1. Call to Order.
2. Approval of the November 21, 2014 Council Meeting minutes and February 27, 2015 notes.
3. Executive Commissioner’s Status Report: Update from the 84th Legislative Session (budget, legislation, cost containment, contracting).
4. Information Presentations.
   1. Sunset Update
   2. 1115 Transformation Waiver Update
5. Information Items Related to Rules.*
   1. Methodology for Incentives for Safety Net Hospitals, Chapter 354: The Health and Human Services Commission (HHSC) proposes to amend Title 1, Part 15, Chapter 354, Subchapter A, Division 35, §354.1445 (relating to Potentially Preventable Readmissions) and §354.1446 (relating to Potentially Preventable Complications). The rules are being amended to identify a methodology for incentives for HHSC defined safety net hospitals.
   2. Minimum Payment Amounts to Qualified Nursing Facilities: Information on rule amendments to §353.608 to add a third eligibility period, Eligibility Period Two-A.
   3. Inpatient Hospital Reimbursement: Information on rule amendments to Title 1, Part 15, Chapter 355, Subchapter J, Division 4, Rule §355.8052, Inpatient Hospital Reimbursement.
   4. Outpatient Hospital Reimbursement: Information on rule amendments to Title 1, Part 15, Chapter 355, Subchapter J, Division 4, Rule §355.8061, Outpatient Hospital Reimbursement.
   5. Reimbursement Methodology for Telemedicine, Telehealth, and Home Telemonitoring Services: Information on rule amendments to Title 1, Part 15, Chapter 355, Subchapter G, Rule §355.7001, Reimbursement Methodology for Telemedicine, Telehealth, and Home Telemonitoring Services.
   6. Office of Inspector General: relating to subpoena authority, provider disclosure and screening, general provisions as well as administrative actions and sanctions, repealing Title 1, Part 15, §371.21 and amending §§371.1003, 371.1013, 371.1607, 371.1609, 371.1615, 371.1709 and 371.1711.
   7. HHSC Enterprise Contracting and Procurement, Chapter 391: Information on new Chapter 391 to clarify the contracting and procurement requirements for all health and human services agencies. Chapter 391 provides a clear template for HHSC contracting requirements for vendors and the public at large.
   8. HHSC Enterprise Contracting and Procurement, Chapter 392: Information on new Chapter 392 to clarify and streamline the contracting and procurement processes for Health and Human Services agencies.
6. Action Items Related to Rules.*
   1. Vision Services, Chapter 355: The Medicaid and Children's Health Insurance Program (CHIP) Division proposes to amend Title 1, Part 15, Chapter 355, Subchapter J, Division 1, §355.8001 (relating to Reimbursement for Vision Care Services). The proposed amendments correct a cross reference and make other nonsubstantive language changes. The amendments to this rule are being proposed in order to coincide with other changes to rules in Chapters 354 and 363 also related to vision care.
   2. Vision Services, Chapter 354: The Medicaid and CHIP Division proposes to amend §354.1015, 354.1017, 354.1021, 354.1023, and 354.1025 to update and simplify rule requirements related to vision care. Simplifying these rules allows HHSC more flexibility in developing timely and evidence-based medical policy.
   3. Vision Services, Chapter 363: The Medicaid and CHIP Division proposes to amend §363.501, 363.502, 363.503, and 363.504 to update and simplify rule requirements related to the Early and Periodic Screening, Diagnosis and Treatment Eyeglass Program. Simplifying these rules allows HHSC more flexibility in developing timely and evidence-based medical policy.
   4. Durable Medical Equipment Exceptional Circumstance: HHSC is clarifying the requirements for durable medical equipment to qualify for Medicaid reimbursement as part of home health services under "exceptional circumstances" as noted in subparagraph (a)(4)(D) of 1 TAC §354.1039.
   5. Tuberculosis (TB) Institution Exclusion: The Social Security Act historically precluded participation in Medicaid by an institution for tuberculosis, but the exclusion was removed. The proposed amendments remove the prohibition against a TB institution receiving Texas Medicaid payment for inpatient services.
7. Adjourn.

*Public comment will be taken on this agenda item.

The HHSC Council will only take actions on items listed on the agenda.