STAR Kids Update
- Children under 21 who receive SSI or home and community based waiver services
- Will eventually incorporate services provided by the Youth Empowerment Services
- Excluded:
- HCS
- CLASS
- DBMD
- TxHmL
- YES
- ICFD and nursing home patients
- SB 7 created a STAR KIDS advisory committee with a wide variety of stakeholders
- Next meeting in March
- A draft RFP will be released in the spring, and the formal RFP will be posted in the summer
Medical Transportation Program Request For Proposal Update
- SB 8 directed HHSC to create a managed transportation delivery model for MTP by 9/1/14
- Excluding areas that already have a full risk broker
- 9 regional meetings were held for stakeholder input
- Final RFP was posted in November and responses are due January 23, 2014
- Tentative awards will be announced in March
Community Partner Program Update
- Network of community based organizations helping the community to connect to YourTexasBenefits.com
- 420 total community partners
- 402 organizations in the enrollment process
- Utilization has of the website has increased
- Launched a new CPP website with a searchable database for community partners
- Provides web based training and certification process
- Two new required web based training programs regarding the marketplace have been added due to the ACA
- Other resources regarding the ACA are on the website
Texas Transformation Waiver Update
- 5 year Medicaid demonstration waiver
- UC pool and DSRIP pool of monies
- Over 1270 DSRIP projects have been approved for the first two years of funding
- Texas providers have the potential to earn over 4.2B in AF in DY 2 and 3
- The second round of payments will be made in January (roughly 1B)
- HHSC submitted a waiver amendment to allow the state to retain 345M that was not spent in the previous demonstration year
- Waiting for approval
Texas Women's Health Program Update
- Implemented November 2012
- Fully state funded on January 1, 2013
- Continue to do outreach to providers
- Women can apply online via texaswomenshealth.org
- New outreach materials for non-profit organizations and service providers to share information about the program in their communities
- Making changes in the provider certification process to make it easier to enroll
- 2014 program certification process start date has not been determined at this time
Non-Emergent Services Provided by Ambulance Providers Update
- SB 8 requires HHSC to conduct a thorough review of policies related to the use of non-emergent ambulance services
- HHSC is asking for stakeholder recommendations regarding changes that would help reduce fraud, waste and abuse
- Comments are due January 31, 2014
Rider 51: Appropriate Payment of Delegated Physician Services Update
- Reviewing payment processes
- HHSC identified that there were issues with Texas Health Steps providers
- APRNs and PAs have been reimbursed at 100% of the physician rate, but HHSC is correcting the policy to follow the traditional 92% reimbursement rate
Next meeting will be on April 14, 2014.