August 15, 2019 Medical Care Advisory Committee
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1. Welcome, introductions, and opening remarks
1. Welcome, introductions, and opening remarks
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2. Approval of February 14, 2019, and June 13, 2019, meeting minutes (Vote required)
2. Approval of February 14, 2019, and June 13, 2019, meeting minutes (Vote required)
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3. Medicaid and Children’s Health Insurance Program activities
ACTION ITEMS:
3. Medicaid and Children’s Health Insurance Program activities ACTION ITEMS:
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4. Nursing Facility Code of Federal Regulations Updates
- Sharon Wallace, Rule Writer, LTCR Policy, Rules and Training
Texas Health and Health and Human Services (HHSC) proposes amendments to §§19.1, 19.101, 19.401 - 19.411, 19.413, 19.414, 19.416, 19.417, 19.421, 19.501 - 19.504, 19.601, 19.602, 19.606, 19.702, 19.703, 19.706, 19.801 - 19.803, 19.901, 19.1001, 19.1010, 19.1101, 19.1104, 19.1107 - 19.1111, 19.1113, 19.1201 - 19.1203, 19.1205, 19.1401, 19.1501, 19.1601, 19.1901, 19.1902, 19.1908 - 19.1912, 19.1915, 19.1917, 19.1929, and 19.2704 in Title 40 of the Texas Administrative Code (TAC) Part 1, Chapter 19, concerning Nursing Facility Requirements for Licensure and Medicaid Certification. HHSC proposes new §§19.701, 19.904, 19.1102, 19.1116, and 19.1931 in Chapter 19. HHSC proposes the repeal of §§19.418, 19.701, 19.705, 19.1102, 19.1103, 19.1903, and 19.1904 in Chapter 19.
Informational Items:
4. Nursing Facility Code of Federal Regulations Updates - Sharon Wallace, Rule Writer, LTCR Policy, Rules and Training Texas Health and Health and Human Services (HHSC) proposes amendments to §§19.1, 19.101, 19.401 - 19.411, 19.413, 19.414, 19.416, 19.417, 19.421, 19.501 - 19.504, 19.601, 19.602, 19.606, 19.702, 19.703, 19.706, 19.801 - 19.803, 19.901, 19.1001, 19.1010, 19.1101, 19.1104, 19.1107 - 19.1111, 19.1113, 19.1201 - 19.1203, 19.1205, 19.1401, 19.1501, 19.1601, 19.1901, 19.1902, 19.1908 - 19.1912, 19.1915, 19.1917, 19.1929, and 19.2704 in Title 40 of the Texas Administrative Code (TAC) Part 1, Chapter 19, concerning Nursing Facility Requirements for Licensure and Medicaid Certification. HHSC proposes new §§19.701, 19.904, 19.1102, 19.1116, and 19.1931 in Chapter 19. HHSC proposes the repeal of §§19.418, 19.701, 19.705, 19.1102, 19.1103, 19.1903, and 19.1904 in Chapter 19. Informational Items:
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5. Delivery System Reform Incentive Payment (DSRIP) Program Demonstration Years 9-10- Andy Vasquez, Director, Quality and Program ImprovementHHSC proposes to amend §354.1707, relating to Performer Valuations, and proposed new §§354.1729, concerning Definitions; 354.1731, concerning Medicaid and Low-income or Uninsured Patient Population by Provider; 354.1733, concerning Regional Healthcare Partnerships (RHPs); 354.1735, concerning Participants; 354.1737, concerning RHP Plan Update for DY9-10; 354.1739, concerning RHP Plan Update Review; 354.1741, concerning RHP Plan Update Modifications; 354.1743, concerning Independent Assessor; 354.1745, concerning Categories; 354.1747, concerning Performer Valuations; 354.1749, concerning Category A Requirements for Performers; 354.1751, concerning Category B Requirements for Performers; 354.1753, concerning Category C Requirements for Performers; 354.1755, concerning Category D Requirements for Performers; 354.1757, concerning Disbursement of Funds; 355.8216, concerning Delivery System Reform Incentive Payments for Demonstration Years 9-10; and 355.8218, concerning Funding for DSRIP Monitoring Program for Demonstration Years 9-10. All sections are in TAC Title 1, Part 15, Chapters 354 and 355.
5. Delivery System Reform Incentive Payment (DSRIP) Program Demonstration Years 9-10- Andy Vasquez, Director, Quality and Program ImprovementHHSC proposes to amend §354.1707, relating to Performer Valuations, and proposed new §§354.1729, concerning Definitions; 354.1731, concerning Medicaid and Low-income or Uninsured Patient Population by Provider; 354.1733, concerning Regional Healthcare Partnerships (RHPs); 354.1735, concerning Participants; 354.1737, concerning RHP Plan Update for DY9-10; 354.1739, concerning RHP Plan Update Review; 354.1741, concerning RHP Plan Update Modifications; 354.1743, concerning Independent Assessor; 354.1745, concerning Categories; 354.1747, concerning Performer Valuations; 354.1749, concerning Category A Requirements for Performers; 354.1751, concerning Category B Requirements for Performers; 354.1753, concerning Category C Requirements for Performers; 354.1755, concerning Category D Requirements for Performers; 354.1757, concerning Disbursement of Funds; 355.8216, concerning Delivery System Reform Incentive Payments for Demonstration Years 9-10; and 355.8218, concerning Funding for DSRIP Monitoring Program for Demonstration Years 9-10. All sections are in TAC Title 1, Part 15, Chapters 354 and 355.
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6. Local Provider Participation Fund Reporting
- Charles Greenberg, Director of Hospital Finance and Waiver Programs
HHSC proposes new TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 4, § 355.8068, concerning Local Provider Participation Fund Reporting.
6. Local Provider Participation Fund Reporting - Charles Greenberg, Director of Hospital Finance and Waiver Programs HHSC proposes new TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 4, § 355.8068, concerning Local Provider Participation Fund Reporting.
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8. Inpatient Hospital Reimbursement
- Victoria Grady, Director, Rate Analysis
HHSC proposes to amend TAC Title 1, Part 15, Chapter 355 Subchapter J, Division 4, Section 355.8052, concerning Inpatient Hospital Reimbursement, to provide increased Medicaid inpatient reimbursement to rural hospitals effective September 1, 2019, and to create a new standard dollar amount add-on for children’s hospitals called the Children’s Hospital Supplemental add-on.
8. Inpatient Hospital Reimbursement - Victoria Grady, Director, Rate Analysis HHSC proposes to amend TAC Title 1, Part 15, Chapter 355 Subchapter J, Division 4, Section 355.8052, concerning Inpatient Hospital Reimbursement, to provide increased Medicaid inpatient reimbursement to rural hospitals effective September 1, 2019, and to create a new standard dollar amount add-on for children’s hospitals called the Children’s Hospital Supplemental add-on.
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9. Reimbursement Methodology for the Home and Community-based Services, Texas Home Living, and Day Activity and Health Services programs
- Victoria Grady, Director, Rate Analysis
HHSC proposes to amend TAC Title 1, Part 15, Chapter 355, §355.112, concerning Attendant Compensation Rate Enhancement; §355.723, concerning Reimbursement Methodology for Home and Community-Based Services and Texas Home Living Programs; and §355.6907, concerning Reimbursement Methodology for Day Activity and Health Services.
9. Reimbursement Methodology for the Home and Community-based Services, Texas Home Living, and Day Activity and Health Services programs - Victoria Grady, Director, Rate Analysis HHSC proposes to amend TAC Title 1, Part 15, Chapter 355, §355.112, concerning Attendant Compensation Rate Enhancement; §355.723, concerning Reimbursement Methodology for Home and Community-Based Services and Texas Home Living Programs; and §355.6907, concerning Reimbursement Methodology for Day Activity and Health Services.
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10. Reimbursement Methodology for Physical, Occupational, and Speech Therapy Services
- Victoria Grady, Director, Rate Analysis
HHSC proposes amendments to Title 1, Part 15, Chapter 355, Subchapter J, Division 5, §355.8097, concerning Reimbursement Methodology for Physical, Occupational, and Speech Therapy Services.
10. Reimbursement Methodology for Physical, Occupational, and Speech Therapy Services - Victoria Grady, Director, Rate Analysis HHSC proposes amendments to Title 1, Part 15, Chapter 355, Subchapter J, Division 5, §355.8097, concerning Reimbursement Methodology for Physical, Occupational, and Speech Therapy Services.
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Items 12 & 13 » - 12. Proposed next meeting: November 7, 2019, at 9:00 a.m. 13. Adjourn
Items 12 & 13 »
12. Proposed next meeting: November 7, 2019, at 9:00 a.m. 13. Adjourn
