August 16, 2018 - 9:00am

Health and Human Services Commission John H. Winters Human Services Complex Public Hearing Room
701 West 51st St.
Austin Texas, 78751

Agenda

Webcasting Available

This meeting will be webcast. To access the webcast, go to https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings the day and time of the meeting.

ACTION ITEMS:

1. Initiate Formal Meeting: Gilbert Handal, M.D., Medical Care Advisory Committee Chair


2. Medicaid and Children’s Health Insurance Program Activities: Stephanie Stephens, Health and Human Services Commission (HHSC) Deputy State Medicaid Director


3. Approval of May 17, 2018, meeting minutes (Vote required)


4. Nursing Facility Requirements for Licensure and Medicaid Certification

   HHSC proposes amendments to Texas Administrative Code (TAC) Title 40, Part 1, Chapter 19, concerning Nursing Facility Requirements for Licensure and Medicaid Certification §§19.1, 19.101, 19.401 - 19.411, 19.413, 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. HHSC proposes new §§19.425, 19.426, 19.701, 19.904, 19.1102, 19.1116, and 19.1931. HHSC proposes the repeal of §§19.412, 19.414, 19.418, 19.701, 19.705, 19.1102, 19.1103, 19.1903, and 19.1904.
   - Sharon Wallace, Rule Developer, Regulatory Services Division, HHSC

5. Nursing Facility Utilization Reviews

   HHSC proposes amendments to TAC Title 1, Part 15, Chapter 371, Subchapter C, §371.214(n)(1), concerning Resource Utilization Group Classification System
   - Judy Knobloch, Assistant Deputy Inspector General, HHSC-OIG Division of Medical Services

6. Peer Specialists

   HHSC proposes new TAC Title 1, Part 15, Chapter 354, Subchapter N, concerning Peer Specialist Services
   - Laura Gold, Medicaid/CHIP Senior Policy Advisor, HHSC

7. Establishment of Peer Support Specialists and State Supported Living Centers as eligible Medicaid Providers

   HHSC proposes amendments to TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 5, §355.8085, concerning Reimbursement Methodology for Physicians and Other Practitioners.
   - Dan Huggins, Director Acute Care Services, HHSC Rate Analysis

8. Establishment and Adjustment of Reimbursement Rates by the Health and Human Services Commission

   HHSC proposes amendments to TAC Title 1, Part 15, Chapter 355, Subchapter B, §355.201, concerning Establishment and Adjustment of Reimbursement Rates by the Health and Human Services Commission.
   - Victoria Grady, Deputy Director for Hospitals, HHSC Rate Analysis

9. Public comment


10. Proposed next meeting: November 8, 2018, at 9:00 a.m.


11. Adjourn

Public comment may be taken on any agenda item.

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Suzanna Carter, Committee Coordinator, Medicaid and CHIP Services Department, 512-730-7423, suzanna.carter@hhsc.state.tx.us.

This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting.

People with disabilities who wish to attend the meeting and require auxiliary aids or services should contact Carter at 512-730-7423 at least 72 hours before the meeting so appropriate arrangements can be made.