Contracts
Provider Agreements (CCAs) require amendment.
Most current agreements contain a clause limiting reimbursement to the "lesser of" the Board’s maximum rate or the provider’s published rate. You must initiate a contract amendment or addendum with your Local Board to activate the authority granted by HB2294. Do not wait for the Board to send this to you.
Hiring/Training
No impact on staffing ratios or credentials.
Administrative staff responsible for billing must be retrained to audit remittance advice. Ensure they verify that payments reflect the TRS Maximum Rate rather than the private rate once the Board adopts the policy.
Reporting & Record-Keeping
Maintain dual rate structures.
You must continue to publish your private-pay rates and file them with TWC as per existing rules. Do not artificially inflate private rates to trigger higher reimbursement; this law renders that strategy obsolete *if* your Board opts in. Keep written records of any Board denial citing "performance measures" for future appeals or association advocacy.
Fees & Costs
Revenue Opportunity.
There are no new compliance fees. This is a revenue-positive change. Providers with a significant gap between their private rate and the TRS subsidy rate stand to see an immediate increase in monthly revenue upon Board adoption.