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County sets hospital provider participation rate at 6% to maintain federal matching funds
Summary
Following a public hearing, the Williamson County Commissioners Court set the local provider participation fee (LPPF) at 6% for FY2026 after hospitals and consultants said the higher rate is needed to draw federal matching funds that support uncompensated care and behavioral-health payments.
The Williamson County Commissioners Court voted Sept. 23 to set the county’s local provider participation fee (LPPF) at 6% for fiscal year 2026 after a public hearing in which hospital representatives described the program’s role in drawing federal matching funds to reimburse uncompensated care and other Medicaid shortfalls.
Commissioner Long moved to set the rate at 6% and Commissioner Covey seconded; the court recorded the motion as carried 5–0. Robin Oldham, a consultant for Adelanto Healthcare Ventures, said the LPPF pools county hospital payments…
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