November 9, 2017 State Medicaid Managed Care Advisory Committee
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Item 1 - Call to order
Item 1
Call to order
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Item 2 - Roll call
Item 2
Roll call
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Item 3 - Adoption of August 17, 2017, draft minutes
Item 3
Adoption of August 17, 2017, draft minutes
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Item 4 - State and federal legislative actions that affected Medicaid managed care
Item 4
State and federal legislative actions that affected Medicaid managed care
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Item 5 - Discussion of agency operational plan
Item 5
Discussion of agency operational plan
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Item 6 - September 1, 2017, Medicaid managed care carve-in update
a. Adoption assistance and permanency care assistance into STAR (PDF)
b. Medicaid for breast and cervical cancer into STAR+PLUS (PDF)
Item 6
September 1, 2017, Medicaid managed care carve-in updatea. Adoption assistance and permanency care assistance into STAR (PDF)
b. Medicaid for breast and cervical cancer into STAR+PLUS (PDF)
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Item 7 (Part 1 of 2) - Discussion and adoption of changes to the committee’s strategic plan (PDF)
Item 7 (Part 1 of 2)
Discussion and adoption of changes to the committee’s strategic plan (PDF)
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Item 7 (Part 2 of 2) - Discussion and adoption of changes to the committee’s strategic plan (PDF)
Item 7 (Part 2 of 2)
Discussion and adoption of changes to the committee’s strategic plan (PDF)
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Item 8 - Subcommittee reports:
a. Subcommittee on Goal 1 (Provide HHSC leadership with an accurate and balanced view of both challenges and opportunities identified in the Medicaid managed care delivery system, and offer innovative and operationally practical solutions)
b. Subcommittee on Goal 2 (Develop sound recommendations that directly affect Medicaid managed care clients by prioritizing quality health outcomes, patient safety, and fiscal responsibility in the delivery of programs and services)
c. Subcommittee on Goal 3 (Advise Health and Human Services on activities related to ensuring clients or members are receiving timely care coordination for medically and functionally necessary services across all Medicaid managed care programs. This will include recommendations for continuous collaborative communication between Health and Human Services, managed care organizations, members, and providers, as
well as for the rapid resolution of eligibility and enrollment issues.
d. Managed care organization automated telephone system subcommittee
Item 8
Subcommittee reports:a. Subcommittee on Goal 1 (Provide HHSC leadership with an accurate and balanced view of both challenges and opportunities identified in the Medicaid managed care delivery system, and offer innovative and operationally practical solutions)
b. Subcommittee on Goal 2 (Develop sound recommendations that directly affect Medicaid managed care clients by prioritizing quality health outcomes, patient safety, and fiscal responsibility in the delivery of programs and services)
c. Subcommittee on Goal 3 (Advise Health and Human Services on activities related to ensuring clients or members are receiving timely care coordination for medically and functionally necessary services across all Medicaid managed care programs. This will include recommendations for continuous collaborative communication between Health and Human Services, managed care organizations, members, and providers, as
well as for the rapid resolution of eligibility and enrollment issues.
d. Managed care organization automated telephone system subcommittee
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Items 9 & 10 - 9. Discussion and adoption of the committee report to the Executive Commissioner
10. Adjournment
Items 9 & 10
9. Discussion and adoption of the committee report to the Executive Commissioner10. Adjournment
