February 27, 2015 Texas HHSC Health and Human Services Commission Council
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Items 1 & 2 - 1. Call to Order.
2.Approval of the November 21, 2014 Council Meeting Minutes.
Items 1 & 2
1. Call to Order.2.Approval of the November 21, 2014 Council Meeting Minutes.
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Item 3 - Executive Commissioner’s Status Report.
Information related to the legislative session, 1115 Transformation Waiver, contracting, and managed care carve-in.
Item 3
Executive Commissioner’s Status Report.Information related to the legislative session, 1115 Transformation Waiver, contracting, and managed care carve-in.
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Item 4A - Relating to Minimum Payment Amounts to Qualified Nursing Facilities.
Consideration of rule amendments to §353.608, concerning Minimum Payment Amounts to Qualified Nursing Facilities, to revise eligibility criteria and reconciliation procedures and to add language relating to recoupments of payments in certain situations.
Item 4A
Relating to Minimum Payment Amounts to Qualified Nursing Facilities.Consideration of rule amendments to §353.608, concerning Minimum Payment Amounts to Qualified Nursing Facilities, to revise eligibility criteria and reconciliation procedures and to add language relating to recoupments of payments in certain situations.
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Item 4B - Relating to Disproportionate Share Hospital Reimbursement Methodology and Waiver Payments to Hospitals for Uncompensated Care.
Consideration of rule amendments to Title 1, Part 15, Chapter 355, §355.8065, related to Disproportionate Share Hospital Reimbursement Methodology, and §355.8201, related to Waiver Payments to Hospitals for Uncompensated Care.
Item 4B
Relating to Disproportionate Share Hospital Reimbursement Methodology and Waiver Payments to Hospitals for Uncompensated Care.Consideration of rule amendments to Title 1, Part 15, Chapter 355, §355.8065, related to Disproportionate Share Hospital Reimbursement Methodology, and §355.8201, related to Waiver Payments to Hospitals for Uncompensated Care.
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Item 5A - Related to Account Balance and Transaction Errors.
Information on proposed amendment to 1 TAC §372.1521, concerning timeframes for households to dispute electronic benefit transfer (EBT) account balance and transaction errors, timeframes for the agency to investigate and restore benefits as applicable and clarify that adjustments must be as a result of a system error.
Item 5A
Related to Account Balance and Transaction Errors.Information on proposed amendment to 1 TAC §372.1521, concerning timeframes for households to dispute electronic benefit transfer (EBT) account balance and transaction errors, timeframes for the agency to investigate and restore benefits as applicable and clarify that adjustments must be as a result of a system error.
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Item 5B - Related to Anesthesiologist Assistants.
Information on proposed amendment to 1 TAC §354.1062, concerning addin services provided by an anesthesiologist assistant to the rule regarding the conditions under which a physician may bill Texas Medicaid and aligns the rule with other program rules (§354.1064 and §354.1065) relating to anesthesiologist assistants’ services.
Item 5B
Related to Anesthesiologist Assistants.Information on proposed amendment to 1 TAC §354.1062, concerning addin services provided by an anesthesiologist assistant to the rule regarding the conditions under which a physician may bill Texas Medicaid and aligns the rule with other program rules (§354.1064 and §354.1065) relating to anesthesiologist assistants’ services.
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Item 5C - Related to Private Duty Nursing Services.
Information on the Health and Human Services Commission (HHSC) proposal to repeal Title 1, Part 15, Chapter 363, Subchapter C in its entirety and propose new rules for this subchapter.
Item 5C
Related to Private Duty Nursing Services.Information on the Health and Human Services Commission (HHSC) proposal to repeal Title 1, Part 15, Chapter 363, Subchapter C in its entirety and propose new rules for this subchapter.
