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HHS Nursing Facility Payment Add-ons and Required Provider Attestation

Date: 07/30/20

Texas Health and Human Services (HHS) adopted temporary emergency payment rate add-ons for Nursing Facility providers to support access and safety during the emergency declaration related to COVID-19. The emergency payment rate add-ons have a retroactive effective of April 1, 2020, and are assumed to conclude on August 31, 2020 or the end of the federally approved public health emergency.

Superior began reimbursing providers for the add-on payment for new claims processed on July 1, 2020. Adjustment of claims processed prior to that date, beginning with claims for service dates April 1, 2020 and after, will be re-processed to include the add-on payment by August 31, 2020. No action is required from nursing facility providers to facilitate the adjustment for those claims.

Nursing Facility providers receiving the add-on payment for COVID-19 must submit an attestation to HHS affirming that the rate increase will be used for COVID-related expenses in the manner prescribed by HHS; including direct care staff salary and wages, Personal Protective Equipment (PPE) and dietary needs/supplies.

Additional details related to the required attestation are included below:

If you have questions about this communication, please contact your Superior Account Manager.