Medical Care Advisory Committee

February 15, 2018 - 9:00am

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Webcasting Available

This meeting will be webcast. To access the webcast, go to https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings the day and time of the meeting.

1. Opening comments: Gilbert Handal, M.D., Medical Care Advisory Committee Chair
2. Comments from Stephanie Muth, Health and Human Services Commission (HHSC) Associate Commissioner for Medicaid and Children’s Health Insurance Program (CHIP) Services Department
3. Approval of August 24, 2017, and November 16, 2017, meeting minutes (Vote required) (PDF)

   INFORMATIONAL ITEMS:

4. Delivery System Reform Incentive Payment Program Demonstration Years 7–8 Amendment (PDF)

   HHSC proposes amendments to Texas Administrative Code (TAC) Title 1, Part 15, Chapter 354, Subchapter D, Division 7, §354.1691, concerning Definitions; §354.1693, concerning Regional Healthcare Partnerships (RHPs); §354.1695, concerning Participants; §354.1697, concerning RHP Plan Update; §354.1701, concerning RHP Plan Update Modifications; §354.1707, concerning Performer Valuations; §354.1711, concerning Category B Requirements for Performers; §354.1713, concerning Category C Requirements for Performers; §354.1715, concerning Category D Requirements for Performers; §354.1719, concerning Disbursement of Funds; and §354.1721, concerning Remaining Funds for Demonstration Years (DYs) 7-8.  - John Scott, HHSC Director of Operations, Texas Healthcare Transformation Waiver

5. Texas Managed Care Quality Strategy Updates (PDF)

   HHSC is submitting a request to the Centers for Medicare & Medicaid Services for an update to the Texas Managed Care Quality Strategy. HHSC presents a draft of the Texas Managed Care Quality Strategy edits to the Committee and is prepared to take questions the Committee has about the quality strategy.  - Andy Vasquez, HHSC Deputy Associate Commissioner, Quality & Program Improvement, Medicaid and CHIP Services Department

   ACTION ITEMS:

6. Texas Health Steps – Mental Health Screenings (PDF)

   HHSC proposes amendments to TAC Title 25, Part 1, Chapter 33, Subchapter E, §33.60, concerning Medical Check-ups. - Tamela Griffin, HHSC Medicaid/CHIP, Interim Deputy Associate Commissioner, MCS

7. Managed Care and Medicaid Mental Health Targeted Case Management and Mental Health Rehabilitative Services (PDF)

   HHSC proposes new TAC Title 1, Part 15, Chapter 353 (Medicaid Managed Care), Subchapter P, concerning Mental Health Targeted Case Management and Mental Health Rehabilitation.

   HHSC proposes new TAC Title 1, Part 15, Chapter 534 (Medicaid Health Services), Subchapter M, concerning Mental Health Targeted Case Management and Mental Health Rehabilitation. - Tamela Griffin, HHSC Medicaid/CHIP, Interim Deputy Associate Commissioner, MCS

8. Medicaid Administrative Claiming Program (PDF)

   HHSC proposes new TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 5, §355.8095, concerning the Medicaid Administrative Claiming program.- Dario Avila, Senior Rate Analyst, HHSC Rate Analysis for Acute Care Services

9. Contracting for Community Services (PDF)

   HHSC proposes amendments to TAC Title 40, Part 1, Chapter 49, Contracting for Community Services, Subchapter A, §49.101 and §49.102, concerning Application and Definitions; Subchapter B, §§49.202 – 49.211, concerning Contractor Enrollment; Subchapter C, §49.302, §49.304, §49.305, §49.307, §49.308, §49.309, and §49.311, concerning Requirements of a Contractor; Subchapter D, Division 2, §49.411, §49.413, and §49.414, concerning Monitoring and Investigation; Subchapter E, Division 2, §49.511, concerning Immediate Protection; Subchapter E, Division 3, §49.521, §49.522, and §49.523, concerning Actions; Subchapter E, Division 4, §49.531, §49.532, §49.533, and §49.534, concerning Sanctions; Subchapter E, Division 5, §49.541, concerning Appeals; Subchapter E, Division 6, §49.551, Concerning Termination by Contractor; Subchapter F, §49.601, concerning Review by HHSC of Expiring or Terminated Contract; and Subchapter G, §49.701, and §49.702, concerning Application Denial Period; and the repeal of §49.412 in Subchapter D, concerning Financial Monitoring of FMSAs. - Lena Brown-Owens, HHSC/DADS Manager, Procurement and Contracting Services – Contract Oversight and Support,

10. Public comment

11. Proposed next meeting: May 17, 2018, at 9:00 a.m.

12. 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.