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EAPG Provider Payment Gain and Loss Analysis (.pdf) HHSC is planning to implement the outpatient prospective payment system (OPPS) reimbursement in conjunction with the implementation of a modernized Medicaid Information System (MMIS), the exact implementation date is still to be determined.Average lifetime income loss to a family averages approximately $125,645. The new diagnosis codes for acute PFD (R63.31) and chronic PFD (R63.32) replace ICD-10 code R63.3, feeding difficulties. 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