August 28, 2015 Texas HHSC Health and Human Services Council
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Item 1 - Call to Order.
Item 1
Call to Order.
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Item 3 - Executive Commissioner’s Status Report: Update from the 84th Legislative Session.
Item 3
Executive Commissioner’s Status Report: Update from the 84th Legislative Session.
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Item 2 - Approval of the June 12, 2015 Council Meeting minutes.
Item 2
Approval of the June 12, 2015 Council Meeting minutes.
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Item 4A - Regarding Managed Care Organization Requirements Concerning Out-of-Network Providers: Health and Human Services Commission (HHSC) proposes to amend Texas Administrative Code Title 1, Part 15, Chapter 353, Subchapter A, §353.4, Managed Care Organization Requirements Concerning Out-of-Network Providers.
Item 4A
Regarding Managed Care Organization Requirements Concerning Out-of-Network Providers: Health and Human Services Commission (HHSC) proposes to amend Texas Administrative Code Title 1, Part 15, Chapter 353, Subchapter A, §353.4, Managed Care Organization Requirements Concerning Out-of-Network Providers.
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Item 4B - Regarding Medicaid Drug Utilization Review Board Title 1, Part 15, Chapter 354, Subchapter F:
HHSC proposes to amend Title 1, Part 15, Chapter 354, Subchapter F, §354.1832, Prior Authorization Procedures; and §354.1924, Preferred Drug List.
HHSC proposes to repeal Title 1, Part 15, Chapter 354, Subchapter F, §354.1928, Pharmaceutical and Therapeutics Committee; §354.1941, Conflict of Interest Policy.
HHSC proposes as new Title 1, Part 15, Chapter 354, Subchapter F, §354.1941, Drug Utilization Review Board; §354.1942, Conflict of Interest Policy.
Item 4B
Regarding Medicaid Drug Utilization Review Board Title 1, Part 15, Chapter 354, Subchapter F:HHSC proposes to amend Title 1, Part 15, Chapter 354, Subchapter F, §354.1832, Prior Authorization Procedures; and §354.1924, Preferred Drug List.
HHSC proposes to repeal Title 1, Part 15, Chapter 354, Subchapter F, §354.1928, Pharmaceutical and Therapeutics Committee; §354.1941, Conflict of Interest Policy.
HHSC proposes as new Title 1, Part 15, Chapter 354, Subchapter F, §354.1941, Drug Utilization Review Board; §354.1942, Conflict of Interest Policy.
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Item 4C - Regarding Medicaid Drug Utilization Review Board; Drug Clinical Prior Authorization:
HHSC proposes to amend Title 1, Part 15, Chapter 353, Subchapter J, §353.903, Definitions; §353.907, Prior Authorization Requirements.
Item 4C
Regarding Medicaid Drug Utilization Review Board; Drug Clinical Prior Authorization:HHSC proposes to amend Title 1, Part 15, Chapter 353, Subchapter J, §353.903, Definitions; §353.907, Prior Authorization Requirements.
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Item 4D - Regarding Vendor Drug Program Medicaid Audit Appeals:
HHSC proposes to amend Title 1, Part 15, Chapter 354, Subchapter F, Division 5, §354.1891, Vendor Drug Providers Subject to Audit.
Item 4D
Regarding Vendor Drug Program Medicaid Audit Appeals:HHSC proposes to amend Title 1, Part 15, Chapter 354, Subchapter F, Division 5, §354.1891, Vendor Drug Providers Subject to Audit.
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Item 4E - Regarding Reimbursement for Certain Drugs in Disasters; Medicaid Fee-For-Service Drug Reimbursement:
HHSC proposes to amend §354.1835, Prescriber Identification Numbers; §354.1863, Prescription Requirements; and §354.1901, Pharmacy Claims. HHSC proposes new §354.1868, Exceptions in Disasters.
Item 4E
Regarding Reimbursement for Certain Drugs in Disasters; Medicaid Fee-For-Service Drug Reimbursement:HHSC proposes to amend §354.1835, Prescriber Identification Numbers; §354.1863, Prescription Requirements; and §354.1901, Pharmacy Claims. HHSC proposes new §354.1868, Exceptions in Disasters.
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Item 4F - Regarding Medicaid Fee-For-Service Drug Reimbursement: HHSC proposes to amend Title 1, Part 15, Chapter 355, Subchapter J, Division 28, §355.8541, Legend and Nonlegend Medications; §355.8546, Brand-Name Drugs; §355.8547, Reimbursement for Compound Prescriptions; §355.8548, 340B Covered Entities; and §355.8551, Dispensing Fee.
HHSC proposes to repeal Title 1, Part 15, Chapter 355, Subchapter J, Division 28, §355.8545, Texas Maximum Allowable Cost.
Item 4F
Regarding Medicaid Fee-For-Service Drug Reimbursement: HHSC proposes to amend Title 1, Part 15, Chapter 355, Subchapter J, Division 28, §355.8541, Legend and Nonlegend Medications; §355.8546, Brand-Name Drugs; §355.8547, Reimbursement for Compound Prescriptions; §355.8548, 340B Covered Entities; and §355.8551, Dispensing Fee.HHSC proposes to repeal Title 1, Part 15, Chapter 355, Subchapter J, Division 28, §355.8545, Texas Maximum Allowable Cost.
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Public Comments - Public Comments.
Public Comments
Public Comments.
