The following legislative and state agency health care hearings have been scheduled between August 2 and August 22.
8/4/2014
Texas Health and Human Services
August 4, 2014 – 09:30 AM
John H. Winters Building, 701 West 51st, Austin
Stakeholder Meeting on Prescribed Pediatric Extended Care Centers. Conference Call Line: 1-877-226-9790, Access code: 2272101. 1. Presentation of Senate Bill 492 background information. 2. Discussion of timeline for implementation of the new Medicaid Prescribed Pediatric Extended Care Centers (PPECC) benefit. 3. PPECC Licensure. 4. PPECC Policy in Texas Medicaid. 5. Questions and Answers. Contact: Laura Jourdan, Senior Policy Analyst, 512-462-6269, Laura.Jourdan@hhsc.state.tx.us or Amanda Hudgens, 512-462-6208, Amanda.Hudgens@hhsc.state.tx.us.
Texas Health and Human Services Commission
August 4, 2014 – 12:00 PM
4900 N. Lamar Blvd. (HHSC Brown-Heatly Bldg., Room 1420), Austin
Employment First Task Force 1. Call to Order 2. Welcome & Introductions 3. Review of July 18, 2014 Meeting Summary 4. Public Comment 5. Overview of Centers for Medicare and Medicaid Services (CMS) Home and Community Based Services (HCBS) Rule 6. Discussion of Policy Recommendations and Task Force Report 7. Discussion of Future Meetings 8. Review of Updates and Announcements 9. Adjourn. Additional Information Contact: Laura Gold, 512/438-5986
8/5/2014
House Committee on Homeland Security and Public Safety
August 5, 2014 – 09:00 AM
Capitol Extension, Room E2.010
The committee will hear invited and public testimony on the following topics: draft legislation regarding the storage of ammonium nitrate and the authority of first responders to inspect and respond to safety concerns; draft legislation regarding the Driver Responsibility Program; and an update regarding ongoing border operations. The committee may address other interim charges or topics of interest. Public testimony may be limited to three (3) minutes. Contact: Mariann Morelock (512) 463-0133
Texas State Board of Pharmacy
August 5, 2014 – 09:00 AM
333 Guadalupe Street, Suite 2-225, Austin
A. Announcements Meeting Procedures Board Members Staff Continuing Education B. Discussion and Approval of Minutes (Tab 01) TSBP Executive Committee Meeting Held April 29, 2014 TSBP Board Business Meeting Held May 6, 2014 Open Meeting Minutes Concerning New Class of Pharmacy Located in Physician's Office with Limited Dispensing Held July 2, 2014 Concerning Physician Ownership of Pharmacies Held July 2, 2014 Concerning Electronic Supervision of Pharmacy Technicians in a Class C Facility With 101 Beds or More Held July 7, 2014 Temporary Suspension Hearings C. Discussion of and Possible Action Regarding Rules C.1 Final Adoption of Rules C.1.1 Amendments to s291.133 Concerning Pharmacies Compounding Sterile Preparations (Tab 02) C.1.2 Amendments to 291.31 and 291.34 Concerning Advanced Practice Registered Nurses (Tab 03) C.1.3 Amendments to s291.32 Concerning Personnel (Tab 04) C.1.4 Amendments to s291.33 Concerning Substitution of Dosage Form (Tab 05) C.1.5 Amendments to 291.76 and 291.151 Concerning Labeling and Compounding of Sterile Preparations (Tab 06) C.1.6 Amendments Concerning License Fees (Tab 07) C.1.6.1 s291.6 Concerning Pharmacies C.1.6.2 s295.5 Concerning Pharmacists C.1.6.3 s297.4 Concerning Pharmacy Technicians and Pharmacy Technician Trainees C.2 Proposal of Rules C.2.1 Amendment to 291.31 and 291.33 Concerning Patient Counseling (Tab 08) C.2.2 Amendments to s291.34 Concerning Transfer of Prescriptions (Tab 09) C.2.3 Amendments to 291.52, 291.53 and 291.54 Concerning Nuclear Pharmacy (Tab 10) C.2.4 Amendments to s291.121 Concerning Automated Emergency Medication Kits ( Tab 11) C.2.5 Amendments to s291.133 Concerning Nuclear Pharmacies Compounding Sterile Preparations (Tab 12) C.3 Rule Reviews in Accordance with Government Code, Section s2001.039 (Tab 13) C.3.1 For Adoption C.3.1.1 Chapter 281 Concerning Administrative Practices and Procedures (281.1 – 281.13, 281.15, 281.17 – 281.23, 281.30-281.34, 281.60 – 281.68) (Tab 14) C.3.1.2 Chapter 311 Concerning Code of Conduct (311.1 – 311.2) (Tab 15) D. Discussion of and Possible Action Concerning the Following Reports and Discussions D.1 Financial Update D.1.1 Review of FY2014 Expenditures (Tab 16) D.1.2 Review of Board Member Travel Budget (Tab 17) D.1.3 Review and Approval of FY2015 Operating Budget (Tab 18) D.1.4 Review of Legislative Appropriations Request for FY2016-2017 (Tab 19) D.2 Update Concerning Program to Aid Impaired Pharmacists and Pharmacy Students D.2.1 Update on Number of Participating Individuals (Tab 20) 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 21) D.2.2.1 Review and Approval of Professional Recovery Network Financial Audit (Tab 22) D.3 Review and Approval of TSBP FY2013 Annual Report (Tab 23) D.4 Review and Approval of TSBP FY2015 Goals and Objectives (Tab 24) D.5 Review and Approval of Accreditation Council for Pharmacy Education (ACPE) Accredited Professional Programs of Colleges and Schools of Pharmacy (Tab 25) D.6 Report on Appeals from State Office of Administrative Hearings Cases and Other Court Actions (Tab 26) D.7 Report on Shared Regulatory Data Base Project and Update on TSBP Website (Tab 27) D.8 Report on Open Meeting Concerning Electronic Supervision of Pharmacy Technicians in a Class C Pharmacy in a Facility With 101 Beds or More and Possible Rule Amendments to s291.72 (Tab 28) D.9 Report on Open Meeting Concerning a New Class of Pharmacy Located in a Physician's Office with Limited Dispensing (Tab 29) D.10 Report on Open Meeting Concerning Physician Ownership of Pharmacies (Tab 30) D.11 Discussion Concerning Pharmacies Operating Without a Pharmacist-in-Charge (Tab 31) D.12 Discussion Concerning the Inspection of Pharmacies Compounding Sterile Preparations and Training of Staff (Tab 32) D.13 Update on Legislation Filed During the 83rd Texas Legislative Session that has an Impact on TSBP and/or the Practice of Pharmacy (Tab 33) D.14 Discussion of Possible Statutory Changes for Consideration During the 84th Session of the Texas Legislature (Tab 34) E. Disciplinary Orders E.1 Consideration of Proposals for Decision (Tab 35) E.2 Report on Agreed Board Orders Entered by Executive Director (Tab 36) E.3 Discussion of and Action on Proposed Agreed Board Orders and Default Orders (Tab 37) E.4 Executive Session to Consider Confidential Agreed Board Orders (Tab 38) F. Consideration of and Possible Action Concerning the Following Enforcement Reports F.1 Report on Complaints Closed and Dismissed During the Previous Quarter (Tab 39) F.2 Report on Status of Active/Pending Complaints (Tab 40) G. Miscellaneous G.1 Items to be Placed on Agenda for November 2014 Board Meeting (Tab 41) G.2 Discussion of and Possible Action on Recent Conferences and Events National Association of Boards of Pharmacy (NABP) Annual Meeting, Phoenix, AZ May 17-20, 2014 National Pharmaceutical Association (NPhA) Annual Meeting, Arlington, VA July 18-21, 2014 Texas Pharmacy Association (TPA) Conference & Expo, San Marcos, TX July 30-August 2, 2014 G.3 Discussion of and Possible Action on Upcoming Conferences and Events Informal Conference, Austin, September 9-11, 2014 (Waggener) National Association of Boards of Pharmacy/American Association of Colleges of Pharmacy (NABP/AACP) District VI, VII, and VIII Annual Meeting, Whitefish, MT September 21-24, 2014 Technician Informal Conference, Austin, September 25, 2014 (Stine) Informal Conference, Austin, October 7-9, 2014 (Dembny) National Community Pharmacist Association (NCPA) Annual Convention, Austin, TX October 18-22, 2014 Technician Informal Conference, Austin, October 23, 2014 (Waggener) TSBP Board Business Meeting, Austin November 4, 2014 G.4 Consideration of Personnel Matters G.4.1 Executive Session to Conduct Evaluation of Executive Director (Tab 42). Additional Information Contact: Becky Damon, 512/305-8026
Legislative Budget Board
August 5, 2014 – 11:00 AM
Capitol Extension, Room E1.030, State Capitol, Austin
1. Call to order. 2. Approve minutes of November 15, 2012 Legislative Budget Board meeting. 3. Receive a report and testimony from the Comptroller of Public Accounts regarding the financial condition of this state. 4. Adjourn. Additional Information Contact: Stewart.Shallow@lbb.state.tx.us
Texas Health and Human Services Commission
August 5, 2014 – 01:00 PM
4900 N. Lamar Blvd. (HHSC Brown-Heatly Bldg., Room 1420), Austin
Interagency Task Force for Children with Special Needs 1. Welcome and Introduction 2. Approval of June Meeting Minutes 3. Legislative Report update 4. Project Status, Priority I: Informed and Empowered Parents a. Update, Presentation and discussion: Trademark Media 5. Project Discussion: Priority II , Crisis Prevention/Intervention a. Discussion of Texas Education Agency Positive Behavior Support project for community and school based outreach and training b. Request for Quote 6. Public Comment 7. Discuss Next Potential Action Items and Meeting Dates 8. Adjournment. Additional Information Contact: Sherry Broberg, 512/420-2856
8/7/2014
Texas Health and Human Services Commission
August 7, 2014 – 08:00 AM
John H. Winters Building, Public Hearing Room, 701 West 51st Street, Austin
Proposed Medicaid Payment Rates for Primary Home Care, Community Attendant Services, and Family Care Non-Priority Personal Attendant Services; Community Based Alternatives – Home and Community Support Services, Personal Assistance Services, Day Activity and Health Services; Residential Care; Medically Dependent Children Program Attendant Services; and all associated Consumer Directed Services. Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on August 7, 2014, at 8:00 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; Community Based Alternatives – Home and Community Support Services; Residential Care; Day Activity and Health Services; Medically Dependent Children Program; and Consumer Directed 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 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; Community Based Alternatives – Home and Community Support Services, Personal Assistance Services, Day Activity and Health Services; Residential Care; Medical Dependent Children Program Attendant Services; and all associated Consumer Directed Services. The proposed rates will be effective September 1, 2014 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 2014-15 General Appropriations Act that included funds to support increases in the base wages of personal attendants to $7.50 per hour in fiscal year 2014 and $7.86 per hour in fiscal year 2015. See General Appropriations Act, 83d Leg., R.S., ch. 1411, art. II, at II-137, 2013 Tex. Gen. Laws 3743, 3988 (Health and Human Services Section, Special Provisions for all Health and Human Services Agencies, §61(b)). HHSC calculated the proposed payment rates in accordance with the rate setting methodologies codified at title 1, section 355.112 of the Texas Administrative Code, relating to Attendant Compensation Rate Enhancement. 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 24, 2014. Interested parties may also obtain a copy of the briefing package prior to the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@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 in lieu 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, 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, 4900 North Lamar , Austin, Texas 78751-2316. Phone number for package delivery: 512-730-7401. Fax: Attention: Sarah Hambrick at 512-730-7475. Email:
sarah.hambrick@hhsc.state.tx.us
Texas Health and Human Services Commission
August 7, 2014 – 09:00 AM
John H. Winters Building, Public Hearing Room, 701 West 51st Street, Austin
Proposed Medicaid Nursing Facility and Hospice-Nursing Facility Payment Rates. Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on Thursday, August 7, 2014, at 9 a.m. to receive public comment on Nursing Facility and Hospice-NF Medicaid payment rates. The hearing will be held in compliance with Human Resources Code §32.0282; Title 1 of the Texas Administrative Code ("TAC"), Part 15, Chapter 355, Subchapter B, §355.201 (relating to Establishment and Adjustment of Reimbursement Rates by the Health and Human Services Commission); and Title 1 of the TAC, Part 15, Chapter 355, Subchapter A, §355.105(g) (relating to General Reporting and Documentation Requirements, Methods and Procedures), which require public notice and a hearing on proposed Medicaid reimbursements. Proposal. HHSC proposes to increase NF and Hospice-NF payment rates by six percent as compared to rates in effect on August 31, 2013. The proposed new rates will be effective September 1, 2014, and were determined in accordance with the rate setting methodologies listed below under “Methodology and Justification.” Methodology and Justification. The proposed Medicaid payment rates incorporate appropriations provisions from the 2014-15 General Appropriations Act, S.B. 1, 83rd Legislature Regular Session, 2013 (Article II, Department of Aging and Disability Services, Rider 40), which appropriated funds to provide for a six percent increase for NF and Hospice-NF payment rates, calculated based on the rates in effect on August 31, 2013. HHSC’s proposed payment rates were calculated in accordance with the rate setting methodology in Title 1 of the TAC, Part 15, Chapter 355, Subchapter C, §355.307 (relating to Reimbursement Setting Methodology); §355.308 (relating to Direct Care Staff Rate Component); and §355.312 (relating to Reimbursement Setting Methodology – Liability Insurance Costs). These rates and associated minute requirements were subsequently adjusted in accordance with Title 1 of the TAC, Part 15, Chapter 355, Subchapter A, §355.101 (relating to Introduction); and §355.109 (relating to Adjusting Reimbursement When New Legislation, Regulations or Economic Factors Affect Costs); and, Title 1 of the TAC, Part 15, Chapter 355, Subchapter B, §355.201 (relating to Establishment and Adjustment of Reimbursement Rates by the Health and Human Services Commission). 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 24, 2014. Interested parties also may obtain a copy of the briefing package prior to the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by e-mail at Sarah.Hambrick@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 in lieu 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, 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, 4900 North Lamar, Austin, Texas 78751-2316. Phone number for package delivery: 512-730-7401. Fax Attention: Rate Analysis at 512-730-7475. Email Sarah.Hambrick@hhsc.state.tx.us
Texas Health and Human Services Commission
August 7, 2014 – 10:30 AM
John H. Winters Building, Public Hearing Room, 701 West 51st Street, Austin
Proposed Medicaid Payment Rate for Truman W. Smith Children’s Care Center. Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on Thursday, August 7, 2014, at 10:30 a.m. to receive public comment on the proposed rate for the Truman W. Smith Children’s Care Center, a nursing facility that is a member of the pediatric care facility special reimbursement class of the Nursing Facility Program operated by the Texas 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 reimbursements before such rates are approved by HHSC. Proposal. HHSC proposes to increase the rate for the nursing facility pediatric care facility special reimbursement class for Truman W. Smith Children’s Care Center from $238.50 a day to $251.22 a day. The proposed rate will be effective September 1, 2014, and was determined in accordance with the rate setting methodology listed below under “Methodology and Justification.” Methodology and Justification. The proposed rate was determined in accordance with the rate setting methodology codified at 1 TAC §355.307, Reimbursement Setting Methodology. 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 24, 2014. Interested parties may also obtain a copy of the briefing package prior to the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at Sarah.Hambrick@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 in lieu 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, 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, 4900 North Lamar, Austin, Texas 78751-2316. Phone number for package delivery: 512-730-7401. Fax Attention: Rate Analysis at 512-730-7475. Email Sarah.Hambrick@hhsc.state.tx.us
8/8/2014
Texas Department of Insurance
August 8, 2014 – 01:00 PM
333 Guadalupe, Room 100, Austin
Advisory Committee for the Standard Request Form for Prior Authorization of Prescription Drug Benefits 1. Call to order Introductions and welcome Antitrust statement 2. Review of SB 644 3. Receive committee members' comments and recommendations regarding (A) Standard Prior Authorization Request Form (B) the length of the form, the time and method for acknowledging receipt of the form, and penalties for noncompliance. 4. Meeting schedule 5. Adjournment. Additional Information Contact: Angel Melina Raab, 512/305-7520
8/11/2014
Texas Health and Human Services Commission
August 11, 2014 – 09:00 AM
Memorial Hermann Southwest Hospital, Wilson Turner Auditorium, Medical Plaza II, 7737 Southwest Freeway, Houston
STAR+PLUS Intellectual and Developmental Disabilities Provider Training. Beginning September 1, 2014, certain individuals with intellectual and developmental disabilities (IDD), who are covered by Medicaid will receive their basic medical services, or acute care, through a STAR+PLUS managed care health plan. Health and Human Services Commission (HHSC) is holding provider trainings across the state to educate providers who serve individuals with IDD on STAR+PLUS managed care and what changes to expect. Harris service area managed care organizations will be present to answer questions. You can learn more about the expansion of managed care here: http://www.hhsc.state.tx.us/medicaid/managed-care/mmc.shtml. 1. STAR+PLUS Medicaid managed care program overview. 2. Delivery of acute care services for the following people through STAR+PLUS: a. People who live in community-based intermediate care facilities for individuals with an intellectual disability or related conditions. b. People who receive services in a Department of Aging and Disability Services (DADS) IDD waiver, including: i. Home and Community-based Services ii. Community Living Assistance and Support Services iii. Deaf Blind with Multiple Disabilities iv. Texas Home Living 3. Coordination of acute care services through STAR+PLUS and long-term services and supports through DADS. 4. Questions and Answers. 5. Adjourn. Contact: Heather Kuhlman, Communications Specialist, HHSC, 512-462-6356, Heather.Kuhlman@hhsc.state.tx.us.
8/12/2014
Texas Health and Human Services Commission
August 12, 2014 – 01:00 PM
4900 N Lamar Blvd. (HHSC Brown-Heatly Building, Room 1420), Austin
Council on Children and Families (CCF) 1. Welcome, Introductions and Announcements 2. Approve April 24, 2014 Meeting Minutes (Action Required) 3. Presentation: Children's Policy Council 4. Presentation: Senate Bill 44 Workgroup 5. Council Business a. Council Report Update b. Stakeholder Hearing 6. CCF Member Agencies and Public Members may present Updates to the Council: Health and Human Services Commission Department of Aging and Disability Services Department of State Health Services Department of Family and Protective Services Department of Assistive and Rehabilitative Services Texas Education Agency Texas Workforce Commission Texas Juvenile Justice Department Texas Department of Criminal Justice Parent Members Youth Members 7. Public Comment 8. Adjourn. Additional Information Contact: Sherry Broberg, 512/420-2856
Texas Health and Human Services Commission
August 12, 2014 – 04:00 PM
4900 North Lamar Blvd. (HHSC Brown-Heatly Bldg., Room 1420), Austin
Council on Children and Families (CCF) Stakeholders meeting 1. Public Testimony: the Council seeks specific input on these questions: a. How can the State of Texas help families become stronger b. How can the State of Texas support its communities to ensure healthy, nurtured children and families within them c. How can the State of Texas best support its youth and help them transition into successful adults 2. Adjourn. Additional Information Contact: Sherry Broberg, 512/420-2856
8/13/2014
Sunset Advisory Commission
August 13, 2014 – 10:00 AM
Capitol Extension, Room E1.036
1. Call to Order . 2. Approval of Minutes . 3. Commission Decisions: University Interscholastic League, Department of Assistive and Rehabilitative Services, Department of Family and Protective Services, Department of State Health Services, Department of Aging and Disability Services. 4. Other Business . 5. Adjournment. The meeting is broadcast live on the Internet at http://www.senate.state.tx.us/bin/live.php.
8/14/2014
Senate Committee on Government Organization
August 14, 2014 – 8:00 AM
Capitol Extension Building, Room E1.012 (Hearing Room), Austin
The Senate Government Organization Committee will hold a public hearing to address the following interim charge: Review and recommend improvements to state agency training, policies, and procedures for monitoring and reporting performance of state contracts, including a review of exemptions to state contracting oversight. Public testimony will be limited to three minutes. If submitting written testimony or distributing handouts, please provide 15 copies, with your name on each copy, to the committee when called to testify. Additional Information Contact: Sen. Zaffirini, 512/463-0121
Texas Health and Human Services Commission
August 14, 2014 – 09:00 AM
John H. Winters Building, Public Hearing Room, 701 West 51st St., Austin
Medical Care Advisory Committee. 1. Opening Comments: Michael Vaclav, DDS, Medical Care Advisory Committee Chair 2. Comments from the Associate Commissioner for Medicaid and Children's Health Insurance Program (CHIP): Kay Ghahremani, Health and Human Services Commission (HHSC) 3. Approval of May 2014 Meeting Minutes 4. Announcement of Nominating Committee for Medical Care Advisory Committee Executive Committee, Michael Vaclav, DDS 5. Announcement of SB1542 Sub-committee Clinical Suggestions for Submission, Michael Vaclav, DDS. INFORMATIONAL ITEMS: 6. Amendments and Clarifications to Texas Healthcare Transformation and Quality Improvement Program (THTQIP) Rules Assistants. HHSC proposes amendments to §354.1602, 354.1612, 354.1622, 354.1633, and 354.1634 concerning THTQIP and new §354.1623, 354.1624, 354.1635, 354.1636, and 354.1637 concerning the Delivery System Reform Incentive Payment Program (DSRIP). HHSC also proposes to repeal existing §354.1635 concerning Regional Healthcare Partnership (RHP) Plan Modification. There are four major amendments to the THTQIP rules. First, the process for RHP plan modifications is clarified and moved to Division 3, concerning RHP Plan Contents and Approval. Second, the roles and responsibilities of the Independent Assessor are described. The Independent Assessor will conduct the mid-point assessment and ongoing compliance monitoring of DSRIP projects. Third, the amendments include the final form and valuation methodology for Category 3 DSRIP outcomes. Fourth, the amendments include a description of the effect of DSRIP project termination on previous DSRIP payments. The DSRIP program rules are largely meant to mirror the requirements of the Program Funding and Mechanics (PFM) Protocol. The PFM Protocol is a document written jointly by HHSC and Centers for Medicaid and Medicare Services that represents agreements between the two concerning the operation of the DSRIP program -Lisa Kirsch, HHSC. 7. Federally-required changes to presumptive eligibility for Medicaid. HHSC proposes two amendments and new rules for 1 Texas Administrative Code (TAC) Chapter 366 that provide the eligibility requirements for individuals to qualify for presumptive eligibility, the requirements for providers making presumptive eligibility determinations, and HHSC responsibilities for oversight of providers making presumptive eligibility determinations. In order to align policies and procedures, HHSC is also amending existing rules for qualified entities making presumptive eligibility determinations for pregnant women. Gina Perez, HHSC Disproportionate Share Hospital Reimbursement Methodology, Waiver Payments HHSC proposes to amend Title 1, Part 15, Chapter 355, §355.8065, concerning Disproportionate Share Hospital Reimbursement Methodology; §355.8201, Waiver Payments to Hospitals for Uncompensated Care; §355.8202, Waiver Payments to Physician Group Practices for Uncompensated Care; and §355.8441, Reimbursement Methodologies for Early and Periodic Screening, Diagnosis, and Treatment. The proposed amendments are intended to meet the requirements of 2014-15 General Appropriations Act, Senate Bill 1, 83rd Legislature, Regular Session, 2013 (Article II, Health and Human Services Commission, Rider 86, Transitional Medicaid disproportionate share hospital and Related Payments), which allows HHSC to expend up to $160 million in general revenue funds in fiscal year (FY) 2014 and $140 million in general revenue funds in FY 2015 to stabilize and improve Medicaid hospital payments. Changes are proposed to both the disproportionate share hospital and uncompensated care (UC) supplemental payment programs. The proposed amendments to the disproportionate share hospital and UC supplemental payment program revise the way that the state's disproportionate share hospital allocation is distributed among eligible hospitals and the way that the state's UC allocation is distributed among eligible provider. – Pam McDonald, HHSC. 9. Minimum Nursing Facility Payments for Non-State Government-Owned Nursing Facilities. HHSC proposes new §353.608, concerning Payments to Qualified Nursing Facilities, to maintain a certain level of funding for non-state government-owned nursing facilities through the creation of a new funding program. The proposed rule is intended to continue a similar level of funding to the nursing facility upper payment limit program participants, as outlined in 1 TAC §355.314 adopted in 2012, but through a new means. Beginning March 1, 2015, Nursing Facilities (NF) services will be "carved-in" to managed care. At that time, the capitated payment HHSC makes to Medicaid managed care organizations (MCOs) will include funds for NF services provided by NFs contracted with the MCOs. As a result of the carve-in, HHSC is prohibited from continuing the NF Upper Payment Limit program. MCOs will now make a minimum payment to eligible NFs. – Pam McDonald, HHSC. NOTICE OF PROPOSED RULES/ACTION ITEMS: 10. Payment to Advanced Practice Registered Nurses (APRN) and Physician Assistants (PA). HHSC proposes amendments to Title 1, Part 15, Chapter 354, Subchapter A, Division 1, Rule §354.1001, Claim Information Requirements, and Division 5, Rule §354.1062, Authorized Physician Services. HHSC is proposing to amend §354.1001 to require a physician billing for supervised services to indicate that the supervised services were performed by an APRN or PA, as appropriate, on the physician's claim form. HHSC is also proposing to amend §354.1062 to clarify that the payment rate for the supervised services is set in accordance with the appropriate reimbursement rule. Finally, these rule changes are coordinated with proposed clarifications to the corresponding reimbursement rules in chapter 355 for PAs, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse-midwives. Those proposed changes clarify that services performed by one of the above provider types while under the supervision of a physician are to be reimbursed at the 92 percent level appropriate to the supervised practitioner. – Laurie Vanhoose, HHSC. 11. Reimbursement Methodology for Physician Assistants, Nurse Practitioners, Clinical Nurse Specialists, and Midwife Services . HHSC proposes to amend Title 1, Part 15, Chapter 355, Subchapter J, §355.8093, Physician Assistants, §355.8161, Reimbursement Methodology for Midwife Services, and §355.8281, Reimbursement Methodology. The proposed amendments will update the Medicaid reimbursement methodology to more accurately reflect the reimbursement methodology for physician assistants, certified nurse midwives, nurse practitioners, and clinical nurse specialists by standardizing rule titles, deleting obsolete language, and restructuring rule layout. -Tim Villasana, HHSC. 12. Medical Records Fees. Amendment to: Title 1, Part 15, Chapter 354, Subchapter A, Division 1, §354.1005, Unauthorized Charges. HHSC proposes to amend §354.1005, Unauthorized Charges, under Title 1, Part 15, Chapter 354, Subchapter A, Division 1, to clarify that a Medicaid provider may not charge a Medicaid recipient for any function incidental to the provision of a covered service, including the completion of a health assessment form or for a copy of a medical record, unless otherwise provided in the rule. – Laurie Vanhoose, HHSC. 13. Recommendation to propose amendments to 40 TAC§30.14, Certification of Terminal Illness, in Chapter 30, Medicaid Hospice Program. HHSC, on behalf of the Department of Aging and Disabilities Services (DADS), proposes to amend rules to align with federal requirements regarding the certification of terminal illness and maintenance of records. – Cynthia De La Cruz, DADS. 14. Repeal of Chapter 100. HHSC, on behalf of DADS, proposes the repeal of all rules in Chapter 100 which describe r
esponsibilities of the former Texas Department of Mental Health and Mental Retardation regarding fraud and abuse and recovery of benefits, internal audits and investigations, and the intermediate care facility for individuals with an intellectual disability dental program. Rules regarding these topics are now covered under other titles in the TAC or in the Texas Internal Auditing Act (Government Code, Title 10, Subtitle C, Chapter 2102, Internal Auditing) therefore DADS has determined that Chapter 100 is no longer necessary. Corliss Powell, DADS. 15. Public Comment. 16. Proposed Next Meeting: Thursday, August 14, 2014 at 9 a.m.. 17. Adjourn. Contact: Sallie Allen, Committee Coordinator, Medicaid and CHIP Division, 512-424-6969, FAX 512-730-7472, sallie.allen@hhsc.state.tx.us.
Texas Board of Orthotics and Prosthetics
August 14, 2014 – 09:30 AM
William P. Hobby Jr. Building, Rm 100, 333 Guadalupe Street, Austin
Licensing and Accreditation Committee The Committee will meet to discuss and possibly act on the following agenda: Call to Order-Introduction of Members, Guests, and Staff Discussion and Possible Action Concerning Board Members who are Inexcusably Absent from Regularly Scheduled Board Meetings, as defined under Texas Occupations Code Section 605.057(a)(5) Review and Approve May 2, 2014, Committee Minutes Review, Discussion, and Possible Action to Approve or Disapprove the Following Pending Student Applications AN (Prosthetics) BP (Orthotics) Review, Discussion, and Possible Action to Approve or Disapprove the Following Pending Practitioner Applications ED (Orthotics and Prosthetics) CM (Orthotics and Prosthetics) FO (Orthotics) MP (Orthotics and Prosthetics) RS (Orthotics) Review, Discussion, and Possible Action to Approve or Disapprove the Following Facility Accreditation Applications APO-SA (Orthotics and Prosthetics) HC-DFL (Orthotics and Prosthetics) HC-DG (Orthotics and Prosthetics) HC-FW (Orthotics and Prosthetics) HC-P (Orthotics and Prosthetics) HC-RR (Orthotics and Prosthetics) HC-SA (Orthotics and Prosthetics) HC-S (Orthotics and Prosthetics) HC-T (Orthotics and Prosthetics) NL (Orthotics and Prosthetics) NLBL-C (Orthotics and Prosthetics) O-C (Orthotics and Prosthetics) OPS-H (Orthotics and Prosthetics) SOP-P (Orthotics and Prosthetics) SPOT-SA (Orthotics and Prosthetics) Review, Discussion, and Possible Action to Approve or Disapprove the Following Pending Uniquely Qualified Person Applications JF (Orthotics and Prosthetics) Discussion and Possible Action regarding Staff Recommendations on the Implementation of the New and Amended Rules related to Licensure Applications Review, Discussion, and Possible Action regarding the Evaluation of Orthotic-and Prosthetic-Related Degrees of Volunteers from Malaysia with current Texas Licensing Requirements Set Next Meeting Date Propose Agenda Items Public Comment Adjournment Action may be taken on any of the above items. The Committee reserves the right to go into executive session as authorized by the Government Code. Agenda items may be taken in any order at the discretion of the chair. An individual who wishes to speak on an issue that falls under the Committee's jurisdiction shall be heard during the Public Comment agenda item if it exists. The Chair may establish and announce limitations on speakers, including time limits and when speakers may address the Board/Committee. The limitations, if any, may vary from meeting to meeting. Additional Information Contact: Yvonne Feinleib, 512/834-4521
Texas Health and Human Services Commission
August 14, 2014 – 10:00 AM
2405 Robert Dedman Dr., UT Thompson Conf. Center, Rm 2.102, Austin
Institute of Health Care Quality and Efficiency Board of Directors (IHCQE) 1. Welcome and Introductions 2. Opening Statements 3. Background Presentations: a. Dr. Clay Johnston (The University of Texas Dell Medical School) b. Dr. Richard Migliori (United Healthcare) c. Don Gilbert (Former Health and Human Services Executive Commissioner) 4. Old Business: a. Review and approval of meeting minutes of May 8, 2014 and July 1, 2014 5. Lunch (Recess) 6. Staff Update: a. Travel Policy Amendment (Vote May Be Taken) b. 2014 IHCQE Work Plan (Vote May Be Taken) c. 2014 IHCQE Draft Recommendations Update (Vote May Be Taken) i. Value-Based Care ii. Health Literacy iii. Administrative Simplification iv. Expanded Access v. Serious and Persistent Mental Illness 7. State Agency Updates 8. Final Board Actions 9. Public Comment 10. Review of staff action follow-up items prior to next meeting 11. Adjourn. Additional Information Contact: Jimmy Blanton, 512/380-4372
Senate Committee on Health & Human Services
August 14, 2014 – 11:00 AM
Capitol Extension Bldg., Room E1.016, Austin
The Senate Committee on Health and Human Services will take up the following charges: Charge #7 – Monitor the implementation of legislation addressed by the Senate Committee on Health and Human Services, 83rd Legislature, Regular Session, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation, including but not limited to: ·Monitor implementation of initiatives aimed at improving the quality and efficiency of Medicaid long-term care services and supports, including the redesign of services for individuals with intellectual and developmental disabilities. ·Monitor implementation of initiatives aimed at reducing fraud, waste, and abuse in Texas Medicaid and other health and human services programs. ·Dental Board Reforms: Monitor implementation of initiatives aimed at improving the State Board of Dental Examiners' ability to protect public safety, including strengthening the Board's authority and enforcement powers, improving the complaint review and resolution processes, and increasing staffing to improve the Board's ability to respond to complaints and potential fraudulent activity. Determine whether there are additional changes necessary to ensure that the Board is able to regulate the practice of dentistry and ensure public safety. ·Cancer Prevention and Research Institute: Monitor implementation of initiatives aimed at restructuring the governance structure, eliminating conflicts of interest, and increasing transparency at the Cancer Prevention and Research Institute of Texas (CPRIT). Charge #4 – Identify cost-effective alternatives to Medicaid and the Affordable Care Act to better connect low income individuals to health care services through private market-based solutions, including Medicaid block grants and waivers. Recommendations should strive to encourage cost sharing, promote personal responsibility, reduce uncompensated care costs, contain increasing health care costs, improve access to care, address access to emergency department care issues in rural areas, promote the use of existing private coverage or employee sponsored coverage, reduce non-emergency use of emergency departments, and reduce the need for federal approval to the state Medicaid plan. Public testimony will be limited to 3 minutes. If submitting written testimony, please provide 15 copies with your name on each. Additional Information Contact: Sen. Charles Schwertner, 512/463-0105
Texas Board of Orthotics and Prosthetics
August 14, 2014 – 01:30 PM
William P. Hobby, Jr. Building, Rm 100, 333 Guadalupe Street, Austin
Enforcement Committee The Committee will meet to discuss and possibly act on the following agenda: Call to Order-Introduction of Members, Guests, and Staff Discussion and Possible Action Concerning Board Members who are Inexcusably Absent from Regularly Scheduled Board Meetings, as defined under Texas Occupations Code Section 605.057(a)(5) Review and Approve May 1, 2014, Committee Minutes Review, Discussion and Possible Action Regarding Complaints: #1070-11-0051 #1070-12-0023 #1070-12-0043 #1070-13-0001 #1070-13-0008 #1070-13-0009 #1070-13-0010 #1070-13-0023 #1070-14-0013 #1070-14-0020 Staff Report Concerning Update on Open Enforcement Cases, to include Tabled Enforcement Cases Staff Report Concerning Closed Enforcement Cases Discussion and Possible Action Concerning the Draft Sanction Guide Set Next Meeting Date Propose Agenda Items Public Comment Adjournment Action may be taken on any of the above items. The Committee reserves the right to go into executive session as authorized by the Government Code. Agenda items may be taken in any order at the discretion of the chair. An individual who wishes to speak on an issue that falls under the Committee's jurisdiction shall be heard during the Public Comment agenda item if it exists. The Chair may establish and announce limitations on speakers, including time limits and when speakers may address the Committee. The limitations, if any, may vary from meeting to meeting. Additional Information Contact: Yvonne Feinleib, 512/834-4521
8/15/2014
Senate Committee on Health & Human Services
August 15, 2014 – 09:00 AM
Capitol Extension Bldg., Room E1.016, Austin
The Senate Committee on Health and Human Services will take up the following charges: Charge #2 – Monitor the implementation of programs that were created or expanded by the 83rd Legislature to improve mental health and substance abuse services and assess these efforts' contribution to improved outcomes such as reduced recidivism in state hospitals, diversion from emergency rooms and county jails, address gaps in the current mental health and substance abuse system and make recommendations to better coordinate services across agencies and programs. Charge #6 – Evaluate the current state of prescription drug abuse and strategies for reducing prescription drug abuse in Texas. Make recommendations on how these policies can be improved or modified to enhance the State of Texas' handling of services, treatments and education related to prescription drug abuse and to reduce the overall prevalence of prescription drug abuse. Charge #5 – Evaluate the Temporary Assistance for Needy Families (TANF) program structure. Make recommendations to improve the program's operations and ensure the program achieves outcomes that allow TANF recipients to find employment and achieve self- sufficiency. Recommendations should seek to ensure Texas is using the most effective work-related requirements and drug testing protocols. Public testimony will be limited to 3 minutes. If submitting written testimony, please provide 15 copies with your name on each. Additional Information Contact: Sen. Charles Schwertner, 512/463-0105
Texas Board of Orthotics and Prosthetics
August 15, 2014 – 10:30 AM
William P. Hobby Jr. Building, Rm 100, 333 Guadalupe Street, Austin
Rules Committee The Committee will meet to discuss and possibly act on the following agenda: Call to Order-Introduction of Members, Guests and Staff Discussion and Possible Action Concerning Board Members who are Inexcusably Absent from Regularly Scheduled Board Meetings, as defined under Texas Occupations Code Section 605.057(a)(5) Review and Approve May 1, 2014 Committee Minutes Review, Discussion, and Possible Action Regarding Public Comments Received and Committee Recommendations to the Board on Adoption of New and Amended Rules Concerning Licenses and Registrations Issued by the Board, 22 Texas Administrative Code, Chapter 821, after consideration of the Rules Committee Report and Recommendations, including: -Amendments to 821.1, 821.2, 821.4, 821.5, 821.9, 821.10, 821.13, 821.16, 821.17, 821.20, and new s821.30 and s821.31 Review, Discussion, and Possible Action by the Rules Committee Regarding Amendments to the Rules Concerning the Licensure and Regulation of Orthotics and Prosthetics, 22 Texas Administrative Code, Chapter 821, including possible amendments to: -Rule s821.15 Accreditation of Prosthetic and Orthotic Facilities regarding a new posting requirement for hours of operation Discussion and Possible Action regarding a New Rule in 22 TAC, Chapter 821 to establish two Different Levels of Orthotic Assistant licensure, with Different Educational Requirements and Different Scopes of Practice Discussion and Possible Action Concerning Petition for the Adoption of a Rule regarding Orthoses Sold by Online Retailers Set Next Meeting Date Propose Agenda Items Public Comment Adjournment The Chair may establish and announce limitations on speakers, including time limits and when speakers may address the Committee. The limitations, if any, may vary from meeting to meeting. Action may be taken on any of the above items. The Committee reserves the right to go into executive session as authorized by the Government Code. Agenda items may be taken in any order at the discretion of the chair. An individual who wishes to speak on an issue that falls under the Committee's jurisdiction shall be heard during the Public Comment agenda item if it exists. The chair may establish and announce limitations on apeakers, including time limits and when speakers may address the Committee. The limitations, if any, may vary from meeting to meeting. Additional Information Contact: Yvonne Feinleib, 512/834-4521
Texas Health and Human Services Commission
August 15, 2014 – 01:00 PM
Brown Heatly Building, Conference Room 5155, 5th Floor, 4900 N. Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Small and Large, State-Operated Intermediate Care Facilities for Individuals with an Intellectual Disability. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing on August 15, 2014, at 1 p.m. to receive public comment on the proposed interim per diem Medicaid reimbursement rates for small and large, state-operated Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IID) operated by the Department of Aging and Disability Services (DADS). 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. As the single state agency for the state Medicaid program, HHSC proposes the following interim per diem reimbursement rates for small and large, state-operated ICF/IIDs operated by DADS, to be effective September 1, 2014: Small State-Operated ICF/IID Facilities Proposed interim daily rate: $644.17. Large State-Operated ICF/IID Facilities – Medicaid Only clients Proposed interim daily rate: $770.11. Large State-Operated ICF/IID Facilities – Dual-eligible Medicaid/Medicare clients Proposed interim daily rate: $747.69. HHSC is proposing these interim rates so that adequate funds will be available to serve individuals residing in these facilities. The proposed interim rates account for actual and projected increases in costs to operate these facilities. Methodology and Justification. The proposed rates were determined in accordance with the rate setting methodologies codified as 1 TAC Chapter 355, Subchapter D, §355.456(e), relating to Reimbursement Methodology. 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 August 1, 2014. 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 sarah.hambrick@hhsc.state.tx.us. The briefing package will 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 78751-2316. Phone number for package delivery: 512-730-7401. Fax Attention: Rate Analysis at 512-730-7475 Email sarah.hambrick@hhsc.state.tx.us
Texas Board of Orthotics and Prosthetics
August 15, 2014 – 01:00 PM
William P. Hobby Jr. Bldg Room 100, 333 Guadalupe Street, Austin
The Board will meet to discuss and possibly act on the following agenda: 1. Call to Order-Introduction of Members, Guests, and Staff 2. Discussion and Possible Action Concerning Board Members who are Inexcusably Absent from Regularly Scheduled Board Meetings, as defined under Texas Occupations Code Section 605.057(a)(5) 3. Review and Approve the May 2, 2014 Board Meeting Minutes 4. Discussion and Possible Action Regarding Reports from the Board Committees a. Licensing and Accreditation Committee -Number of Applications Reviewed -Number of Applications Approved -Number of Applications Denied -Number of Applications Tabled -Discussion and Possible Action regarding Staff Recommendations on the Implementation of the New and Amended Rules related to Licensure Applications -Review, Discussion, and Possible Action regarding the Evaluation of Orthotic-and Prosthetic-Related Degrees of Volunteers from Malaysia with current Texas Licensing Requirements b. Enforcement Committee -Number of Cases Reviewed -Disciplinary Action Recommended -Number of Cases Closed -Number of Cases Tabled -Staff Report Concerning Update on Open Enforcement Cases, to include Tabled Enforcement Cases -Staff Report Concerning Closed Enforcement Cases -Discussion and Possible Action Concerning the Draft Sanction Guide c. Rules Committee Review, Discussion, and Possible Action by the Rules Committee Regarding Public Comments Received and Committee Recommendations to the Board on Adoption of Amendments and New Rules Concerning Licenses and Registrations Issued by the Board, 22 Texas Administrative Code, Chapter 821: -Amendments to 821.1, 821.2, 821.4, 821.5, 821.9, 821.10, 821.13, 821.16, 821.17, 821.20, and new s821.30 and s821.31 Review, Discussion, and Possible Action by the Rules Committee Regarding Amendments to the Rules Concerning the Licensure and Regulation of Orthotics and Prosthetics, 22 Texas Administrative Code, Chapter 821, including possible amendments to: -Rule s821.15 Accreditation of Prosthetic and Orthotic Facilities regarding a new posting requirement for hours of operation Discussion and Possible Action regarding a New Rule establishing Two Different Levels Orthotic Assistant licensure, with Different Educational Requirements and Different Scopes of Practice Discussion and Possible Action Concerning Petition for the Adoption of a Rule regarding Orthoses Sold by Online Retailers 5. Review, Discussion, and Possible Action by the Texas Board of Orthotics and Prosthetics Regarding Adoption of New and Amended Rules Concerning Licenses and Registrations Issued by the Board, 22 Texas Administrative Code, Chapter 821, after consideration of the Rules Committee Report and Recommendations, including: -Amendments to 821.1, 821.2, 821.4, 821.5, 821.9, 821.10, 821.13, 821.16, 821.17, 821.20, and new s821.30 and s821.31 6. Review, Discussion, and Possible Action by the Texas Board of Orthotics and Prosthetics Regarding Proposed Amendments to s821.15 Accreditation of Prosthetic and Orthotic Facilities regarding a new posting requirement for hours of operation 7. Review, Discussion, and Possible Action Regarding Final Disciplinary Action on the following Cases 1070-14-0014 and 0015, 1070-12-0008, and 1070-10-0038 8. Review, Discussion, and Possible Action Regarding Default Order on Case 1070-10-0077 9. Review, Discussion and Possible Action regarding Status of Cases at the Office of General Counsel awaiting hearings at the State Office of Administrative Hearings: 1070-09-0010, 1070-09-0014, 1070-09-0027, 1070-10-0057, 1070-10-0074, 1070-10-0075, 1070-11-0010, 1070-13-0002, 1070-13-0023, and 1070-13-0029 10. Discussion of Past Enforcement Cases in which a Notice of Violation (NOV) was Issued and then Withdrawn, and Future Enforcement Actions 11. Review, Discussion and Possible Action Regarding Requests for Opening Complaints by the Board 12. Oral Report from Board Member Ray Smith on the Annual Meeting of the Texas Chapter of the American Academy of Orthotists and Prosthetists held on August 8-9, 2014 in San Antonio, Texas 13. Review, Discussion and possible action regarding applications for the position of Executive Director, Texas Board of Orthotics and Prosthetics 14. Presiding Officer's Report on Current Challenges and Accomplishments; Interaction with Stakeholders, State Officials, and Staff; Committee Appointments and Functions; Workload of Board Members; and General Information Regarding the Routine Functioning of the Board 15. Executive Director's Report on Program Operations; Customer Service Accomplishments, Inquiries, and Challenges; Current and/or Historical Licensee Statistics; Media, Legislative, and Stakeholder Contacts and Concerns; Workload Processing; Special Projects Assigned to Executive Director; General Information Regarding the Routine Functioning of the Licensure Program; and Executive Director's Report Concerning Update on Open, Tabled, and Closed Enforcement Cases as well as Disciplinary Action Log and Tool 16. Professional Licensing and Certification Unit Management Report on Unit Organization and Staffing; Program Costs and Revenue; Current Operational Initiatives; Customer Service Accomplishments and Challenges; Workload Processing and Statistical Information; Status of Rulemaking within the Unit; Legislative and Media Contacts and Tracking; General Information on Functioning of the Unit 17. Review, discussion and possible action regarding expanding the dates for future meetings of the Texas Board or Orthotics and Prosthetics from two to three days 18. Set Next Meeting Dates 19. Propose Agenda Items 20. Public Comment 21. Adjournment. Additional Information Contact: Yvonne Feinleib, 512/834-4521
8/19/2014
Texas Health and Human Services Commission
August 19, 2014 – 01:00 PM
701 W 51st St., John H. Winters Bldg, Public Hearing Room, Austin
STAR+PLUS Quality Council (Council) 1. Come to order 2. Roll call 3. Adoption of the June 23, 2014 meeting minutes (Vote Required) 4. Discussion and adoption of report to Executive Commissioner (Vote Required) 5. Other business: a. Relating to STAR+PLUS quality b. Relating to the Upcoming October 14, 2014 meeting 6. Public Comment 7. Adjournment. Additional Information Contact: Charles Bredwell, 512/462-6337
8/21/2014
Texas Health and Human Services Commission
August 21, 2014 – 10:00 AM
John H. Winters Building, Public Hearing Room, 701 West 51st St., Austin
Drug Utilization Review Board. 1. Call to Order. 2. Approval of Minutes from the April 10, 2014 Drug Utilization Review (DUR) Board Meeting. (Approved by Vote). 3. Retrospective Drug Use Criteria for Outpatient Use in the Vendor Drug Program (Action Item with Vote Required): Jennifer Seltzer, PharmD. a. Sedative/Hypnotics. b. Aerosolized Agents – Meter-Dose Inhalers: Beta2-Adrengeric Drugs (short-acting). c. Ivacaftor (Kalydeco™). d. Leukotriene Receptor Antagonists. e. Nebulized Bronchodilators. f. Oral Antidiabetic Agents. g. Tramadol (Ultram®). 4. Report on Recent Retrospective DUR Proposals: Larry Dent, Pharm D, BCPS. a. Depression: Effective Antidepressant Management. b. Attention Deficit Hyperactivity Disorder: Medication Management. c. Anticonvulsant Drug Use Evaluation. d. Diabetes Mellitus Disease Management. 5. Retrospective DUR Proposals (Action Item with Vote Required): Larry Dent, PharmD, BCPS. a. Overutilization of Antibiotics. b. Multiple Drug Therapy Regimen Review (Polypharmacy). c. Drug Use Evaluation: Drugs with Abuse Potential. 6. Hepatitis C Update: Josh Dominguez, Pharm. 7. Prospective Prior Authorization Proposals (Clinical Edits), (Action Item with Vote Required): Christina Faulkner, PharmD. a. Antipsychotic Edit Update. b. Long Acting Beta Agonist – Duplicate Therapy Update. c. Injectable Pulmonary Hypertension Agents Edit Update. d. Androgenic Agents. e. Copaxone®. f. Cytokine and CAM Antagonists. g. H.P. Acthar® Gel. 8. Public Comment. 9. Next Meeting Date: November 20, 2014 10. Adjourn. Contact: Bobbie Nolen , Medicaid/CHIP Division, Telephone 512-707-6148 ; or via e-mail at Bobbie.Nolen@hhsc.state.tx.us
Texas Health and Human Services Commission
August 21, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Influenza Vaccines (90685 and 90687). Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Influenza Vaccines (90685 and 90687). The hearing will be held in compliance with 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 Influenza Vaccines (90685 and 90687) are proposed to be effective October 1, 2014. 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. 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 August 7, 2014. 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: 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: 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
August 21, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Neurostimulators and Neuromuscular Stimulators. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comHealth and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Neurostimulators and Neuromuscular Stimulators. The hearing will be held in compliance with 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 Neurostimulators and Neuromuscular Stimulators are proposed to be effective October 1, 2014. 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 payment for hospital services; §355.8085, which addresses the reimbursement methodology for physicians and certain 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. Briefing Package. 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 payment for hospital services; §355.8085, which addresses the reimbursement methodology for physicians and certain 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. 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, Attention: Rate Analysis, 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, 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
August 21, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for the Medicaid Biennial Calendar Fee Review. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medicaid Biennial Calendar Fee Review. The hearing will be held in compliance with 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 the Medicaid Biennial Calendar Fee Review are proposed to be effective October 1, 2014, for the following services: Family Planning, General and Integumentary System Surgery, Orthotics and Prosthetics, Physician Administered Drugs – Oncology, Physician Administered Drugs – Nononcology, Respiratory Therapists. 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; §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services; 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 August 7, 2014. 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: 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: Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar Blvd., Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax : Attention: Rate Analysis at 512-730-7475. Email; sarah.hambrick@hhsc.state.tx.us
Texas Health and Human Services Commission
August 21, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for G Codes (Procedures/Professional Services (Temporary). Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for G (Procedures/Professional Services (Temporary)) Codes. The hearing will be held in compliance with 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 G Codes (Procedures/Professional Services (Temporary)) are proposed to be effective October 1, 2014. 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. 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 August 7, 2014. 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: 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: 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
August 21, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rate for Physician-Administered Drug – Kadcyla (J9354). Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rate for Physician-Administered Drug – Kadcyla (J9354). The hearing will be held in compliance with 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 rate for Physician-Administered Drug – Kadcyla (J9354) is proposed to be effective July 1, 2014. 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. 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 August 7, 2014. 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 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, Attention: Rate Analysis, 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, 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
August 21, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Cardiovascular System Surgery. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Cardiovascular System Surgery. The hearing will be held in compliance with 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 Cardiovascular System Surgery are proposed to be effective October 1, 2014. 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 (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 August 7, 2014. 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 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, Attention: Rate Analysis, 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, 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
August 21, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Sleep Studies. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Sleep Studies. The hearing will be held in compliance with 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 Sleep Studies are proposed to be effective October 1, 2014. 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 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 August 7, 2014. 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 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, Attention: Rate Analysis, 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, 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
8/22/2014
Texas Health and Human Services Commission
August 22, 2014 – 12:00 PM
1100 Congress Ave. (Texas Capitol Extension, Room E2.018), Austin
Texas Office for Prevention of Developmental Disabilities Executive Committee Meeting (TOPDD) 1. Call to Order: Roll call of Members/Establish Quorum 2. Greetings and Introductions: Richard Garnett, Ph.D. 3. Approval of Minutes from May 10, 2014 Meeting 4. Child Safety and Injury Prevention: Ashley Givens 5. Fetal Alcohol Spectrum Disorder Collaborative: Mary Tijerina, Ph.D., MSSW 6. Resource Development: Marian Sokol, Ph.D. 7. Executive Director report: Janet Sharkis 8. Scheduling of Next Meeting: Richard Garnett, Ph.D. 9. Public Comment 10. Adjourn. Additional Information Contact: Angela Morales, 512/206-4544
Texas Medical Board
August 22, 2014 – 01:00 PM
333 Guadalupe St.,, Lobby Area, Room 100, Austin
Electronic Medical Records (EMR) Stakeholder Group 1. Introduction 2. TMB Meeting Minutes – Electronic Medical Records and Communication Ad Hoc Committee, June 26, 2014 3. Rule Review: Chapter 165 – Medical Records s165.1(a) 4. Adjourn . Additional Information Contact: Laura Fleharty, 512/305-7174
– End of Report –
