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The New Medicaid: The Provisions Texas Providers Cannot Afford to Miss

Monday, October 5, 2026
9:30 AM - 10:15 AM
Zlotnik Ballroom

Overview

Medicaid programs across the country are changing because of statutes, regulations, and policies affecting every aspect of the delivery of care. Because Texas never expanded Medicaid, it will avoid some of the coming changes, but Texas hospitals, health systems, and academic medical centers face significant exposure from eligibility, financing, and coverage changes that will be felt through uncompensated-care and payment pressures. This presentation and discussion will focus on issues most likely to affect Texas providers, including pressures on reimbursement, the interaction between Medicaid losses and Marketplace changes in driving uninsured growth, restrictions on beneficiary eligibility, limits on delegating compliance determinations to manage care organizations, and the operational and legal risks created by medical frailty determinations and other exemption workflows. We will also discuss Medicaid state directed payment and provider tax rules altering significant portions of the provider reimbursement structure. Our goal is for participants to leave the presentation with a better understanding of the financial, operational, and legal challenges presented by the Medicaid program in coming years.


Susan Feigin Harris
Norton Rose Fulbright

Speaker

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Baxter Morgan
Senior Counsel
Husch Blackwell LLP

Speaker

Baxter Morgan is an attorney with Husch Blackwell, LLP in Austin, Texas. Baxter assists healthcare providers with regulatory, compliance, and litigation matters related to reimbursement, focusing on Medicaid payment programs and finance mechanisms. His experience covers a range of issues connected to ensuring providers are fully compensated for their services within the bounds of federal and state regulatory guidelines. Baxter has substantial experience with Medicaid supplemental payments and the operation of provider taxes, intergovernmental transfers, and other means states use to generate the non-federal share of those payments across the country. He also assists providers with payment disputes, transactions involving reimbursement questions, government investigations of payment programs, and compliance with state and federal regulatory oversight of provider participation in Medicaid and Medicare.
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