February 15, 2018 Medical Care Advisory Committee
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Item 1 - Opening comments: Gilbert Handal, M.D., Medical Care Advisory Committee Chair
Item 1
Opening comments: Gilbert Handal, M.D., Medical Care Advisory Committee Chair
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Item 4 (Part 1 of 2) - Delivery System Reform Incentive Payment Program Demonstration Years 7–8 Amendment
HHSC proposes amendments to Texas Administrative Code (TAC) Title 1, Part 15, Chapter 354,
Subchapter D, Division 7, §354.1691, concerning Definitions; §354.1693, concerning Regional
Healthcare Partnerships (RHPs); §354.1695, concerning Participants; §354.1697, concerning RHP
Plan Update; §354.1701, concerning RHP Plan Update Modifications; §354.1707, concerning
Performer Valuations; §354.1711, concerning Category B Requirements for Performers;
§354.1713, concerning Category C Requirements for Performers; §354.1715, concerning
Category D Requirements for Performers; §354.1719, concerning Disbursement of Funds; and
§354.1721, concerning Remaining Funds for Demonstration Years (DYs) 7-8. - John Scott, HHSC
Director of Operations, Texas Healthcare Transformation Waiver
Item 4 (Part 1 of 2)
Delivery System Reform Incentive Payment Program Demonstration Years 7–8 AmendmentHHSC proposes amendments to Texas Administrative Code (TAC) Title 1, Part 15, Chapter 354,
Subchapter D, Division 7, §354.1691, concerning Definitions; §354.1693, concerning Regional
Healthcare Partnerships (RHPs); §354.1695, concerning Participants; §354.1697, concerning RHP
Plan Update; §354.1701, concerning RHP Plan Update Modifications; §354.1707, concerning
Performer Valuations; §354.1711, concerning Category B Requirements for Performers;
§354.1713, concerning Category C Requirements for Performers; §354.1715, concerning
Category D Requirements for Performers; §354.1719, concerning Disbursement of Funds; and
§354.1721, concerning Remaining Funds for Demonstration Years (DYs) 7-8. - John Scott, HHSC
Director of Operations, Texas Healthcare Transformation Waiver
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Item 2 - Comments from Stephanie Muth, Health and Human Services Commission (HHSC) Associate
Commissioner for Medicaid and Children’s Health Insurance Program (CHIP) Services
Department
Item 2
Comments from Stephanie Muth, Health and Human Services Commission (HHSC) AssociateCommissioner for Medicaid and Children’s Health Insurance Program (CHIP) Services
Department
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Item 4 (Part 2 of 2) - Delivery System Reform Incentive Payment Program Demonstration Years 7–8 Amendment
HHSC proposes amendments to Texas Administrative Code (TAC) Title 1, Part 15, Chapter 354,
Subchapter D, Division 7, §354.1691, concerning Definitions; §354.1693, concerning Regional
Healthcare Partnerships (RHPs); §354.1695, concerning Participants; §354.1697, concerning RHP
Plan Update; §354.1701, concerning RHP Plan Update Modifications; §354.1707, concerning
Performer Valuations; §354.1711, concerning Category B Requirements for Performers;
§354.1713, concerning Category C Requirements for Performers; §354.1715, concerning
Category D Requirements for Performers; §354.1719, concerning Disbursement of Funds; and
§354.1721, concerning Remaining Funds for Demonstration Years (DYs) 7-8. - John Scott, HHSC
Director of Operations, Texas Healthcare Transformation Waiver
Item 4 (Part 2 of 2)
Delivery System Reform Incentive Payment Program Demonstration Years 7–8 AmendmentHHSC proposes amendments to Texas Administrative Code (TAC) Title 1, Part 15, Chapter 354,
Subchapter D, Division 7, §354.1691, concerning Definitions; §354.1693, concerning Regional
Healthcare Partnerships (RHPs); §354.1695, concerning Participants; §354.1697, concerning RHP
Plan Update; §354.1701, concerning RHP Plan Update Modifications; §354.1707, concerning
Performer Valuations; §354.1711, concerning Category B Requirements for Performers;
§354.1713, concerning Category C Requirements for Performers; §354.1715, concerning
Category D Requirements for Performers; §354.1719, concerning Disbursement of Funds; and
§354.1721, concerning Remaining Funds for Demonstration Years (DYs) 7-8. - John Scott, HHSC
Director of Operations, Texas Healthcare Transformation Waiver
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Item 5 - Texas Managed Care Quality Strategy Updates
HHSC is submitting a request to the Centers for Medicare & Medicaid Services for an update to
the Texas Managed Care Quality Strategy. HHSC presents a draft of the Texas Managed Care
Quality Strategy edits to the Committee and is prepared to take questions the Committee has
about the quality strategy. - Andy Vasquez, HHSC Deputy Associate Commissioner, Quality &
Program Improvement, Medicaid and CHIP Services Department
Item 5
Texas Managed Care Quality Strategy UpdatesHHSC is submitting a request to the Centers for Medicare & Medicaid Services for an update to
the Texas Managed Care Quality Strategy. HHSC presents a draft of the Texas Managed Care
Quality Strategy edits to the Committee and is prepared to take questions the Committee has
about the quality strategy. - Andy Vasquez, HHSC Deputy Associate Commissioner, Quality &
Program Improvement, Medicaid and CHIP Services Department
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Item 3 - Approval of August 24, 2017, and November 16, 2017, meeting minutes (Vote required)
Item 3
Approval of August 24, 2017, and November 16, 2017, meeting minutes (Vote required)
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Item 6 - Texas Health Steps – Mental Health Screenings
HHSC proposes amendments to TAC Title 25, Part 1, Chapter 33, Subchapter E, §33.60,
concerning Medical Check-ups. - Tamela Griffin, HHSC Medicaid/CHIP, Interim Deputy Associate
Commissioner, MCS
Item 6
Texas Health Steps – Mental Health Screenings HHSC proposes amendments to TAC Title 25, Part 1, Chapter 33, Subchapter E, §33.60,
concerning Medical Check-ups. - Tamela Griffin, HHSC Medicaid/CHIP, Interim Deputy Associate
Commissioner, MCS
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Item 7 - Managed Care and Medicaid Mental Health Targeted Case Management and Mental Health
Rehabilitative Services
HHSC proposes new TAC Title 1, Part 15, Chapter 353 (Medicaid Managed Care), Subchapter P,
concerning Mental Health Targeted Case Management and Mental Health Rehabilitation.
HHSC proposes new TAC Title 1, Part 15, Chapter 534 (Medicaid Health Services), Subchapter M,
concerning Mental Health Targeted Case Management and Mental Health Rehabilitation.
- Tamela Griffin, HHSC Medicaid/CHIP, Interim Deputy Associate Commissioner, MCS
Item 7
Managed Care and Medicaid Mental Health Targeted Case Management and Mental HealthRehabilitative Services
HHSC proposes new TAC Title 1, Part 15, Chapter 353 (Medicaid Managed Care), Subchapter P,
concerning Mental Health Targeted Case Management and Mental Health Rehabilitation.
HHSC proposes new TAC Title 1, Part 15, Chapter 534 (Medicaid Health Services), Subchapter M,
concerning Mental Health Targeted Case Management and Mental Health Rehabilitation.
- Tamela Griffin, HHSC Medicaid/CHIP, Interim Deputy Associate Commissioner, MCS
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Item 8 - Medicaid Administrative Claiming Program
HHSC proposes new TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 5, §355.8095,
concerning the Medicaid Administrative Claiming program.- Dario Avila, Senior Rate Analyst, HHSC
Rate Analysis for Acute Care Services
Item 8
Medicaid Administrative Claiming ProgramHHSC proposes new TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 5, §355.8095,
concerning the Medicaid Administrative Claiming program.- Dario Avila, Senior Rate Analyst, HHSC
Rate Analysis for Acute Care Services
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Items 9 & 12 - 9. Contracting for Community Services
HHSC proposes amendments to TAC Title 40, Part 1, Chapter 49, Contracting for Community
Services, Subchapter A, §49.101 and §49.102, concerning Application and Definitions;
Subchapter B, §§49.202 – 49.211, concerning Contractor Enrollment; Subchapter C, §49.302,
§49.304, §49.305, §49.307, §49.308, §49.309, and §49.311, concerning Requirements of a
Contractor; Subchapter D, Division 2, §49.411, §49.413, and §49.414, concerning Monitoring and
Investigation; Subchapter E, Division 2, §49.511, concerning Immediate Protection; Subchapter
E, Division 3, §49.521, §49.522, and §49.523, concerning Actions; Subchapter E, Division 4,
§49.531, §49.532, §49.533, and §49.534, concerning Sanctions; Subchapter E, Division 5, §49.541,
concerning Appeals; Subchapter E, Division 6, §49.551, Concerning Termination by Contractor;
Subchapter F, §49.601, concerning Review by HHSC of Expiring or Terminated Contract; and
Subchapter G, §49.701, and §49.702, concerning Application Denial Period; and the repeal of
§49.412 in Subchapter D, concerning Financial Monitoring of FMSAs. - Lena Brown-Owens,
HHSC/DADS Manager, Procurement and Contracting Services – Contract Oversight and Support,
12. Adjourn
Items 9 & 12
9. Contracting for Community Services HHSC proposes amendments to TAC Title 40, Part 1, Chapter 49, Contracting for Community
Services, Subchapter A, §49.101 and §49.102, concerning Application and Definitions;
Subchapter B, §§49.202 – 49.211, concerning Contractor Enrollment; Subchapter C, §49.302,
§49.304, §49.305, §49.307, §49.308, §49.309, and §49.311, concerning Requirements of a
Contractor; Subchapter D, Division 2, §49.411, §49.413, and §49.414, concerning Monitoring and
Investigation; Subchapter E, Division 2, §49.511, concerning Immediate Protection; Subchapter
E, Division 3, §49.521, §49.522, and §49.523, concerning Actions; Subchapter E, Division 4,
§49.531, §49.532, §49.533, and §49.534, concerning Sanctions; Subchapter E, Division 5, §49.541,
concerning Appeals; Subchapter E, Division 6, §49.551, Concerning Termination by Contractor;
Subchapter F, §49.601, concerning Review by HHSC of Expiring or Terminated Contract; and
Subchapter G, §49.701, and §49.702, concerning Application Denial Period; and the repeal of
§49.412 in Subchapter D, concerning Financial Monitoring of FMSAs. - Lena Brown-Owens,
HHSC/DADS Manager, Procurement and Contracting Services – Contract Oversight and Support,
12. Adjourn
