June 24, 2021 Health and Human Services Commission Executive Council
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1. Welcome and Opening Remarks - a. Call to order
b. Roll call
c. Explanation of proceedings using Microsoft Teams live event
d. Executive Commissioner’s welcome and remarks
e. Chief Officers’ remarks
f. Department of State Health Services Commissioner’s remarks
g. Inspector General’s Quarterly Report
h. Health and Human Services Commission (HHSC) 87th Legislative Session update
i. HHSC Appropriations update
j. 1115 Texas Healthcare Transformation Quality Improvement Program Waiver Extension Application
1. Welcome and Opening Remarks
a. Call to orderb. Roll call
c. Explanation of proceedings using Microsoft Teams live event
d. Executive Commissioner’s welcome and remarks
e. Chief Officers’ remarks
f. Department of State Health Services Commissioner’s remarks
g. Inspector General’s Quarterly Report
h. Health and Human Services Commission (HHSC) 87th Legislative Session update
i. HHSC Appropriations update
j. 1115 Texas Healthcare Transformation Quality Improvement Program Waiver Extension Application
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2. Home and Community-based Services federal medical assistance percentage increase - Home and Community-based Services federal medical assistance percentage increase
2. Home and Community-based Services federal medical assistance percentage increase
Home and Community-based Services federal medical assistance percentage increase»
b. Submitted to the Texas Register – APA public comment period has not closed‡ - b. Submitted to the Texas Register – APA public comment period has not closed‡
i. HHSC proposes a new rule in TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter J, Division 11, §355.8217, concerning Payments to Public Health Providers for Charity Care
ii. HHSC proposes the amendments to rules in TAC, Title 1, Part 15, Chapter 353, Medicaid Managed Care, Subchapter O, §353.1302 and §353.1304, concerning Quality Incentive Payment Program Accelerated Payment and Metric Rule Change
iii. HHSC proposes the amendment to a rule in TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter J, Division 4, §355.8052, concerning Inpatient Hospital Reimbursement
iv. HHSC proposes the amendment to a rule in TAC, Title 25, Part 1, Chapter 417, Agency and Facility Responsibilities, Subchapter A, §417.47; and proposes the amendments to rules in Title 40, Part 1, Chapter 3, Responsibilities of State Facilities, Subchapter D, §§3.401 - 3.403, concerning Training Requirements
b. Submitted to the Texas Register – APA public comment period has not closed‡
b. Submitted to the Texas Register – APA public comment period has not closed‡i. HHSC proposes a new rule in TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter J, Division 11, §355.8217, concerning Payments to Public Health Providers for Charity Care
ii. HHSC proposes the amendments to rules in TAC, Title 1, Part 15, Chapter 353, Medicaid Managed Care, Subchapter O, §353.1302 and §353.1304, concerning Quality Incentive Payment Program Accelerated Payment and Metric Rule Change
iii. HHSC proposes the amendment to a rule in TAC, Title 1, Part 15, Chapter 355, Reimbursement Rates, Subchapter J, Division 4, §355.8052, concerning Inpatient Hospital Reimbursement
iv. HHSC proposes the amendment to a rule in TAC, Title 25, Part 1, Chapter 417, Agency and Facility Responsibilities, Subchapter A, §417.47; and proposes the amendments to rules in Title 40, Part 1, Chapter 3, Responsibilities of State Facilities, Subchapter D, §§3.401 - 3.403, concerning Training Requirements
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c. Not yet submitted to the Texas Register for APA public comment - c. Not yet submitted to the Texas Register for APA public comment
i. Department of State Health Services proposes the amendments to rules in TAC, Title 25, Part 1, Chapter 295, Occupational Health, Subchapter I, 295.202 and §295.212, concerning Texas Environmental Lead Reduction
ii. HHSC proposes the amendments to rules in TAC, Title 1, Part 15, Chapter 354, Medicaid Health Services, Subchapter F, Division 8, §354.1941 and §354.1942, concerning Texas Drug Utilization Review Board and Conflict of Interest
iii. HHSC proposes the amendments to rules in TAC, Title 26, Part 1, Chapter 554, Nursing Facility Requirements for Licensure and Medicaid Certification, Subchapters D, K, M, and Q, concerning Infection Control Requirements, Consent for Antipsychotic Medications, and Facility Construction Rule Clarification
c. Not yet submitted to the Texas Register for APA public comment
c. Not yet submitted to the Texas Register for APA public commenti. Department of State Health Services proposes the amendments to rules in TAC, Title 25, Part 1, Chapter 295, Occupational Health, Subchapter I, 295.202 and §295.212, concerning Texas Environmental Lead Reduction
ii. HHSC proposes the amendments to rules in TAC, Title 1, Part 15, Chapter 354, Medicaid Health Services, Subchapter F, Division 8, §354.1941 and §354.1942, concerning Texas Drug Utilization Review Board and Conflict of Interest
iii. HHSC proposes the amendments to rules in TAC, Title 26, Part 1, Chapter 554, Nursing Facility Requirements for Licensure and Medicaid Certification, Subchapters D, K, M, and Q, concerning Infection Control Requirements, Consent for Antipsychotic Medications, and Facility Construction Rule Clarification
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4. eHealth Advisory Committee Recommendations*
4. eHealth Advisory Committee Recommendations*
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Items 5 & 6 - 5. Recent Rule Adoptions - Information item not for discussion
a. Adoptions submitted to the Texas Register that are not yet effective
i. 20R101 Minimum Standards for Child-Placing Agencies, effective 6/27/21
ii. 21R078 Disproportionate Share Hospital Reimbursement Methodology, published in Texas Register 6/25/21; effective 6/28/21
iii. 21R070 Public Health Provider – Charity Care Program, published in Texas Register 6/25/21; effective 7/1/21
b. Adoptions that are effective
i. 20R081 Pediatric Tele-Connectivity Resource Program for Rural Texas, effective 3/15/21
ii. 21R028 Physician Directed Payment Program, effective 3/21/21
iii. 21R027 Uniform Hospital Rate Increase Program Reforms, effective 3/28/21
iv. 18R061 Specialized Telecommunications Assistance Program, effective 3/30/21
v. 20R010 Medical Error Reporting, effective 4/1/21
vi. 20R030 Radiation Control Regulations for Radiation Machines Used in Veterinary Medicine, effective 4/15/21
vii. 20R045 Medical and Health Care Billing, effective
viii. 21R038 Community Mental Health Center Directed Payment Program, effective 4/21/21
ix. 21R040 Rural Health Clinic Directed Payment Program, effective 4/25/21
x. 20R026 Regulation of Child-Care Facilities, effective 4/25/21
xi. 20R039 Legislative and Other Updates for Chapter 745 and Chapter 748, effective 4/25/21
xii. 19R069 Licensing Standards for Home and Community Support Services Agencies, effective 4/25/21
xiii. 21R029 Reimbursement Methodology for Ambulance Services, effective 4/27/21
xiv. 20R115 Purchase of Goods and Services by the Texas Health and Human Services Commission, effective 5/12/21
xv. 20R051 Grade Specifications and Requirements for Milk, and Grade A Raw Milk and Raw Milk Products, effective 5/17/21
xvi. 18R040 Standards of Care in Crisis Stabilization Units, effective 5/27/21
xvii. 20R008 Voluntary Admission for Psychiatric Services, effective 5/27/21
xviii. 20R031 Home Delivered Meals, effective 6/3/21
xix. 21R062 Reviewing Applications for Heightened Monitoring History, effective 6/13/21
6. Adjourn
Items 5 & 6
5. Recent Rule Adoptions - Information item not for discussiona. Adoptions submitted to the Texas Register that are not yet effective
i. 20R101 Minimum Standards for Child-Placing Agencies, effective 6/27/21
ii. 21R078 Disproportionate Share Hospital Reimbursement Methodology, published in Texas Register 6/25/21; effective 6/28/21
iii. 21R070 Public Health Provider – Charity Care Program, published in Texas Register 6/25/21; effective 7/1/21
b. Adoptions that are effective
i. 20R081 Pediatric Tele-Connectivity Resource Program for Rural Texas, effective 3/15/21
ii. 21R028 Physician Directed Payment Program, effective 3/21/21
iii. 21R027 Uniform Hospital Rate Increase Program Reforms, effective 3/28/21
iv. 18R061 Specialized Telecommunications Assistance Program, effective 3/30/21
v. 20R010 Medical Error Reporting, effective 4/1/21
vi. 20R030 Radiation Control Regulations for Radiation Machines Used in Veterinary Medicine, effective 4/15/21
vii. 20R045 Medical and Health Care Billing, effective
viii. 21R038 Community Mental Health Center Directed Payment Program, effective 4/21/21
ix. 21R040 Rural Health Clinic Directed Payment Program, effective 4/25/21
x. 20R026 Regulation of Child-Care Facilities, effective 4/25/21
xi. 20R039 Legislative and Other Updates for Chapter 745 and Chapter 748, effective 4/25/21
xii. 19R069 Licensing Standards for Home and Community Support Services Agencies, effective 4/25/21
xiii. 21R029 Reimbursement Methodology for Ambulance Services, effective 4/27/21
xiv. 20R115 Purchase of Goods and Services by the Texas Health and Human Services Commission, effective 5/12/21
xv. 20R051 Grade Specifications and Requirements for Milk, and Grade A Raw Milk and Raw Milk Products, effective 5/17/21
xvi. 18R040 Standards of Care in Crisis Stabilization Units, effective 5/27/21
xvii. 20R008 Voluntary Admission for Psychiatric Services, effective 5/27/21
xviii. 20R031 Home Delivered Meals, effective 6/3/21
xix. 21R062 Reviewing Applications for Heightened Monitoring History, effective 6/13/21
6. Adjourn
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