September 7, 2017 Health and Human Services Commission Executive Council
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Item 1 - Welcome and Opening Remarks
a. Executive Council Membership
b. 2018 Executive Council Meeting Dates
c. HHSC Transformation Update
Item 1
Welcome and Opening Remarksa. Executive Council Membership
b. 2018 Executive Council Meeting Dates
c. HHSC Transformation Update
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Item 2 - Information Presentations*
a. Inspector General Quarterly Report
b. Ombudsman Report
c. Behavioral Health Advisory Committee
Item 2
Information Presentations*a. Inspector General Quarterly Report
b. Ombudsman Report
c. Behavioral Health Advisory Committee
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Item 3A - Proposed Rules*
The Health and Human Services Commission proposes new sections, amendments, and
repeals to certain sections in Title 40 Texas Administrative Code (TAC), Part 19, Chapter 743,
Minimum Standards for Shelter Care, and Chapter 745, Licensing, concerning Background
Checks (https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3a-40R026-CCL-background-checks.pdf)
Item 3A
Proposed Rules*The Health and Human Services Commission proposes new sections, amendments, and
repeals to certain sections in Title 40 Texas Administrative Code (TAC), Part 19, Chapter 743,
Minimum Standards for Shelter Care, and Chapter 745, Licensing, concerning Background
Checks (https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3a-40R026-CCL-background-checks.pdf)
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Item 3B - HHSC proposes amendments to §19.212 and §19.2322 in Title 40 TAC, Part 1, Chapter 19,
Nursing Facility Requirements for Licensure and Medicaid Certification, Subchapters C and X,
concerning Nursing Facility Applications and Informal Reviews
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3b-40R011-NF-Applications-and-Informal-reviews.pdf)
Item 3B
HHSC proposes amendments to §19.212 and §19.2322 in Title 40 TAC, Part 1, Chapter 19,Nursing Facility Requirements for Licensure and Medicaid Certification, Subchapters C and X,
concerning Nursing Facility Applications and Informal Reviews
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3b-40R011-NF-Applications-and-Informal-reviews.pdf)
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Item 3C - HHSC proposes amendments to §§97.2, 97.13, and 97.17, and new §97.30 in Title 40 TAC,
Part 1, Chapter 97, Licensing Standards for Home and Community Support Services Agencies,
Subchapters A and B, concerning an Inpatient Unit at the Parent Agency of a Home and
Community Support Services Agency
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3c-6R19-Inpatient-Unit-at-Parent-Agency-HCSSA.pdf)
Item 3C
HHSC proposes amendments to §§97.2, 97.13, and 97.17, and new §97.30 in Title 40 TAC,Part 1, Chapter 97, Licensing Standards for Home and Community Support Services Agencies,
Subchapters A and B, concerning an Inpatient Unit at the Parent Agency of a Home and
Community Support Services Agency
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3c-6R19-Inpatient-Unit-at-Parent-Agency-HCSSA.pdf)
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Item 3D - HHSC proposes new rules to certain sections in Title 40 TAC, Part 1, Chapter 19, Nursing
Facility Requirements for Licensure and Medicaid Certification; Chapter 90, Intermediate Care
Facilities for Individuals with an Intellectual Disability or Related Conditions; and Chapter 92,
Licensing Standards for Assisted Living Facilities concerning Wheelchair Self-Release Seat
Belts (https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3d-40R057-Wheelchair-Self-Release-Seat-Belts.pdf)
Item 3D
HHSC proposes new rules to certain sections in Title 40 TAC, Part 1, Chapter 19, NursingFacility Requirements for Licensure and Medicaid Certification; Chapter 90, Intermediate Care
Facilities for Individuals with an Intellectual Disability or Related Conditions; and Chapter 92,
Licensing Standards for Assisted Living Facilities concerning Wheelchair Self-Release Seat
Belts (https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3d-40R057-Wheelchair-Self-Release-Seat-Belts.pdf)
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Item 3E - HHSC proposes an amendment to §353.1301 in Title 1 TAC, Part 15, Chapter 353, Medicaid
Managed Care, Subchapter O, concerning Disallowance Provisions in Directed Payment
General Provisions (https://hhs.texas.gov/sites/default/files//documents/abouthhs/
communications-events/meetings-events/council/82111-3e-1R061-Disallowance-in-
General-Provisions.pdf)
Item 3E
HHSC proposes an amendment to §353.1301 in Title 1 TAC, Part 15, Chapter 353, MedicaidManaged Care, Subchapter O, concerning Disallowance Provisions in Directed Payment
General Provisions (https://hhs.texas.gov/sites/default/files//documents/abouthhs/
communications-events/meetings-events/council/82111-3e-1R061-Disallowance-in-
General-Provisions.pdf)
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Item 3F - HHSC proposes an amendment to §353.1305 in Title 1 TAC, Part 15, Chapter 353,
Reimbursement Rates, Subchapter O, concerning Uniform Hospital Rate Increase Program
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communications events/meetings-events/council/82111-3f-1R065-Uniform-Hospital-Rate-Increase-
Program.pdf)
Item 3F
HHSC proposes an amendment to §353.1305 in Title 1 TAC, Part 15, Chapter 353,Reimbursement Rates, Subchapter O, concerning Uniform Hospital Rate Increase Program
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communications events/meetings-events/council/82111-3f-1R065-Uniform-Hospital-Rate-Increase-
Program.pdf)
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Item 3G - HHSC proposes new §355.315 in Title 1 TAC, Part 15, Chapter 355, Reimbursement Rates,
Subchapter C, concerning Reimbursement Methodology for Preadmission Screening and
Resident Review Specialized Services
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3g-1R055-PASRR-Specialized-Services.pdf)
Item 3G
HHSC proposes new §355.315 in Title 1 TAC, Part 15, Chapter 355, Reimbursement Rates,Subchapter C, concerning Reimbursement Methodology for Preadmission Screening and
Resident Review Specialized Services
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3g-1R055-PASRR-Specialized-Services.pdf)
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Item 3H - HHSC proposes new §355.8205 and §355.8206 in Title 1 TAC, Part 15, Chapter 355,
Reimbursement Rates, Subchapter J, Division 11, and new rules to certain sections in Chapter
354, Medicaid Health Services, Subchapter D, Division 7, concerning the Delivery System
Reform Incentive Payment Program Demonstration Years 7-8
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3h-1R031-DSRIP-Program-Demo-Years-7-8.pdf)
Item 3H
HHSC proposes new §355.8205 and §355.8206 in Title 1 TAC, Part 15, Chapter 355,Reimbursement Rates, Subchapter J, Division 11, and new rules to certain sections in Chapter
354, Medicaid Health Services, Subchapter D, Division 7, concerning the Delivery System
Reform Incentive Payment Program Demonstration Years 7-8
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3h-1R031-DSRIP-Program-Demo-Years-7-8.pdf)
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Item 3I - The Department of State Health Services (DSHS) proposes amendments to certain sections in
Title 25 TAC, Part 1, Chapter 97, Communicable Diseases, Subchapter G, concerning
Vaccination Stamps (https://hhs.texas.gov/sites/default/files//documents/abouthhs/
communications-events/meetings-events/council/82111-3i-25R020-Vaccination-
Stamps.pdf)
Item 3I
The Department of State Health Services (DSHS) proposes amendments to certain sections inTitle 25 TAC, Part 1, Chapter 97, Communicable Diseases, Subchapter G, concerning
Vaccination Stamps (https://hhs.texas.gov/sites/default/files//documents/abouthhs/
communications-events/meetings-events/council/82111-3i-25R020-Vaccination-
Stamps.pdf)
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Item 3J - DSHS proposes amendments to §§37.142 – 37.145 in Title 25 TAC, Part 1, Chapter 37,
Maternal and Infant Health Services, Subchapter G, concerning the Spinal Screening Program
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3j-25R049-Spinal-Screening-Program.pdf)
Item 3J
DSHS proposes amendments to §§37.142 – 37.145 in Title 25 TAC, Part 1, Chapter 37,Maternal and Infant Health Services, Subchapter G, concerning the Spinal Screening Program
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-3j-25R049-Spinal-Screening-Program.pdf)
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Item 4A - Information Items
HHSC prepared an amendment to §355.8221 in Title 1 TAC, Part 15, Chapter 355,
Reimbursement Rates, Subchapter J, Division 12, concerning Reimbursement Methodology
for Certified Registered Nurse Anesthetists
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-4a-1R054-Reimbursement-for-Nurse-Anesthetists.pdf)
Item 4A
Information ItemsHHSC prepared an amendment to §355.8221 in Title 1 TAC, Part 15, Chapter 355,
Reimbursement Rates, Subchapter J, Division 12, concerning Reimbursement Methodology
for Certified Registered Nurse Anesthetists
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-4a-1R054-Reimbursement-for-Nurse-Anesthetists.pdf)
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Item 4B - HHSC adopted amendments to §355.308 in Title 1 TAC, Part 15, Chapter 355, Reimbursement
Rates, Subchapter C, concerning Nursing Facility Direct Care Staff Enhancement Program
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-4b-1R005-Direct-Care-Enhancement.pdf)
Item 4B
HHSC adopted amendments to §355.308 in Title 1 TAC, Part 15, Chapter 355, ReimbursementRates, Subchapter C, concerning Nursing Facility Direct Care Staff Enhancement Program
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-4b-1R005-Direct-Care-Enhancement.pdf)
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Items 4C & 5 - c. HHSC adopted amendments to §355.112 and §355.723 in Title 1 TAC, Part 15, Chapter 355,
Reimbursement Rates, Subchapters A and F, concerning Attendant Compensation Rate
Enhancement Program and Reimbursement Methodology for Home and Community-based
Services and Texas Home Living (TxHmL)
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-4c-1R005-Attendant-Compensation-for-HCS-and-
TxHmL.pdf)
5. Adjourn
Items 4C & 5
c. HHSC adopted amendments to §355.112 and §355.723 in Title 1 TAC, Part 15, Chapter 355,Reimbursement Rates, Subchapters A and F, concerning Attendant Compensation Rate
Enhancement Program and Reimbursement Methodology for Home and Community-based
Services and Texas Home Living (TxHmL)
(https://hhs.texas.gov/sites/default/files//documents/about-hhs/communicationsevents/
meetings-events/council/82111-4c-1R005-Attendant-Compensation-for-HCS-and-
TxHmL.pdf)
5. Adjourn
