The following state agency health care hearings have been scheduled between July 4 and July 24.
7/6/2015
Texas Health and Human Services Commission
July 6, 2015 – 01:30 PM
4900 North Lamar Blvd. (Brown-Heatly Building, Room 1430), Austin
State Medicaid Managed Care Advisory Committee Subcommittee on Recommendation Member Experience 10: Managed Care Organization (MCO) Telephone Trees 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 3. Selection of subcommittee chair* 4. Discussion of existing barriers to accessing phone trees. 5. Demonstration of STAR+PLUS Health Plan's phone tree systems. 6. Presentation on technological simplification of MCO phone trees. 7. Public Comment 8. Discussion of future meetings 9. Adjournment *Public comment will be taken on this agenda item. Additional Information Contact: Charles Bredwell, 512/462-6337
Texas Medical Board
July 6, 2015 – 02:00 PM
333 Guadalupe, Tower 3, Suite 610, Austin
Physician Health Program (PHP) Workgroup Meeting 1. Call to order and roll call. 2. Discussion, recommendation, and possible action relating to the current status of PHP and future plans. 3. Adjourn. Additional Information Contact: Laura Fleharty, 512/305-7174
7/8/2015
Texas Higher Education Coordinating Board
July 8, 2015 – 10:00 AM
1200 E. Anderson Lane, Board Room, Room 1.170, Austin
Family Practice Residency Advisory Committee 1. Welcome and Introduction – Roland Goertz, MD, Chair 2. Consideration of summary notes for March 6, 2015 meeting – Dr. Goertz 3. Report on FPRP Legislative Appropriation – Coordinating Board Staff 4. Consideration of Fiscal Year 2016 Funding Recommendation – Dr. Goertz 5. Consideration and discussion of audit requirements in Senate Bill 215 (83rd Legislative Session (R)), and State Auditor's Office opinion – Coordinating Board Staff 6. Discussion relating to FPRP Rules 6.7 and 6.8 requiring that programs must have been in operation for at least three years to be eligible for operational grant funding – Dr. Goertz 7. Consideration and discussion of instructions for Annual Financial Report – Dr. Goertz 8. Update on status of Graduate Medical Education Expansion grant programs – Coordinating Board Staff 9. Update on 84th Legislative Session – Coordinating Board Staff 10. Discussion of future agenda items and future meeting dates – Dr. Goertz 11. Adjournment. Additional Information Contact: Suzanne Pickens, 512/427-6240
7/9/2015
Texas Health and Human Services Commission
July 9, 2015 – 10:00 AM
6330 East Highway 290 (ITT Technical Institute Building, Theory/Classrooms Rooms 3 and 4), Austin
The Quality-Based Payment Advisory Committee 1. Welcome and Introductions 2. Approval of the January 28, 2015, Meeting Minutes 3. Resignations (Dr. Robert Stephens) 4. Informational presentations on value-based payment projects in Texas Lunch (Recess) 5. Staff update on 84th Texas Legislature and discussion 6. Committee Discussions and Recommendations a. Discussion and recommendations on implementation of 84th Texas Legislature items b. Discussion and recommendations on next steps for Texas Medicaid-CHIP regarding quality-based payments 7. Public Comment 8. Next Meeting (TBD) 9. Adjourn. Additional Information Contact: James Cooley, 512/380-4376
Texas Higher Education Coordinating Board
July 9, 2015 – 10:00 AM
1200 E. Anderson Lane, Board Room, Room 1.170, Austin
Higher Education Strategic Planning Committee Meeting Foci: Discussion of the Final Draft of the Next Long-Range Strategic Plan for Texas Higher Education; Communicating with Stakeholders; Final Recommendations Agenda Welcome, Overview of July 9th Meeting, Approval of May 14th Meeting Minutes, and Summary of Committee Discussions to Date Discussion of Comments on the Final Draft Plan from Members of the Coordinating Board's Committee on Affordability, Accountability and Planning; Potential Methods of Communicating with Stakeholders Break/Retrieve Provided Luncheon Working Luncheon: Final Recommendations on the Draft Plan Today's Consensus among Strategic Planning Committee Members Adjournment. Additional Information Contact: Mary Smith, 512/427-6193
Texas Health and Human Services Commission
July 9, 2015 – 01:00 PM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown Heatly Building, Public Hearing, Room)
Employment First Task Force 1. Welcome and introductions. 2. State Employment Leadership Network presentation. 3. State agency updates. 4. Workgroup review and evaluation. 5. Employment First Task Force report planning and timeline. 6. Public comment. 7. Adjourn.
7/10/2015
Texas Health and Human Services Commission
July 10, 2015 – 09:00 AM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building, Room 1410, 1420,, 1430), Austin
Traumatic Brain Injury Advisory Council 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 and determination of quorum. 2. Welcome and Introductions. 3. Approval of April 10, 2015, Minutes (vote required *). 4. Executive session: Council appointment. 5. Report by the Chair on the Council's activities since April 10, 2015. 6. Member reports on activities since April 10, 2015, and announcements of pertinent information. 7. Break. 8. Committee Reports and Assignments: a. Membership Committee; b. Education and Resources Committee; and, c. Legislative Committee. 9. Acceptance of Committee Reports (vote required *). 10. Report by the Office of Acquired Brain Injury. 11. Presentation on Brain Injury Insurance Law. 12. General Public comments.* 13. Adjourn. *Public comment will be taken on this agenda item. The next Traumatic Brain Injury Advisory Council meeting is scheduled for Friday, October 9, 2015, at 9 a.m. Committee meetings will be held the day before on Thursday, October 8, 2015, from 1 p.m. to 5 p.m. Additional Information Contact: Gabi Teal, 512/706-7319
7/12/2015
Texas State Board of Pharmacy
July 12, 2015 – 09:15 AM
The Woodlands Waterway Marriott Hotel & Convention Center, 1601 Lake Robbins Drive, The Woodlands
Members of the Texas State Board of Pharmacy will participate in a Forum at the Texas Pharmacy Association meeting. Additional Information Contact: Becky Damon, 512/305-8026
7/13/2015
Texas State Board of Pharmacy
July 13, 2015 – 10:00 AM
333 Guadalupe Street, Room 2-225, Austin
Interagency Prescription Monitoring Work Group I. Call to Order and Welcome (10:00 a.m.) II. Introductions III. Review timeline for implementing transfer of the Texas Prescription Monitoring Program from the Texas Department of Public Safety to the Texas State Board of Pharmacy IV. Review of the proposed functions of PMP system V. Discussion VI. Adjourn. Additional Information Contact: Allison Benz, 512/305-8037
7/14/2015
Texas Board of Chiropractic Examiners
July 14, 2015 – 09:00 AM
333 Guadalupe Street, Tower 2, Room 225, Austin
The Texas Board of Chiropractic Examiners' Enforcement Committee will consider and act, if necessary, on matters within the jurisdiction of the committee which are listed in the agenda, as follows: Pending Complaints (including cases recommended for closure) #s: 106-067, 107-006, 2014-195, 2014-205, 2014-212, 2014-214, 2014-235, 2015-046, 2015-079, 2015-080, 2015-081, 2015-090, 2015-102, 2015-122, 2015-129, 2015-143, 2015-145, 2015-150, 2015-153, 2015-161, 2015-164, 2015-165, 2015-168, 2015-170, 2015-173, 2015-176, 2015-180, 2015-181, 2015-187, 2015-192, 2015-194. Requests to expunge #'s: NA. Discussion and recommendations for Rule Committee concerning X-rays and the handling of records consistent with Board rules. Discussion and recommendations for Rule Committee concerning Maximum Sanctions Table in accordance with the Chiropractic Act section 201.503. Discussion and recommendations for Rule Committee concerning rules to prevent fraud in accordance with the Chiropractic Act Section 201.1555. Discussion and recommendations for Rule Committee concerning modification of complaint procedures presently codified under 22 TAC section 78.8. The Committee may meet from time to time in Executive Session with respect to the above items as authorized by the Texas Open Meetings Act, Chapter 551 of the Government Code. Additional Information Contact: Mary Feys, 512/305-6901
Texas Health and Human Services Commission
July 14, 2015 – 10:00 AM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building, Room 1420 -, 1430), Austin
Task Force on Domestic Violence 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, Introductions, and Announcements. 2. Approve May 20, 2015, Meeting Minutes. (vote required) 3. Task Force on Domestic Violence Committee Reports. 4. Discussion of the required report for House Bill 2620, 83rd Legislature, Regular Session, 2013. Final approval of report. (vote required) 5. Next steps in moving forward with the work of the Task Force. 6. Public Comment. 7. Closing Remarks. 8. Adjourn. Additional Information Contact: Vicki Magee, 512/420-2826
Texas Health and Human Services Commission
July 14, 2015 – 01:00 PM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown-Heatly Building,Room 4501), Austin
The Intellectual and Developmental Disability (IDD) System Redesign Advisory Committee Transition to Managed Care Subcommittee 1. Welcome and Introductions. 2. Review and accept June 2, 2015, Intellectual and Developmental Disability (IDD) System Redesign Advisory Committee Transition to Managed Care Subcommittee Meeting Minutes. 3. Member and Provider Access to Service Coordination Information Discussion. 4. Managed Care Organizations Presentation on Medical Homes. 5. Regional Coordination of Services for Individuals with IDD Discussion. 6. State Agency Updates: a. Community First Choice Update; b. Legislative Update; c. Employment First Initiative Update; d. Minimum Base Wage Increase for Attendants Update; e. Hospital Level of Care (LOC) Update; and, f. Senate Bill 7 Pilots Update. 7. Discussion of Future Meeting Date and Agenda Items. 8. Adjourn. Additional Information Contact: Kathi Montalbano, 512/730-7409
7/15/2015
Texas Health and Human Services Commission
July 15, 2015 – 09:00 AM
Brown Heatly Building, Public Hearing Room, 4900 N. Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Primary Home Care, Community Attendant Services, and Family Care Non-Priority Personal Attendant Services; Day Activity and Health Services; Residential Care; Medically Dependent Children Program Attendant Services; Community First Choice Services; the Proxy Rate for Attendant Services used in the Calculation of the STAR+PLUS Managed Care Capitation Rates for the Home and Community-based Services Risk Group; and all associated Consumer Directed Services Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing on July 15, 2015, at 9 a.m. to receive public comment on proposed base rate increases for attendant services provided under the following programs operated by the Department of Aging and Disability Services (DADS): Primary Home Care; Community Attendant Services; Family Care; Consumer-Managed Personal Assistance Services; Residential Care; Day Activity and Health Services; Medically Dependent Children Program; and Consumer Directed Services. The hearing will also receive public comment on proposed base rate increases for certain attendant and habilitation services provided under the Community First Choice (CFC) program operated by DADS and HHSC. Finally, the hearing will receive public comment on proposed base rate increases for the proxy rate for attendant services used in the calculation of the STAR+PLUS managed care capitation rates for the Home and Community-based Services (HCBS) risk group and its associated Consumer Directed Services rate. 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 that public hearings be held on proposed reimbursement rates before such rates are approved by HHSC. Proposal. HHSC proposes to increase the base rates for Primary Home Care, Community Attendant Services, and Family Care Non-Priority Personal Attendant Services; Consumer-Managed Personal Assistance Services, Day Activity and Health Services; Residential Care; Medical Dependent Children Program Respite Services provided by an attendant; CFC State Plan (STAR+PLUS) Attendant and Habilitation Services, the proxy rate for attendant services used in the calculation of the STAR+PLUS managed care capitation rates for the HCBS risk group; and all associated Consumer Directed Services. The proposed rates will be effective September 1, 2015 and were determined in accordance with the rate setting methodologies listed below under “Methodology and Justification.” Methodology and Justification. The proposed payment rates incorporate provisions in the 2016-17 General Appropriations Act that included funds to support increases in the base wages of personal attendants to $8.00 per hour. See General Appropriations Bill, 84th Legislature, R.S., article. II, at II-131 (Health and Human Services Section, Special Provisions for all Health and Human Services Agencies, § 47). HHSC calculated the proposed payment rates in accordance with the rate setting methodologies codified at title 1, section 355.112 of the TAC, relating to Attendant Compensation Rate Enhancement and title 1, section 355.9090 of the TAC, relating to Reimbursement Methodology for Community First Choice. 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 July 3, 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 kyle.baxter@hhsc.state.tx.us. The briefing package also will 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: 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: Health and Human Services Commission, Rate Analysis Department, Mail Code H-400, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax Attention: Kyle Baxter at 512-730-7475. Email: kyle.baxter@hhsc.state.tx.us
Texas Health and Human Services Commission
July 15, 2015 – 11:00 AM
Brown Heatly Building, Public Hearing Room, 4900 N. Lamar Blvd., Austin
Proposed Medicaid Payment Rates for non-state operated Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions and the Home and Community-based Services waiver program. Hearing. Health and Human Services Commission will conduct a public hearing on July 15, 2015, at 11 a.m. to receive public comment on proposed rate increases for the following programs operated by the Department of Aging and Disability Services (DADS): non-state operated Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions; and the Home and Community-based Services waiver program. 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 that public hearings be held on proposed reimbursement rates before such rates are approved by HHSC. Proposal. HHSC proposes to increase payment rates for non-state operated Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions and for certain services provided in the Home and Community-based Services waiver program. The proposed rates will be effective September 1, 2015 and were determined in accordance with the rate setting methodologies listed below under “Methodology and Justification.” Methodology and Justification. The proposed payment rates incorporate provisions in the 2016-17 General Appropriations Act that included funds to support rate increases for non-state operated Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions and for rate increases for services determined not to be fully funded for the Home and Community-based Services waiver program. See General Appropriations Bill, 84th Legislature, R.S., article II, at II-18 (DADS, Riders 39 and 40). HHSC calculated the proposed payment rates in accordance with the rate setting methodologies codified at Title 1, Sections 355.456 and 355.723 of the Texas Administrative Code. 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 July 3, 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 kyle.baxter@hhsc.state.tx.us. The briefing package also will 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: 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: Health and Human Services Commission, Rate Analysis Department, Mail Code H-400, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax Attention: Kyle Baxter at 512-730-7475. Email kyle.baxter@hhsc.state.tx.us
Texas Health and Human Services Commission
July 15, 2015 – 02:00 PM
Brown Heatly Building, Public Hearing Room, 4900 N. Lamar Blvd., Austin
Proposed Payment Rates for the 24-Hour Residential Child Care and Supervised Independent Living Program; and the Sub-Acute Inpatient Treatment Program. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing on July 15, 2015, at 2 p.m. to receive public comment on proposed payment rates for services provided under the following programs operated by the Department of Family and Protective Services (DFPS): 24-Hour Residential Child Care and Supervised Independent Living Program (24RCC/SIL); and the Sub-Acute Inpatient Treatment Program. Proposed payment rates under foster care redesign will be included as a topic for this public hearing. The hearing will be held in compliance with Texas Administrative Code (TAC) Title 1, §355.7103(a)(2), which requires public notice and hearings on proposed 24RCC/SIL reimbursements. Proposal. HHSC proposes to increase payment rates for certain services for the 24RCC/SIL program, to propose a new payment rate for the Sub-Acute Inpatient Treatment Program and to propose rates for foster care redesign, including blended foster care rates and a rate ceiling for exceptional care. The proposed rates will be effective September 1, 2015, and were determined in accordance with the rate setting methodologies listed below under “Methodology and Justification.” Methodology and Justification. The proposed payment rates were determined in accordance with the 2016-17 General Appropriations Act that included funds to support rate increases for certain services in the 24RCC/SIL Program as well as funds to support a new Sub-Acute Inpatient Treatment Program. See General Appropriations Act, 84th Legislature, R.S., article. II, at II-45 (DFPS Rider 42). HHSC calculated the proposed payment rates in accordance with the proposed amended rate setting methodology for 24RCC/SIL codified at title 1, section 355.7103 of the TAC and the proposed new rate setting methodology for the Sub-Acute Inpatient Treatment Program to be codified at title 1, section 355.7107 of the TAC. The proposed amendment and new section were published in the June 26, 2015, issue of the Texas Register. 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 July 3, 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 kyle.baxter@hhsc.state.tx.us. The briefing package also will 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: 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: Health and Human Services Commission, Rate Analysis Department, Mail Code H-400, 4900 North Lamar, Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax Attention: Kyle Baxter at 512-730-7475. Email kyle.baxter@hhsc.state.tx.us
7/16/2015
Texas Health and Human Services Commission
July 16, 2015 – 09:00 AM
4900 North Lamar Blvd. (Health and Human Services Commission, Brown Heatly Building, Public Hearing, Room), Austin
Promoting Independence Advisory Committee 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 and Introductions. 2. 84th Legislative Session State Agency Updates. 3. State Supported Living Center Update. 4. Community First Choice Update. 5. Employment First Task Force Update. 6. Public Comment. 7. Adjourn. Additional Information Contact: April Young, 512/424-6911
Texas Board of Orthotics and Prosthetics
July 16, 2015 – 10:00 AM
Exchange Building, Room N-102, 8407 Wall Street, Austin
Rules Workgroup Meeting The Workgroup will meet to discuss and possibly act on the following agenda: *Work not completed July 16, 2015 will be taken up the following day at the same location. 1. Call to Order – Introduction of Members, Guests, and Staff. 2. Discussion and possible action regarding recommendations to the Texas Board of Orthotics and Prosthetics regarding possible amendments, repeal, and new rules 22 Texas Administrative Code Chapter 821, including recommendations on rule review as required by Texas Government Code s2001.039. 3. Public Comment. 4. Adjournment. Additional Information Contact: Yvonne Feinleib, 512/834-4521
Texas Health and Human Services Commission
July 16, 2015 – 10:00 AM
701 West 51st St. (Department of Aging and Disability Services, Winters Building, Public Hearing Room), Austin
Medicaid Health Information Exchange Advisory This meeting will be webcast. To access the webcast, go to https://attendee.gotowebinar.com/register/1235031199759158018 on July 16, 2015, at 10 a.m. 1. Welcome and Introductions 2. Committee Minutes (vote required)* 3. State and Federal Developments* 4. Health and Human Services Health Information Exchange* 5. Statewide Health Information Exchange Activities* 6. Electronic Health Record Incentive Program and Meaningful Use* 7. Update on International Classification of Diseases, 10th Ed. (ICD-10) for Compliance Date – October 1, 2015* 8. Patient Matching in Health Information Exchanges* 9. Public Comment 10. Adjourn *Public comment will be taken on this agenda item. Additional Information Contact: David Fulton, 512/462-6233
7/17/2015
Texas Board of Orthotics and Prosthetics
July 17, 2015 – 10:00 AM
Exchange Building, Room N-102, 8407 Wall Street, Austin
Rules Workgroup Meeting The Workgroup will meet to discuss and possibly act on the following agenda: *Work not completed at the previous July 16, 2015 meeting at the same location will continue, if necessary, at this meeting. 1. Call to Order – Introduction of Members, Guests, and Staff. 2. Discussion and possible action regarding recommendations to the Texas Board of Orthotics and Prosthetics regarding possible amendments, repeal, and new rules 22 Texas Administrative Code Chapter 821, including recommendations on rule review as required by Texas Government Code s2001.039. 3. Public Comment. 4. Adjournment. Additional Information Contact: Yvonne Feinleib, 512/834-4521
Department of State Health Services
July 17, 2015 – 12:00 PM
Austin State Hospital Campus, 4110 Guadalupe Street, Bldg. 626 – Nifty Fifty Conference Room, Austin
Texas HIV Medication Advisory Committee The Advisory Committee will meet to discuss and possibly act on the following agenda: I. Call to Order – Philip Keiser, M.D. II. Approval of previous meeting minutes (December 5, 2014) – Philip Keiser, M.D. and Committee III. Update on the Division for Disease Control and Prevention Services – Janna Zumbrun/Imelda Garcia. IV. Texas HIV Medication Program (THMP) Budget Update – Texas Department of State Health Services (DSHS) Staff V. AIDS Drug Assistance Program (ADAP)/State Pharmacy Assistance Program (SPAP) update reports – DSHS Staff VI. Discussion of the Texas Human Immunodeficiency Virus (HIV) Treatment Cascade – DSHS Staff VII. Discussion of elvitegravir (Vitekta) VIII. Discussion of viekira pak (Abbvie) IX. Discussion of THMP and Part B Modified Adjusted Gross Income (MAGI) determination process X. Discussion of THMP third-party health insurance verification XI. Schedule next meeting – Philip Keiser, M.D. XII. Public comments – Philip Keiser, M.D. XIII. Adjourn – Philip Keiser, M.D. Additional Information Contact: Mary Richards, 512/776-7111
Texas Health and Human Services Commission
July 17, 2015 – 01:30 PM
Brown Heatly Building, Public Hearing Room, 4900 N. Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Early and Periodic Screening, Diagnosis, and Treatment, Texas Health Steps Personal Care Services and Community First Choice Personal Care Services. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Texas Health Steps (THSteps) Personal Care Services and Community First Choice Personal Care Services. The proposed rate actions are based on direction provided by the 2016-2017 General Appropriations Act, 84th Legislature, Regular Session, Article II, Rider 50, at pages II-96 through II-98 (Health and Human Services Section, HHSC). 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. HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website.Proposal. The payment rates for EPSDT THSteps Personal Care Services and Community First Choice Personal Care Services are proposed to be effective September 1, 2015. 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; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for EPSDT 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 July 3, 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
7/20/2015
Texas Health and Human Services Commission
July 20, 2015 – 09:00 AM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Boulevard, Austin
Proposed Medicaid Payment Rates for Physical, Occupational, and Speech Therapy provided by Comprehensive Outpatient Rehabilitation Facilities/ Outpatient Rehabilitation Facilities (CORF/ORF), Home Health Agencies (HHA), and Independent Therapists. Entry is through security at the main entrance of the building facing Lamar Blvd. This meeting will be webcast. Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Physical, Occupational, and Speech Therapy provided by Comprehensive Outpatient Rehabilitation Facilities/Outpatient Rehabilitation Facilities (CORF/ORF), Home Health Agencies (HHA), and Independent Therapists. The proposed rate actions are based on direction provided by the 2016-2017 General Appropriations Act, 84th Legislature, Regular Session, Article II, Rider 50, at pages II-96 through II-98 (Health and Human Services Section, Health and Human Services Commission). 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 Physical, Occupational, and Speech Therapy provided by Comprehensive Outpatient Rehabilitation Facilities/Outpatient Rehabilitation Facilities (CORF/ORF), Home Health Agencies (HHA), and Independent Therapists are proposed to be effective September 1, 2015. 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; §355.8085, 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 (EPSDT) 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 July 6, 2015. Interested parties 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 e-mail 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 e-mail: 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
7/21/2015
Texas Health and Human Services Commission
July 21, 2015 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Hospital Outpatient Imaging Services, Hospital Outpatient Reimbursement, Hospital Inpatient Reimbursement. Entry is through security at the main entrance of the building facing Lamar Boulevard. This meeting will be webcast. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for hospital outpatient imaging services, hospital outpatient service reimbursement, and hospital inpatient reimbursement. The hearing will be held in compliance with Texas Human Resources Code §32.0282 and Title 1 of the Texas Administrative Code (1 TAC) §355.201, which require public notice and hearings on proposed Medicaid reimbursements. Proposal. HHSC proposes to increase payment rates for the following: – Rural Hospital Outpatient Imaging Services – Rural Hospital Outpatient General Services – Hospital Inpatient Trauma Add-on. In addition, HHSC proposes a new safety-net add-on for Hospital Inpatient Services. The proposed rates will be effective September 1, 2015, and were determined in accordance with the rate setting methodologies described below under "Methodology and Justification." Methodology and Justification. The proposed payment rates were determined accordance with the 2016-17 General Appropriations Act (84th Legislature, R.S., article II, at II-122 to II-123, II-133 to II-134 (Health and Human Services Section, Special Provisions, Sections 32, 58, and 59)) and are contingent upon the availability of funds. The proposed amendments will allow HHSC to implement increases in trauma add-ons and to implement a new standard dollar amount (SDA) add-on for certain safety-net hospitals. The amendments will also allow HHSC to increase reimbursement to rural hospitals for outpatient imaging services, general outpatient services, and non-emergent emergency room services. The proposed payment rates were calculated in accordance with proposed amended rate setting methodologies at 1 TAC: – §355.8061, which addresses payment for outpatient hospital services; and – §355.8052, which addresses payment for inpatient hospital services. The proposed amendments were published in the June 26, 2015, issue of the Texas Register. Proposed Outpatient Hospital Rates – Imaging services in rural hospitals – Outpatient rural hospital imaging services will be reimbursed according to the outpatient hospital imaging service fee schedule with an add-on to the Medicaid fee schedule for non-rural hospitals that is stair-stepped. Fees will not exceed 100 percent of Medicare fees. – Rural Hospitals – General outpatient covered charges are proposed to be increased to 100 percent for all rural hospitals. Reimbursement will not exceed 100 percent of cost. – Non-emergent emergency department services in rural hospitals – Covered services provided in the hospital emergency department that do not qualify as an emergency are proposed to be increased from 60 percent to 65 percent of the covered charge amount. Reimbursement will not exceed 65 percent of cost. Proposed Inpatient Hospital Rates – Urban hospitals – Currently, an SDA trauma add-on is used for reimbursing urban hospitals that are designated as trauma facilities. To be eligible for the trauma add-on, a hospital must be designated as a trauma hospital by the Department of State Health Services. Proposed rates will increase the trauma add-on for eligible hospitals. The increase will be accomplished by increasing the percentage used to calculate the add-on. – Urban and Children’s hospitals – A new SDA “safety-net” add-on is proposed for reimbursing hospitals using the existing statewide rate with an additional add-on payment. To be eligible for the add-on, a hospital must be an urban or children's hospital that provides inpatient services to a large percentage of Medicaid or uninsured patients. The hospital must meet the eligibility and qualification requirements described in §355.8065. Briefing Package. A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml by July 10, 2015. Those interested may obtain a copy of the briefing package before the hearing by contacting the Rate Analysis Department by telephone at 512-730-7401; by fax at 512-730-7475; or by email at kyle.baxter@hhsc.state.tx.us. The briefing package also will 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: HHSC Rate Analysis Department, Mail Code H-400, P.O. Box 149030 , Austin, Texas 78714-9030 . Overnight mail, special delivery mail, or hand delivery, HHSC Rate Analysis Department, Mail Code H-400, Brown Heatly Building, 4900 North Lamar , Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention: Kyle Baxter at 512-730-7475. Email: kyle.baxter@hhsc.state.tx.us
7/22/2015
Texas Health and Human Services Commission
July 22, 2015 – 02:30 PM
Brown-Heatly Building , Public Hearing Room , 4900 North Lamar Boulevard, Austin
Proposed amendment to rules concerning Inpatient Hospital Reimbursement, Outpatient Hospital Reimbursement, and Potentially Preventable Readmission/Potentially Preventable Complications Incentive Payments. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive comments on the proposed amendments to §354.1445 and §354.1446 under Chapter 354, Subchapter A; and §355.8052 and §355.8061 under Chapter 355, Subchapter J. The proposed amendments were published in the June 26, 2015, issue of the Texas Register. See 40 TexReg 4081, 40 TexReg 4100, and 40 TexReg 4107. Written Comments. Written comments on the proposed amendments to §354.1445, concerning Potentially Preventable Readmissions, and §354.1446, concerning Potentially Preventable Complications, may be submitted at the public hearing or to Janna Doan, Program Specialist, Health and Human Services Commission, at 6330 Highway 290 East, Suite 100, Austin, Texas 78723; by fax to 512-380-4380; or by e-mail to janna.doan@hhsc.state.tx.us within 30 days of the publication of this proposal in the Texas Register. Written comments on the proposed amendments to §355.8052 concerning Inpatient Hospital Reimbursement may be submitted at the public hearing or to Kevin Niemeyer, Hospital Rate Analyst, Hospital Rate Analysis Department, Health and Human Services Commission, Mail Code H-400, P. O. Box 13247, Austin, Texas 78711; by fax to 512-747-7475; or by e-mail to kevin.niemeyer@hhsc.state.tx.us within 30 days of publication of this proposal in the Texas Register. Written comments on the proposed amendments to §355.8061 concerning Outpatient Hospital Reimbursement may be submitted at the public hearing or to Laura Skaggs, Hospital Rate Analyst, Hospital Rate Analysis Department, Health and Human Services Commission, Mail Code H-400, P. O. Box 13247, Austin, Texas 78711; by fax to 512-747-7475; or by e-mail to laura.skaggs@hhsc.state.tx.us within 30 days of publication of this proposal in the Texas Register.
Texas Health and Human Services Commission
July 22, 2015 – 03:30 PM
Brown-Heatly Building , Public Hearing Room , 4900 North Lamar Boulevard, Austin
Proposed amendments to rules concerning Reimbursement Methodology for HCS and TxHmL Programs and Reimbursement Methodology for ICF/IID. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive comments on the proposed amendments to §355.723 under Chapter 355 Subchapter F and §355.456 under Chapter 355 Subchapter D. The proposed amendments were published in the June 26, 2015, issue of the Texas Register. See 40 Tex Reg 4085 and 40 TexReg 4088. Written Comments. Written comments on the proposed amendments to the rules may be submitted at the public hearing or to Victor Perez, Rates Analysis Department, Health and Human Services Commission, at 4900 N Lamar Blvd, Austin, Texas 78751; by fax to (512) 730-7475; or by e-mail to victor.perez@hhsc.state.tx.us within 30 days of publication of this proposal in the Texas Register.
7/23/2015
Texas Health and Human Services Commission
July 23, 2015 – 09:00 AM
701 West 51st St.(Department of Aging and Disability Services, John H. Winters Building, Public, Hearing Room), Austin
Drug Utilization Review Board 1. Call to Order. 2. Approval of Minutes from April 23, 2015, Drug Utilization Review (DUR) Board Meeting. (Vote Required)* 3. Retrospective DUR: Larry Dent, Pharm. D., BCPS. (Xerox Heritage, LLC). a. Report on Recent Retrospective DUR Interventions sent: i. Asthma Disease Management. ii. Anxiolytics and Sedative Hypnotics. b. Report on Recent Retrospective DUR Interventions Outcome: i. Attention Deficit Hyperactivity Disorder Management. ii. Anticonvulsant Management. iii. Diabetes Disease Management. c. Retrospective DUR Proposals: (Vote Required)* i. Rheumatoid Arthritis Management. ii. Bipolar Disorder Management. 4. Prospective Prior Authorization Proposals (Clinical Edits): Christina Faulkner, Pharm. D. (Health Information Designs, LLC). (Vote Required)* a. Cough and Cold. b. Forteo. 5. Retrospective Drug Use Criteria for Outpatient Use in Vendor Drug Program: Jennifer Seltzer, Pharm. D. (University of Texas San Antonio). (Vote Required)* a. Acetylcholinesterase Inhibitors. b. Aprepitant (Emend). c. Exenatide (Byetta, Bydureon). d. Pramlintide (Symlin). e. Rifaximin (Xifaxan). f. Serotonin 5-HT3 Receptor Antagonists. 6. Texas Sunset Commission Bill Update: Andy Vasquez, Medicaid and Children's Health Insurance Program (CHIP) Deputy Director, Vendor Drug Program. 7. Standard Prior Authorization Form: Tara McKinley, Pharm. D., Vendor Drug Program. 8. Next Meeting Date: Thursday, October 22, 2015. 9. Adjourn. *Public comment will be taken on this agenda item. Additional Information Contact: Joe Urtado, 512/707-6099
7/24/2015
Texas Health and Human Services Commission
July 24, 2015 – 09:00 AM
701 West 51st St. (Department of Aging & Disability Services, Winters Building,Public Hearing Room), Austin
Pharmaceutical & Therapeutics Committee 1. Call to Order. 2. Approval of Minutes from April 24, 2015 (vote required).* 3. Old Business: Report on Health and Human Services Commission (HHSC) decisions on acceptance of the P&T Committee recommendations from the April 24, 2015, meeting. 4. New Business: Drug Classes to be reviewed for the Medicaid Preferred Drug List (PDL) *: a. Alzheimer's Agents b. Antihistamines, Minimally Sedating c. Antihypertensives, Sympatholytic d. Antivirals, Oral e. Calcium Channel Blockers f. Cephalosporins and Related Antibiotics g. Fluoroquinolones, Oral h. Glucocorticoids, Oral i. Immunosuppressives, Oral j. Iron, Oral k. Leukotriene Modifiers l. NSAIDs m. Ophthalmic Antibiotic/Steroid Combinations n. Ophthalmic Antibiotics o. Ophthalmics for Allergic Conjunctivitis p. Ophthalmics, Anti-Inflammatory q. Ophthalmics, Glaucoma r. Otic Anti-Infectives & Anesthetics s. Otic Antibiotics t. Prenatal Vitamins u. Skeletal Muscle Relaxants v. Steroids, Topical High w. Steroids, Topical Low x. Steroids, Topical Medium y. Steroids, Topical Very High z. Ulcerative Colitis 5. New Business: New drugs to be reviewed for the Medicaid PDL*: a. Androgenic Agents / Natesto b. Antibiotics, Vaginal / Nuvessa c. Antifungals, Oral / Cresemba d. Antiparkinson's Agents / Rytary e. Beta Blockers / Sotylize f. Bile Salts / Cholbam g. Bronchodilators, Beta Agonist / Proair Respiclick h. Cytokine & CAM / Cosentyx syringe, pen injecter i. SGLT2 / Glyxambi j. Hypoglycemics, Insulin / Toujeo Solostar pen k. GI Motility, Chronic / Movantik l. Stimulants & Related Agents / Evekeo 6. Therapeutic and Clinical Drug Reviews and Updates – Chris Andrews, Pharm. D., Magellan Medicaid Administration. 7. Texas Sunset Commission Bill Update – Andy Vasquez, Medicaid and Children's Health Insurance Program (CHIP) Deputy Director, Vendor Drug Program. 8. Executive Work Session. Pursuant to Texas Government Code, Chapter 531, and in accordance with Title 1 Texas Administrative Code, Part 15, Subchapter F, s354.1928, 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. 9. Announcements of Drugs Recommended for the Medicaid PDL. 10. Adjourn. 11. Next Meeting Date: October 23, 2015. *Public comment will be taken on this agenda item. Additional Information Contact: Joe Urtado, 512/707-6099
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