The following state agency health care hearings have been scheduled between October 31 and November 20.
11/3/2015
Texas State Board of Pharmacy
November 3, 2015 – 9:00 AM
333 Guadalupe Street, Suite 2-225, Austin
Agenda: A. Announcements Meeting Procedures Board Members Staff Continuing Education B. Discussion and Approval of Minutes (Tab 01) TSBP Board Business Meeting Held August 4, 2015 Temporary Suspension Hearings C. Discussion of and Possible Action Regarding Rules C.1 Final Adoption of Rules C.1.1 Amendments to §§281.7 and 281.9 Concerning Grounds for Discipline (Tab 02) C.1.2 Amendments to §283.2 Concerning Graduates from the Canadian Council for Accreditation of Pharmacy Programs (Tab 03) C.1.3 Amendments to §291.3 Concerning Notification Requirements of Senate Bill 460 (Tab 04) C.1.4 Amendments to §291.17 Concerning Inventory Requirements (Tab 05) C.1.5 Amendments to §291.32, 291.53 and 291.73 Concerning Pharmacist-in-Charge (Tab 06) C.1.6 Amendment to §291.34 Concerning Prescription Transfer Requirements (Tab 07) C.1.7 Amendments to §§283.12 and 297.10 Concerning Military Services Members, Military Veterans, and Military Spouses (Tab 08) C.1.8 Amendments to §295.15 Concerning Procedures Relating to Immunizations and Hand Sanitizing (Tab 09) C.1.9 New Rule §295.16 Concerning Administration of Epinephrine by a Pharmacist (Tab 10) C.1.10 New Rule §309.5 and Amendments to §§291.33, 291.34, 291. 104, 309.1-309.4, and 309.6-309.8 Concerning House Bill 751 Interchangeable Biological Products (Tab 11) C.1.11 Amendments to §291.76 Concerning Class C Pharmacies Located in Freestanding Ambulatory Surgical Centers and §291.151 Concerning Class F Pharmacies Located in Freestanding Emergency Medical Care Centers (Tab 12) C.1.12 Amendments to §291.103 Concerning the Pharmacist-in- Charge of Class E Pharmacies (Tab 13) C.2 Proposal of Rules C.2.1 Amendments to §281.8 Concerning Grounds for Discipline for a Pharmacy License (Tab 14) C.2.2 Amendments to §283.2 Concerning the Definition of a Healthcare Professional (Tab 15) C.2.3 Amendments to §283.5 Concerning the Duties of a Pharmacist -Intern (Tab 16) C.2.4 Amendments to §291.104 Concerning Inspection Reports for Non-Resident Pharmacies (Class E) (Tab 17) C.2.5 Amendments to §291.133 Concerning Compounding Sterile Preparations (Tab 18) C.2.6 New Rules §§315.1 – 315.15 Concerning Controlled Substances (Tab 19) C.3 Rule Reviews in Accordance with Government Code, Section §2001.039 (Tab 20) C.3.1 For Proposal: C.3.1.1 Chapter 291 Concerning Pharmacies (Community Pharmacy ( Class A))(§§291.31-291.35) (Tab 21) C.3.1.2 Chapter 283 Concerning Licensing Requirements for Pharmacists(§§283.1-283.12) (Tab 22) D. Discussion of and Possible Action Concerning the Following Reports and Discussions D.1 Financial Update D.1.1 Review of FY2015 Expenditures (Tab 23) D.1.2 Review of Board Member Travel Budget (Tab 24) D.1.3 Consideration of Material Changes to Contracts for Goods and Services Awarded Under Chapter 2155 of Texas Government Code (Tab 25) D.2 Update Concerning Program to Aid Impaired Pharmacists and Pharmacy Students D.2.1 Update on Number of Participating Individuals (Tab 26) D.2.2 Professional Recovery Network (PRN) D.2.2.1 Presentation and Discussion Concerning PRN Expenditures and Activities by PRN Director Courtney Hulbert (Tab 27) D.2.2.2 Review and Approval of Professional Recovery Network Program Audit (Tab 28) D.3 Discussion Concerning TSBP FY2017-2021 Strategic Plan (Tab 29) D.4 Discussion Concerning Nasal Sprays and Whether They Should be Compounded in a Sterile Environment (Tab 30) D.5 Discussion Concerning Recordkeeping for Sterile Compounding in Hospitals (Tab 31) D.6 Discussion Concerning Pharmacy Automation Rules (Tab 32) D.7 Discussion Concerning a Log of Initials or Codes that Identify Individuals Involved in the Data Entry of a Prescription (Tab 33) D.8 Discussion Concerning Medical Board Rules Regarding Telemedicine (Tab 34) D.9 Report on Appeals from State Office of Administrative Hearings Cases and Other Court Actions (Tab 35) D.10 Report on the Prescription Monitoring Program Implementation (Tab 36) D.11 Report on Sunset Review (Tab 37) D.12 Update on Legislation Filed During the 84th Texas Legislative Session that has an Impact on TSBP and/or the Practice of Pharmacy (Tab 38) E. Disciplinary Orders E.1 Consideration of Proposals for Decision (Tab 39) E.2 Report on Agreed Board Orders Entered by Executive Director (Tab 40) E.3 Discussion of and Action on Proposed Agreed Board Orders and Default Orders (Tab 41) E.4 Executive Session to Consider Confidential Agreed Board Orders (Tab 42) E.5 Discussion of and Action on Proposed Remedial Plans (Tab 43) F. Consideration of and Possible Action Concerning the Following Enforcement Reports F.1 Report on Complaints Closed and Dismissed During the Previous Quarter (Tab 44) F.2 Report on Status of Active/Pending Complaints (Tab 45) G Miscellaneous G.1 Items to be Placed on Agenda for February 2016 Board Meeting (Tab 46) G.2 Discussion of and Possible Action on Recent Conferences and Events National Association of Boards of Pharmacy/American Association of Colleges of Pharmacy (NABP/AACP)District VI, VII, and VIII Annual Meeting, Incline Village, NV September 14 – 17, 2015 National Community Pharmacists Association (NCPA) Annual Convention, Washington, DC October 10 – 14, 2015 National Association of Boards of Pharmacy – Interactive Executive Officer Forum, Northbrook, IL October 13-14, 2015 MALTA-GON Louisville, KY October 25 – 28, 2015 Academy of Managed Care Pharmacy (AMCP) – Nexus Orlando, FL October 26 – 29, 2015 American Society of Consultant Pharmacist (ASCP)Annual Meeting, Las Vegas, NV October 30 – November 1, 2015 G.3 Discussion of and Possible Action on Upcoming Conferences and Events Technician Informal Conference, Austin, November 12, 2015 ( Miller) Informal Conference, Austin, December 1 – 2, 2015(Wiesner) Technician Informal Conference, Austin, December 8, 2015(Kedron) Informal Conference, Austin, January 5 – 7, 2016 Technician Informal Conference, Austin, January 21, 2016 TSBP Board Business Meeting, Austin February 2-3, 2016 G.4 Election to Fill Unexpired Position of Vice President (Tab 47). Additional Information Contact: Becky Damon, 512/305-8026
11/4/2015
Texas Higher Education Coordinating Board
November 4, 2015 – 10:00 AM
1200 East Anderson Lane, Board Room, First Floor Room 1.170, Austin
Health-Related Institutions Formula Advisory Committee Agenda I. Call to order II. Consideration and approval of the minutes from October 7, 2015, meeting III. Discussion, review, and consideration of the Commissioner's 2018-2019 Biennium charges IV. Discussion, review, and consideration of the Committee's report to the Commissioner V. Planning for subsequent meetings, if needed VI. Adjournment. Additional Information Contact: David Young, 512/427-6139
Texas Medical Board
November 4, 2015 – 03:00 PM
333 Guadalupe, Tower 2, Room 400A, Austin
Enforcement Stakeholder Group 1. Introduction 2. Proposed Rule Amendments to Title 22 Texas Administrative Code: Chapter 170 – Pain Management s170.3(4) – Guidelines – Agreement for Treatment of Chronic Pain 3. Adjourn. Additional Information Contact: Rita Chapin, 512/305-7016
11/5/2015
Department of State Health Services
November 5, 2015 – 01:30 PM
Texas Department of State Health Services (DSHS), G-103, 1100 West 49th Street, Austin
Tobacco Settlement Permanent Trust Account Administration Advisory Committee Teleconference Access Please dial (877) 820 – 7831 and enter participant passcode: 423598# Note: the pound key [#] must be entered after the participant passcode The Committee will meet in a telephone conference call meeting to discuss and possibly act on: I. Welcome and Call to Order II. Roll Call III. Introduction of New Members IV. Approval of October 22, 2014 Meeting Minutes V. Review of 2015 Distribution VI. Review of 2015 Audits VII. Approval of Proposed Program Rule Changes-25 TAC 102 VIII. Tentative date for next annual meeting IX. Adjourn Membership: Jerry Bearden Betsy Briscoe Honorable Woodrow Gossom Jonny Hipp Michael Nunez Honorable Daryl Primo Honorable David Bird Keri Disney-Story R. King Hillier Carolyn Konecny Eddie Olivarez. Additional Information Contact: Elaine McHard, 512/776-6646
Texas Health and Human Services Commission
November 5, 2015 – 01:30 PM
701 West 51st St. (Department of Aging and Disability Services, John H. Winters Building, Public, Hearing Room), Austin
Hospital Payment Advisory Committee 1:30 p.m. Meeting Site: Department of Aging and Disability Services John H. Winters Building Public Hearing Room 701 West 51st St. Austin, TX 78751 1. Opening comments: William Galinsky, Hospital Payment Advisory Committee Chair. 2. Approval of February 12, 2015, meeting minutes (Vote required). 3. Provider Re-enrollment Status Update Presentation.* Health and Human Services Commission (HHSC) staff will provide an update on current provider re-enrollment activities and status. KJ Scheib, Director, Operations Management, HHSC notice of proposed rule/action item: 4. Potentially Preventable Readmissions (PPR) and Potentially Preventable Complications (PPC).* HHSC proposes amendments to Title 1, Part 15, Chapter 354, Subchapter A, Division 35, s354.1445 (Potentially Preventable Readmissions) and s354.1446 (Potentially Preventable Complications.) The rules are being amended for two reasons. The first is to outline the ability of a hospital to request its underlying data used in the analysis that determines penalties and incentive payments. The proposed amendments specify the additional information a hospital can expect in the underlying data, including readmission data on other hospitals. The second reason is to identify a methodology for incentives for HHSC-defined safety-net hospitals. This is pursuant to House Bill 1, 84th Legislature, Regular Session, 2015 (Article II, Special Provisions Section 59(b)), which directs HHSC to provide incentive payments to safety-net hospitals in the amount of $150,378,593 (all funds) in fiscal year 2016 and $148,641,716 (all funds) in fiscal year 2017. It specifies that HHSC establish a program to use ten percent of these additionally appropriated funds to distribute to safety-net hospitals based on quality metrics. Total reimbursement for each hospital must not exceed its hospital specific limit. However, HHSC will expend ten percent of these funds to provide additional increases to safety-net hospitals above which exceed existing quality metrics, which may result in exceeding the hospital specific limit. To the extent possible, HHSC will ensure that any funds included in Medicaid managed care capitation rates are distributed by the managed care organizations to the hospitals. – Matthew Ferrara, Director, Health Policy and Clinical Services Quality Unit, HHSC 5. General public comment period 6. Proposed next meeting: Thursday, February 11, 2016, at 1:30 p.m. 7. Adjourn *Public comment will be taken on this agenda item. Additional Information Contact: Carmen Hernandez, 512/424-6634
Texas Board of Occupational Therapy Examiners
November 5, 2015 – 02:00 PM
Renaissance Dallas Richardson Hotel; Classical Boardroom; 900 E. Lookout Drive, Richardson
Education Committee 1. Call to Order 2. Public Comment 3. Approval of Minutes of August 14, 2015 4. Discussion and possible action on proposing rule amendments to Chapter 367 including the possible removal of AOTA as an approved provider of continuing education as per s367.1, Continuing Education, and other continuing education issues 5. Discussion and possible action on questions received by the Texas Board of Occupational Therapy Examiners related to continuing education 6. Discussion and possible action on future meeting dates and agenda items 7. Adjournment. Additional Information Contact: Lea Weiss, 512/305-6900
11/6/2015
Texas Board of Occupational Therapy Examiners
November 6, 2015 – 08:00 AM
Renaissance Dallas Richardson Hotel; Orchestra Room; 900 E. Lookout Drive, Richardson
Rules Committee 1. Call to Order 2. Public Comment 3. Approval of Minutes of August 13, 2015 4. Discussion and possible action on proposing a rule amendment to s374.4, Code of Ethics, including discussion regarding inclusion of AOTA's 2015 Code of Ethics and removal of AOTA's 2010 Code of Ethics 5. Discussion on the following rules: A. s364.1, Requirements for Licensure B. s364.2, Initial License by Examination C. s364.3, Temporary License D. Chapter 370, License Renewal E. Chapter 376, Registration of Facilities F. Proposed new s363.2, Petition for the Adoption of a Rule 6. Discussion and possible action on questions received by the Texas Board of Occupational Therapy Examiners related to the OT Practice Act and Board Rules 7. Discussion and possible action on future meeting dates and agenda items 8. Adjournment. Additional Information Contact: Lea Weiss, 512/305-6900
Texas Health and Human Services Commission
November 6, 2015 – 09:00 AM
4800 North Lamar Blvd. (Department of Assistive and Rehabilitative Services, Criss Cole Rehabilitation, Center), Austin
Pharmaceutical & Therapeutics Committee November 6, 2015 9 a.m. Meeting Site: Department of Assistive and Rehabilitative Services Criss Cole Rehabilitation Center 4800 North Lamar Blvd. Austin, TX 78756 1. Call to order 2. Approval of minutes from July 24, 2015 (vote required).* 3. Old business: Report on Health and Human Services Commission (HHSC) decisions on acceptance of the Pharmaceutical & Therapeutics (P&T) Committee recommendations from the July 24, 2015, meeting. 4. New business: Drug classes to be reviewed for the Medicaid Preferred Drug List (PDL)*: a. Androgenic Agents b. Antibiotics, GI c. Antibiotics, Topical d. Antibiotics, Vaginal e. Antiemetic/Antivertigo Agents f. Antifungals, Oral g. Antifungals, Topical h. Antiparasitics, Topical i. Antipsychotics j. Antivirals, Topical k. Bone Resorption Suppression and Related Agents l. Colony Stimulating Factors m. Cytokine & CAM Antagonists n. Epinephrine, Self-Injected o. GI Motility, Chronic p. Growth Hormone q. Hypoglycemics, Incretin Mimetics/Enhancers r. Hypoglycemics, Insulin and Related Agents s. Hypoglycemics, Meglitinides t. Hypoglycemics, TZD u. Macrolides-Ketolides v. Opiates Dependence Treatments w. Otic Anti-Infectives & Anesthetics x. Penicillins y. Tetracyclines 5. New business: New drugs to be reviewed for the Medicaid PDL.*: a. Angiotensin Modulators / Entresto b. COPD Agents / Stiolto Respimat c. Neuropathic Pain / Irenka d. NSAIDs / Tivorbex e. Phosphate Binders / Fosrenol powder pack f. Stimulants & Related Agents / Aptensio XR 6. Therapeutic and clinical drug reviews and updates – Chris Andrews, Pharm.D., Magellan Medicaid Administration. 7. Executive work session. Pursuant to Texas Government Code, Chapter 531, and in accordance with Title 1, Texas Administrative Code, Part 15, Subchapter F, Section 354.1928, the Pharmaceutical & Therapeutics Committee may meet in executive session on one or more items listed under new business as permitted by the Texas Open Meetings Act. 8. Announcement of drugs recommended for the Medicaid PDL. 9. Adjourn 10. Next meeting date: January 21, 2016. *Public comment will be taken on this agenda item. Additional Information Contact: Joe Urtado, 512/707-6099
Texas Board of Occupational Therapy Examiners
November 6, 2015 – 09:00 AM
Renaissance Dallas Richardson Hotel; Orchestra Room; 900 E. Lookout Drive, Richardson
1. Call to Order 2. Public comment 3. Approval of Minutes of August 14, 2015 4. Discussion and possible action on the Executive Director's Report concerning fiscal and budgetary matters, performance measures, ongoing projects, agency personnel matters, the current Sunset Review, Executive Council activity, and other agency business 5. Investigation Committee Report A. Review and possible action on Agreed Orders for case numbers: 13-144; 14-141; 15-057; 15-143; 15-195; 15-197; 15-201; 15-206; 15-215; 15-219; 15-220; 15-227 and 15-229 B. Discussion and possible action on the Investigation Committee Meeting of October 13, 2015 C. Discussion and possible action on investigative activities to date 6. Discussion and possible action on adopting changes to proposed s364.1. Requirements for Licensure; s364.2, Initial License by Examination; s364.3, Temporary License; Chapter 370, License Renewal; and Chapter 376, Registration of Facilities, and adopting new s363.2, Petition for the Adoption of a Rule 7. Rules Committee Report Discussion and possible action on recommendations from the Rules Committee including the following items: A. Discussion and possible action on proposing a rule amendment to s374.4, Code of Ethics, including discussion regarding inclusion of AOTA's 2015 Code of Ethics and removal of AOTA's 2010 Code of Ethics B. Discussion on the following rules: 1. s364.1, Requirements for Licensure 2. s364.2, Initial License by Examination 3. s364.3, Temporary License 4. Chapter 370, License Renewal 5. Chapter 376, Registration of Facilities 6. Proposed new s363.2, Petition for the Adoption of a Rule C. Discussion and possible action on questions received by the Texas Board of Occupational Therapy Examiners related to the OT Practice Act and Board Rules 8. Education Committee Report Discussion and possible action on recommendations from the Education Committee including the following items: A. Discussion and possible action on proposing rule amendments to Chapter 367 including the possible removal of AOTA as an approved provider of continuing education as per s367.1, Continuing Education, and other continuing education issues B. Discussion and possible action on questions received by the Texas Board of Occupational Therapy Examiners related to continuing education 9. Discussion and possible action on the OT Coordinator's Report. The Coordinator's Report may concern any items listed on the agenda and events that have occurred between this meeting and the Board's last meeting. 10. Discussion and possible action on the Presiding Officer's Report. The Presiding Officer's report may concern any items listed on the agenda and events that have occurred between this meeting and the Board's last meeting. 11. Discussion and possible action on scheduling future Board meeting dates and agenda items for future consideration 12. Adjournment. Additional Information Contact: Lea Weiss, 512/305-6900
Comptroller of Public Accounts
November 6, 2015 – 10:00 AM
208 E. 10th Street, Room #320, Austin
Tobacco Settlement Permanent Trust Account Investment Advisory Committee 1. Call to Order 2. Approval of Minutes of March 27, 2015 Meeting 3. Capital Markets Overview and Investment Performance Review for the Quarter Ending June 30, 2015 and Related Matters 4. Endowment Portfolio Update and Related Matters 5. Discussion of 2015 Annual Distribution and Distribution Stabilization Account (DSA) Contribution Objectives 6. Discussion of Next Meeting and Agenda Items 7. Public Comment 8. Adjourn. Additional Information Contact: Nora Arredondo, 512/463-4636
Department of State Health Services
November 6, 2015 – 10:00 AM
Department of State Health Services (DSHS), Moreton Building, Room M-653, 1100 West 49th Street, Austin
Texas State Child Fatality Review Team Committee The State Child Fatality Review Team (SCFRT) Committee will meet to discuss and possibly act on the following agenda: I. Roll Call and Establishment of Quorum II. Review & Approval of Meeting Minutes from the August 7th Meeting III. Biker Against Child Abuse presentation IV. Dr. Sarah Northup – Child Fatality Review data project V. Discuss State Child Fatality Review Team annual report recommendations VI. Updates from CFRT coordinator – Amy Bailey a) Children's Justice Act grant – communities chosen b) Injury Prevention Conference and regional trainings c) EMS record availability d) Child Safety CoIIN e) Team member lists f) Set 2016 meeting dates Next Meeting: Friday TBD 10:00am -2:00pm Location: DSHS Campus, TBD. Additional Information Contact: Amy Bailey, 512/776-2311
Department of State Health Services
November 6, 2015 – 2:00 PM
1310 North FM 1788, Midland
Emergency Medical Services Committee of the Governor's EMS and Trauma Advisory Council (GETAC) Agenda: Call to Order/Roll Call Discussion and possible action on the following items: 1. Review entirety of DSHS EMS rules at Title 25 of Texas Administrative Code (TAC), Chapter 157, and provide input on proposed revisions or amendments, including DSHS staff's draft proposed revisions/amendments to 25 TAC 157, sections: 157.2, entitled: Definitions; 157.3, entitled: Processing EMS Provider Licenses and Applications for EMS Personnel Certification and Licensure; 157.11, entitled: Requirements for an EMS Provider License; 157.12, entitled: Rotor-wing Air Ambulance Operations; 157.13, entitled: Fixed-wing Air Ambulance Operations; 157.14, entitled: Requirements for a First Responder Organization License; 157.16, entitled: Emergency Suspension, Suspension, Probation, Revocation or Denial of a Provider License; 157.32, entitled: EMS Education Program and Course Approval; 157.33, entitled: Certification; 157.34, entitled: Recertification; 157.36, entitled: Criteria for Denial and Disciplinary Actions for EMS Personnel and Applicants and Voluntary Surrender of a Certificate; 157.37, entitled: Certification or Licensure of Persons With Criminal Backgrounds; 157.38, entitled: Continuing Education; 157.39, entitled: Comprehensive Clinical Management Program Approval; 157.40, entitled: Paramedic Licensure; 157.43, entitled: Course Coordinator Certification; and 157.44, entitled: Emergency Medical Service Instructor Certification. General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Colin Crocker, 512/ 834-6700 X 2706
11/9/2015
Department of State Health Services
November 9, 2015 – 10:00 AM
Department of State Health Services (DSHS), DSHS Lecture Hall K-100, 1100 West 49th Street, Austin
Air Medical Committee Meeting of the Governor's EMS and Trauma Advisory Council (GETAC) Call to Order/Roll Call Discussion and possible action on the following items: 1. Input on the revisions to the EMS and Trauma Systems rules in Title 25 of the Texas Administrative Code (TAC), Chapter 157. 2. Review and consider endorsement of the Pediatric Inter-Facility Transfer Guidelines Draft presented at the May 13, 2015 meeting. 3. Review workgroup recommendations / adaptions of Pediatric Recognition Program and consider combining Advanced Life Support / Basic Life Support recommendations to form one list. 4. Review comments by Mr. Dudley Wait made at the August GETAC Air Medical Committee meeting; possibly formulate response to issues presented. General Public Comment (Comment time may be limited at Chair's discretion) Summary of this meeting for the GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Colin Crocker, 512/834-6700
Department of State Health Services
November 9, 2015 – 10:00 AM
Department of State Health Services, Moreton Building, Room M-653, 1100 West 49th Street, Austin
Texas School Health Advisory Committee The Committee will meet to discuss and possibly act on the following agenda: I. Call to Order II. Welcome and Introductions III. Approval of the Agenda – Action Item IV. Reading and Approval of the September 14, 2015, Minutes – Action Item V. Presentation on e-cigarettes – Information Item VI. Research and Recommendation on Promoting Positive School Climates to Improve Student Outcomes – Discussion Only Item VII. Research and Recommendation on Physical Activity: Impact on Academic Performance – Discussion Only Item VIII. Mental Health and Suicide Prevention Resources Toolkit – Action Item IX. Research and Recommendation on Health Issues and Parent Involvement – Discussion Only Item X. Agency Updates: Texas Education Agency, Texas Department of Agriculture, Texas Department of State Health Services – Information Items XI. Revision of the following documents: A. Research and Recommendation on Physical Education and Health Education for All Texas Students K-12 – Action Item B. Research and Recommendation on Recess and Physical Activity: Impact on Student Health and Academic, Social, and Emotional Development – Discussion Only Item C. Resources for Students and Families Dealing with Economic Crisis – Discussion Only Item XII. Agenda Topics for School Health Advisory Councils – Call for New Topics – Action Item XIII. Coordinated School Health Data Sets – Call for New Websites – Action Item XIV. Reminder of Next Meeting Date: January 11, 2016 – Information Item Determine Agenda Topics – Action Item XV. Public Comment XVI. Adjourn. Additional Information Contact: Ellen Smith, 512/776-7111
11/10/2015
Texas Health and Human Services Commission
November 10, 2015 – 1:30 PM
4900 North Lamar Blvd.(Health and Human Services Commission, Brown-Heatly Building, Public Hearing Room), Austin
STAR+PLUS Stakeholder Meeting November 10, 2015 1:30 p.m. Meeting Site: Health and Human Services Commission Brown-Heatly Building Public Hearing Room 4900 North Lamar Blvd. Austin, TX 78751 Call-in: 1-877-226-9790 Access Code: 1101316 This meeting will be webcast. To access the webcast, go to http: //www.hhsc.state.tx.us/news/meetings.asp the day and time of the meeting. 1. Welcome 2. Attendant Care Enhancement Program in STAR+PLUS.* 3. Financial update* 4. Electronic Visit Verification update.* 5. Long-Term Services and Supports update.* 6. Health Plan Management update.* 7. Questions regarding STAR+PLUS Program.* *Public comment will be taken on this agenda item. Additional Information Contact: Charles Bredwell, 512/462-6337
11/12/2015
Texas Health and Human Services Commission
November 12, 2015 – 1:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rate for the Clinical Laboratory Services- Oncotype ® DX Breast Cancer Assay. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Clinical Laboratory Services – Oncotype ® DX Breast Cancer Assay. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. Proposal. The payment rates for the Clinical Laboratory Services – Oncotype ® DX Breast Cancer Assay is proposed to be effective November 1, 2015. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC §355.8610, which addresses the reimbursement methodology for clinical laboratory services. Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 29, 2015. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax: Attention: Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2015 – 1:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for the Healthcare Common Procedure Coding System Updates. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Healthcare Common Procedure Coding System (HCPCS) updates. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. Proposal. The payment rates for the HCPCS updates are proposed to be effective January 1, 2016, for Alemtuzumab (Q9979). Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 29, 2015. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery; Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention: Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2015 – 1:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for the Medical Policy Review of Pathology and Laboratory Services – Drug Testing and Therapeutic Drug Assays. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medical Policy Review of Clinical Laboratory Services – Drug Testing and Therapeutic Drug Assays. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. Proposal. The payment rates for the Medical Policy Review of Clinical Laboratory Services – Drug Testing and Therapeutic Drug Assays were proposed to be effective November 1, 2015. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC §355.8610, which addresses the reimbursement methodology for clinical laboratory services. Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 29, 2015. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery; Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention: Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2015 – 1:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for the Medical Policy Review of Diagnostic and Therapeutic Breast Procedures. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medical Policy Review of Diagnostic and Therapeutic Breast Procedures. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. Proposal. The payment rates for the Medical Policy Review of Diagnostic and Therapeutic Breast Procedures are proposed to be effective January 1, 2016. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; §355.8121, which addresses the reimbursement methodology for Ambulatory Surgical Centers; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 29, 2015. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery; Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention: Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2015 – 1:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for the Medical Policy Review of Magnetoencephalography. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medical Policy Review of Magnetoencephalography. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. Proposal. The payment rates for the Medical Policy Review of Magnetoencephalography are proposed to be effective January 1, 2016. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8061, which addresses outpatient hospital reimbursement; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps). Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 29, 2015. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery; Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention: Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2015 – 1:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for the Medical Policy Review of Pathology and Laboratory Services – Microbiology. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medical Policy Review of Pathology and Laboratory Services – Microbiology. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. Proposal. The payment rates for the Medical Policy Review of Pathology and Laboratory Services – Microbiology are proposed to be effective January 1, 2016. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8610, which addresses the reimbursement methodology for Clinical Laboratory Services. Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 29, 2015. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery; Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention: Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2015 – 1:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for the Medical Policy Review of Vision Services Nonsurgical. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medical Policy Review of Vision Services Nonsurgical. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements. Proposal. The payment rates for the Medical Policy Review of Vision Services Nonsurgical are proposed to be effective January 1, 2016. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services (known in Texas as Texas Health Steps); and §355.8461, which addresses the reimbursement methodology for EPSDT Eyeglasses and Contact Lenses. Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 29, 2015. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery; Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention: Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
Texas Health and Human Services Commission
November 12, 2015 – 1:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for the Medicaid Biennial Calendar Fee Review. Proposal. The payment rates for the Medicaid Biennial Calendar Fee Review are proposed to be effective January 1, 2016, for the following services: Access to Care; “B” Codes (Enteral supplies); Medicaid Long-Acting Reversible Contraceptives (LARCs); Medicaid Family Planning Services (excluding LARCs); Musculoskeletal System Surgery; “Q” Codes (Physician, DME, and physician-administered drugs); “R” Codes (Transportation of portable x-ray equipment to home or nursing home, per trip); Radiopharmaceuticals; Respiratory System Surgery; “T” Codes (Registered nurse services, sign language or oral interpretive services, screening for specified programs, and environmental lead investigation); Hospital Outpatient Imaging (Q0035). Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8021, which addresses the reimbursement methodology for home health services and durable medical equipment, prosthetics, orthotics, and supplies; §355.8061, which addresses outpatient hospital reimbursement; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services (known in Texas as Texas Health Steps); and §355.8581, which addresses the reimbursement methodology for Family Planning Services. Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 29, 2015. Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RADAcuteCare@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery; Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention: Rate Analysis at 512-730-7475. Email: RADAcuteCare@hhsc.state.tx.us
11/17/2015
Texas Health and Human Services Commission
November 17, 2015 – 10:30 AM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building, Public Hearing, Room), Austin
The Perinatal Advisory Council November 17, 2015 10:30 a.m. Meeting Site: Health and Human Services Commission Brown-Heatly Building Public Hearing Room 4900 North Lamar Blvd. Austin, TX 78751 This meeting will be webcast. To access the webcast, go to http://www.hhsc.state.tx.us/news/meetings.asp the day and time of the meeting. 1. Call to order 2. Roll call; introduction of new members. 3. Approval of the minutes (Meeting September 22, 2015). 4. Status of draft rules proposed for Neonatal Levels of Care. 5. Planning Subcommittee Report on House Bill 2131 Subcommittee requirements.* 6. Lunch (Recess) 7. Neonatal Intensive Care Unit Utilization Study.* 8. Discussion on Maternal Levels of Care.* 9. Public comment 10. Set agendas, dates, times, and locations of upcoming meetings in 2016. 11. Adjourn *Public comment will be taken on this agenda item. Additional Information Contact: David Williams, 512/380-4374
11/20/2015
Texas Health and Human Services Commission
November 20, 2015 – 1:30 PM
John H. Winters Building, Public Hearing Room, 701 West 51st Street, Austin
Proposed Medicaid Hospice Payment Rates. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing on November 20, 2015, to receive public comment on proposed Medicaid payment rates for hospice routine home care, continuous home care, inpatient respite care, general inpatient care, and the new service intensity add-on payment rate. The Medicaid hospice program is operated by the Department of Aging and Disability Services. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and Texas Administrative Code (TAC) Title 1, §355.105(g), which require public notice and hearings on proposed Medicaid reimbursement rates before such rates are approved by HHSC. Proposal. The payment rates for hospice routine home care, continuous home care, inpatient respite care, and general inpatient care are proposed to be effective October 1, 2015. In addition, in accordance with the final Medicare hospice rule published in the Federal Register on August 6, 2015 (CMS-1629-F), HHSC is proposing dual routine home care payment rates and a new service intensity add-on payment rate to be effective January 1, 2016. Methodology and Justification. The hospice reimbursement methodology is located at the Code of Federal Regulations, Title 42, Part 418, Subpart G. Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after October 30, 2015. Those interested may also obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RAD-LTSS@hhsc.state.tx.us. The briefing package will also be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted in lieu of, or in addition to, oral testimony until 5:00 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail: Texas Health and Human Services Commission, Rate Analysis Department, Mail Code H-400 , P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail or hand delivery: Texas Health and Human Services Commission, Rate Analysis Department, Mail Code H-400, Brown Heatly Building , 4900 North Lamar, Austin, Texas 78751-2316. Phone number for package delivery: 512-730-7401. Fax: Attention: Rate Analysis at 512-730-7475. Email: RAD-LTSS@hhsc.state.tx.us
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