June 26, 2020 State Medicaid Managed Care Advisory Committee
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Items 1 & 2 » - 1. Call to order 2. Roll call
Items 1 & 2 »
1. Call to order 2. Roll call
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3. Adoption of March 12, 2020, minutes (vote required)
3. Adoption of March 12, 2020, minutes (vote required)
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a. Hospital Payment Advisory Committee
a. Hospital Payment Advisory Committee
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b. Intellectual and Developmental Disability System Redesign Advisory Committee
b. Intellectual and Developmental Disability System Redesign Advisory Committee
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c. Medical Care Advisory Committee
c. Medical Care Advisory Committee
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d. Perinatal Advisory Committee
d. Perinatal Advisory Committee
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e. Policy Council for Children and Families
e. Policy Council for Children and Families
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7.a. Leadership - Health and Human Services Commission updates
7.a. Leadership
Health and Human Services Commission updates
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f. STAR Kids Managed Care Advisory Committee
f. STAR Kids Managed Care Advisory Committee
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a. Administrative simplification » - i. Update on Texas Government Code §531.024163, as adopted by Senate Bill 1207, 86th Texas Legislature, Regular Session, §3(b), 2019 ii. Medicaid provider enrollment and managed care organization credentialing iii. Other administrative simplification topics
a. Administrative simplification »
i. Update on Texas Government Code §531.024163, as adopted by Senate Bill 1207, 86th Texas Legislature, Regular Session, §3(b), 2019 ii. Medicaid provider enrollment and managed care organization credentialing
iii. Other administrative simplification topics
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b. Clinical oversight and benefits » - i. Update on HHSC’s clinical oversight initiative ii. Update on topic nomination form related to complex rehabilitation technology iii. Other clinical oversight and benefits topics
b. Clinical oversight and benefits »
i. Update on HHSC’s clinical oversight initiative ii. Update on topic nomination form related to complex rehabilitation technology
iii. Other clinical oversight and benefits topics
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c. Complaints, appeals, and fair hearings » - i. External medical review ii. Other complaints, appeals, and fair hearings topics
c. Complaints, appeals, and fair hearings »
i. External medical review ii. Other complaints, appeals, and fair hearings topics
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d. Network adequacy and access to care » - i. Telehealth and telemedicine projects ii. Delivery System Reform Incentive Program M-9 Milestone: Assessment of telemedicine and telehealth services iii. Other network adequacy and access to care topics
d. Network adequacy and access to care »
i. Telehealth and telemedicine projects ii. Delivery System Reform Incentive Program M-9 Milestone: Assessment of telemedicine and telehealth services
iii. Other network adequacy and access to care topics
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e. Service and care coordination » - i. Contract terminology changes ii. Results of survey on strengthening service and care coordination between managed care organizations and other case management entities iii. Other service and care coordination topics
e. Service and care coordination »
i. Contract terminology changes ii. Results of survey on strengthening service and care coordination between managed care organizations and other case management entities
iii. Other service and care coordination topics
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b. Legislative implementation
b. Legislative implementation
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c. Managed care procurement
c. Managed care procurement
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d. COVID-19
d. COVID-19
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8. Update on Rider 32: Autism Services
8. Update on Rider 32: Autism Services
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9. Stakeholder input from the Texas Dental Association and Texas Academy of Pediatric Dentistry
9. Stakeholder input from the Texas Dental Association and Texas Academy of Pediatric Dentistry
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10. Public comment
10. Public comment
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Items 11 & 12 » - 11. Review of action items and agenda items for future meeting 12. Adjourn and thank you
Items 11 & 12 »
11. Review of action items and agenda items for future meeting 12. Adjourn and thank you
