Care Staffing Enhancement Program.

For all CLASS, DAHS, DBMD, HCS, ICF/IID, PHC, RC, and TxHmL providers, Title 1 of the Texas Administrative Code (1 TAC) §355.112(h)(2)(E) 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 2019 Cost Report and will be used to determine compliance with Attendant Compensation Rate Enhancement spending requirements for the period beginning September 1, 2019, and ending on the last day of the provider's fiscal year that encompasses September 1, 2020.

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 2019 Cost Report and will be used to determine compliance with Direct Care Staff Rate Enhancement spending requirements for the period beginning September 1, 2019, and ending on the last day of the provider's fiscal year that encompasses September 1, 2020.

All requested Accountability Reports 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) and 355.308(f), contracts that were participating in the Attendant Compensation Rate Enhancement program or the Direct Care Staffing Enhancement program 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) Provider Finance Department (PFD). Providers are notified of the requirement to submit this report in an HHSC Provider Finance letter that specifically requests this report.

2021 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 (NF only) (Coming Soon)

Due Date and Submission Address

This report is due at HHSC Provider Finance as specified in the HHSC Provider Finance email 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.