Commissioners set county LPPF rate at 6% for fiscal 2026 to continue state‑authorized program

Sep 8, 2025

Adelanto Healthcare Ventures and local hospital representatives asked the court to continue Collin County's local provider participation fund at a 6% mandatory rate for FY2026 under new state statutory authority; the court approved the rate and an increased administrative fee by voice vote.

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County staff opened a public hearing on Collin County's Local Provider Participation Fund (LPPF), explaining the fund pools mandatory payments from private hospitals to unlock federal Medicaid reimbursement to benefit local indigent care. Michael Neal of Adelanto Healthcare Ventures told the court the program has brought Medicaid dollars back into the county and recommended continuing the rate at 6% for fiscal year 2026 while adopting technical changes required by the recent state statute (Chapter 292E of the Texas Health and Safety Code).

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