May 17, 2018 - 9:00am

Health and Human Services Commission, John H. Winters Human Services Complex, Public Hearing Room
701 West 51st St.
Austin Texas, 78751

Agenda

Webcasting Available

1. Opening comments: Gilbert Handal, M.D., Medical Care Advisory Committee Chair
2. Approval of February 15, 2018, meeting minutes (Vote required)

   INFORMATIONAL ITEMS:

3. Delivery System Reform Incentive Payment Program Demonstration Years 7-8 Amendment (PDF)

   The Health and Human Services Commission (HHSC) proposes amendments to Texas Administrative Code (TAC) Title 1, Part 15, Chapter 354, Subchapter D, Division 7, §354.1691, concerning Definitions; §354.1713, concerning Category C Requirements for Performers; and §354.1719, concerning Disbursement of Funds.

   - John Scott, Interim Director, Texas Healthcare Transformation Waiver, HHSC

4. Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver overview

   - John Scott, Interim Director, Texas Healthcare Transformation Waiver, HHSC

   - Gary Young, Special Advisor to the Associate Commissioner, Medicaid and CHIP Services Department, HHSC

5. Quality Incentive Payment Program Good Cause Exception and Expansion of Eligibility (PDF)

   HHSC proposes amendments to TAC Title 1, Part 15, Chapter 353, Subchapter O, §353.1303, concerning the Quality Incentive Payment Program for Nursing Facilities.

   - Victoria Grady, Deputy Director for Hospitals, HHSC Rate Analysis

6. Healthy Texas Women Waiver (PDF)

   HHSC proposes amendments to TAC Title 1, Part 15, Chapter 382, Subchapter A, §382.1, concerning Introduction; §382.5, concerning Definitions; §382.7, concerning Client Eligibility; §382.9, concerning Application and Renewal Procedures; §382.13, concerning Denial, Suspension, or Termination of Services and Client Appeals; §382.17, concerning Health-Care Providers; §382.19, concerning Prohibition of Abortion; and §382.29 concerning Severability; and the repeal of §382.3, concerning Non-entitlement and Availability.

   - Lesley French, Associate Commissioner, Health, Developmental and Independence Services

   - Meagan Kirby, Senior Advisor, Health, Developmental and Independence Services Department, HHSC

7. Children’s Health Insurance Program Maternal Depression Screening (PDF)

   HHSC proposes new TAC Title 1, Part 15, Chapter 370, Subchapter A, §370.12, concerning Maternal Depression Screening.

   - Michelle Erwin, HHSC Medicaid/CHIP Director, Policy and Program Development, HHSC

8. State Supporting Living Center Community Services (PDF)

   HHSC proposes new TAC Title 26, Part 1, Chapter 900, Subchapter B, §900.101, concerning Clinical Services to Individuals Residing in the Community.

   - Scott Schalchlin, HHSC Associate Commissioner for State Supported Living Centers

   ACTION ITEMS:

9. Waiver Payments to Providers for Uncompensated Charity Care (PDF)

   HHSC proposes in TAC Title 1, Part 15, Chapter 355, Subchapter J, the following new and amended rules: Division 11, new §355.8208, concerning Waiver Payments to Publicly-Owned Dental Providers for Uncompensated Charity Care; new §355.8210, concerning Waiver Payments to Governmental Ambulance Providers for Uncompensated Charity Care; new §355.8212, concerning Waiver Payments to Hospitals for Uncompensated Charity Care; and new §355.8214, concerning Waiver Payments to Physician Group Practices for Uncompensated Charity Care; amendments to §355.8201, concerning Waiver Payments to Hospitals for Uncompensated Care; and amendments to §355.8202, concerning Waiver Payments to Physician Group Practices for Uncompensated Care; Division 23, amendments to §355.8441, concerning Reimbursement Methodologies for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Services; and Division 31, amendments to §355.8600, concerning Reimbursement Methodology for Ambulance Services.

   - Selvadas Govind, Director for Hospitals, HHSC Rate Analysis

10. Network Adequacy (PDF)

    HHSC proposes amendments to TAC Title 1, Part 15, Chapter 353, Subchapter A, §353.2, concerning Definitions. HHSC proposes to repeal and replace TAC Title 1, Part 15, Chapter 353, Subchapter E, §353.411, concerning Accessibility of Services. HSSC proposes new TAC Title 1, Part 15, Chapter 353, Subchapter E, §353.423, concerning Expedited Credentialing.

    - Michelle Erwin, Director of Policy and Program Development, HHSC Medicaid and CHIP Services Department

11. Examinations for Medical Necessity for a Hearing Aid (PDF)

    HHSC proposes amendments to TAC Title 1, Part 15, Chapter 354, Subchapter A, Division 15, §354.1231, concerning Hearing Aid Services Benefits and Limitations; and §354.1233, concerning Requirements for Hearing Aid Services

    - Mary Haifley, Director of Medical Benefits, HHSC Medicaid/CHIP

12. Public comment
13. Proposed next meeting: August 16, 2018, at 9:00 a.m.
14. Adjourn

Public comment may be taken on any agenda item.

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Suzanna Carter, Committee Coordinator, Medicaid and CHIP Services Department, 512-730-7423, suzanna.carter@hhsc.state.tx.us.

This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting.

People with disabilities who wish to attend the meeting and require auxiliary aids or services should contact Carter at 512-730-7423 at least 72 hours before the meeting so appropriate arrangements can be made.