TX-APCD Notifications
As Administrator for the TX-APCD, the Center for Health Care Data (CHCD) will use this forum to provide notifications for upcoming changes relevant to data submission to the APCD.
The following table provides the required notification as published in TAC §§21.5401 - 21.5406. Once a notification is provided for a specific phase, the APCD Phase Start Date will govern the earliest submission date. The APCD Phase Start Date may occur on, or later, than the date published in the rule.
Legal Notifications: Monthly | Historical
| Phase | Notify Date | Rule Notice (Days) | Rule Earliest Start Date | APCD Phase Start Date |
|---|---|---|---|---|
| Registration | 07/11/22 | 90 | Na | 10/10/22 |
| Test Data Submissions | 07/11/22 | 90 | 10/01/22 | 10/10/22 |
| Historical Data Submissions | 12/01/22 | 120 | 01/01/23 | 08/01/23 [2] |
| Monthly Data Submissions | 09/01/22 | 180 | 03/01/23 | 07/01/23 [1] |
[1] Reference Section 1.6 Data Submission Schedules in the Data Submission Guide (DSG) and 28 TAC §21.5405. The first monthly submission data files will contain claims data adjudicated in March 2023. All monthly submissions are due by the 7th of the month.
[2] All historical files should be submitted no later than December 31, 2023, and to include claims data from January 2019 through February 2023; or to the submitter’s first monthly data submission to the TX-APCD. The expected first monthly data submission will be March 2023 data provided during the July 2023 monthly submission period. Each historical file submission should contain only a single year-month data period and can be submitted in any year-month order.
TX-APCD Timelines
The following table provides the statutory timelines to submit extension/exceptions or to submit a file that conforms to the CDL. This is only a summary of the rule text, please consult §21.5404(d)(e)(f) for the most up to date notification schedule.
| Policy | Purpose | Rule Text | Initial Response | Response Time | Final Response | Duration |
|---|---|---|---|---|---|---|
| Exception | To provide relief from a particular requirement of the rule. | §21.5405(d) | No Less than 30 calendar days before the date the payor is otherwise required to comply with the requirement. | 14 calendar days to accept or reject, if no response from Center extension is automatically granted. If more information is needed, 14 calendar day clock starts on submission of response from Payor; if no response within 14 calendar days extension is automatically withdrawn. |
Not more than 12 consecutive months; expires December 31st in which request was granted. | |
| Extension | To provide an extension so that the payor has more time to come into compliance. | §21.5405(e) | Before the reporting date. | 14 calendar days to accept or reject, if no response from Center extension is automatically granted. If more information is needed, 14 calendar day clock starts on submission of response from Payor; if no response within 14 calendar days extension is automatically withdrawn. |
At discretion of the Center, temporary in nature. | |
| Submissions | To provide milestone dates for original and corrective submissions | §21.5405(f) | Communicate receipt of submission within 14 calendar days, inform of quality assessments, and specify required data corrections or resubmissions. | Payor has 14 calendar days to submit a revised or corrected data file or submit an extension request. | Failure to submit within either the normal schedule or within the resubmission window, Center will provide written notice to Payor of non-compliance. After 30 calendar days from written notice, Center will notify TDI. |
The Center for Health Care Data is located at The University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health