June 26, 2020 - 1:00pm



Meeting Site:
Microsoft Office Teams Live

Due to the COVID-19 pandemic, this meeting will be conducted online using Microsoft Teams only. To join the meeting, go to https://texashhs.org/SMMCAC_June2020.

Attendees who would like to provide public comment should see the Public Comment section below.

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

Public Comment: HHSC welcomes public comments pertaining to topics related to Medicaid managed care. Members of the public who would like to provide public comment are asked to complete a Public Comment Form at https://texashhs.org/SMMCACReg_June2020. Members of the public are encouraged to participate in this process by providing written public comment to HHSC by emailing OPP_SMMCAC@hhsc.state.tx.us no later than 5:00 p.m. Wednesday, June 24, 2020. Please include your name and either the name of the organization you are representing or that you are speaking as a private citizen. Written comments are limited to three minutes and will be read during the meeting for consideration by the Committee.

If you would like to register to provide oral comments, please mark the correct box on the Public Comment form. Instructions for providing oral comment will be emailed to you. Registration should be completed no later than 5:00 p.m. Wednesday, June 24, 2020. Members of the public may also use the Microsoft Teams Live Event Q&A section to submit a request to provide public comment. The request must contain your name, the name of the organization you are representing or that you are speaking as a private citizen, and your direct phone number.

Public comment is limited to three minutes. Speakers must state their name and on whose behalf they are speaking. Public members who are using handouts are asked to provide an electronic copy in accessible pdf format that will be distributed by HHSC staff to Committee members, State staff, and the public. Handouts are limited to two pages (paper size: 8.5” by 11”, one side only) of documentation. Handouts must be emailed to HHSC immediately after registering and include the name of the person who will be commenting.

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed Maria Acuna, Advisory Committee Coordinator, Medicaid and CHIP Services Department at 512-424-6911 or OPP_SMMCAC@hhsc.state.tx.us.

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

Persons who want to attend the meeting and require assistive technology or services should contact Acuna at 512-424-6911 or OPP_SMMCAC@hhsc.state.tx.us at least 72 hours before the meeting so appropriate arrangements can be made. at least 72 hours before the meeting so appropriate arrangements can be made.