Item Coversheet

BRAZOS COUNTY
BRYAN, TEXAS


DEPARTMENT:
Budget Office
NUMBER:

DATE OF COURT MEETING:
4/21/2026

ITEM:
Request authorization to wire transfer up to $779,926.54 to Health and Human Services Commission for the Hospital Augmented Reimbursement Program (HARP) Intergovernmental Transfer for the benefit of participating hospitals using funding from Brazos County Local Provider Participating Fund.
TO:Commissioners Court
FROM:Nina Payne
DATE:04/13/2026
FISCAL IMPACT:False
BUDGETED:False
DOLLAR AMOUNT:$0.00
SOURCE OF FUNDS:Local Provider Participating Fund (LPPF) - Fund 16000
REQUIREMENTS:HHSC requires this IGT to be entered into TexNet no later than close of business Wednesday,  April 29, 2026, with a settlement date of Thursday, April 30, 2026.
NOTES/EXCEPTIONS:The Hospital Augmented Reimbursement Program (HARP) is a statewide supplemental program providing Medicaid payments to hospitals for inpatient and outpatient services that serve Texas Medicaid fee-for-service (FFS) patients. The program serves as a financial transition for providers historically participating in the Delivery System Reform Incentive Payment (DSRIP) program. HARP will provide additional funding to hospitals to help offset the cost hospitals incur while providing Medicaid services. Subject to Centers for Medicare and Medicaid Services (CMS) approval, eligible participants in Federal Fiscal Year (FFY) 2022 include non-state government-owned and -operated hospitals and private hospitals. The public HARP State Plan Amendment (SPA) was approved for non-state government-owned and -operated hospitals on Aug. 31, 2022. The private HARP SPA was approved for private hospitals on Aug. 15, 2023. Reimbursement rules are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter J, Division 4, Rule 8070.  For more information, please visit: https://pfd.hhs.texas.gov/hospitals-clinic/hospital-services/hospital-augmented-reimbursement-program
ACTION REQUESTED OR ALTERNATIVES:

Request approval.


ATTACHMENTS:
File NameDescriptionType
HARP_IGT_Notification_–_Second_Half_Year_5_(FFY26)_Public___Private_-_Brazos_County_LPPF.pdfHARP IGT Notification Cover Memo
FY26_HARP_Allocation_Summary_-_Brazos_LPPF.pdfHARP IGT BackupBackup Material
HARP_Information.pdfHARP Texas Administrative CodeBackup Material