Texas MedicaidMedium ImpactReimbursement

Update: SFY 2024 PPR and PPC Hospital Adjustments Resumed

Published March 5, 2026Effective March 1, 2026

AI Summary

Texas HHSC will resume PPR and PPC reimbursement adjustments for hospital fee-for-service claims effective March 1, 2026, through August 31, 2026, after temporarily pausing them due to data quality concerns. The SFY 2024 hospital performance reports are now confirmed reliable and available for download.

Action Required

Before March 1, 2026: Hospital billing teams must access and review their SFY 2024 PPR and PPC reports via the TMHP portal under the Potentially Preventable Events (PPE) Provider Reports tab. Monitor fee-for-service claim reimbursements for potential adjustments from March 1 through August 31, 2026. Contact MCD_PPR_PPC@hhs.texas.gov with program questions.

Plan Types

Medicaid

States

TX

Specialties

hospitalist