On June 1, 2022, hospitals will receive access to their state fiscal year (SFY) 2021 Potentially Preventable Readmissions (PPR) and Potentially Preventable Complications (PPC) hospital-level PDF reports and underlying Excel data files.
These reports are compiled using fee-for-service claims and managed care organization inpatient data from September 1, 2020, to August 31, 2021 (SFY 2021). For this reporting period, payment adjustments to hospitals based on PPR and PPC performance will be effective from September 1, 2022, to August 31, 2023 (SFY 2023).
The hospital-level PDF reports and Excel data files will be delivered on June 1, 2022, to user accounts on the Texas Medicaid & Healthcare Partnership (TMHP) secure provider portal. To access these reports, visit tmhp.com and perform the following steps:
- Click My Account on the top navigation bar.
- Enter your username and password.
- The PPR and PPC reports are available for download under the “Potentially Preventable Events (PPE) Provider Reports” tab.
Personnel who routinely access Remittance and Status Reports, submit claims, and check eligibility will be granted access to download the reports from the portal.
For technical assistance with accessing the provider portal or creating an account, contact the TMHP Electronic Data Interchange (EDI) Help Desk at 888-863-3638, from 7 a.m. to 7 p.m., Central Time. More information can be found at the TMHP website under the “Resources” tab.
Providers can find more information about the hospital quality-based PPR and PPC program on the Texas Health and Human Services (HHS) “Potentially Preventable Events (PPE)” web page. This web page contains additional documents and resources about this program.
Providers with questions about this program can email MCD_PPR_PPC@hhsc.state.tx.us.
For more information, call the TMHP Contact Center at 800-925-9126.