Below is the list of health care related state agency and legislative meetings scheduled between April 26 and May 16.
4/29/2014
Texas State Board of Pharmacy
April 29, 2014 – 09:00 AM
333 Guadalupe Street, William Hobby Bldg, Tower 2-400A, Austin
Agenda I. Review of evaluations of responses to RFQ 515-14-0005 II. Discussion and Recommendations III. Review of Budget Proposal for FY2016-2017 IV. Discussion and Recommendations V. Adjournment (No later than 12:00 p.m.) Additional Information Contact: Cathy Stella, 512/305-8013
Texas State Board of Pharmacy
April 29, 2014 – 10:00 AM
333 Guadalupe Street, Tower II, Room 400A, Austin
Agenda A. KA Consideration of Temporary Suspension of: Pharmacy License #2472 of The Pill Box, Pharmacist License #16082 of S. Ray Johnson, and Pharmacist License #16435 of Carol M. Johnson A.1 Executive Session Concerning Temporary Suspension of the above-listed licensees. Additional Information Contact: Ann Driscoll, 512/305-8048
Texas Health and Human Services Commission
April 29, 2014 – 10:00 AM
701 W 51st St. (John H. Winters Bldg, Public Hearing Room), Austin
The Intellectual and Developmental Disability System Redesign Advisory Committee 1) Welcome and Introductions 2) Old Business a) Review and adopt minutes from the January 7, 2014 meeting b) Review and adopt Operating Guidelines Document 3) Subcommittees Breakout One a) Subcommittee A: Assessment Tool b) Subcommittee B: Behavioral Health Services c) Subcommittee C: Employment Services 4) General Session Working Lunch and Subcommittee Debriefing 5) Subcommittees Breakout Two a) Subcommittee D: Housing b) Subcommittee E: Quality c) Subcommittee F: Transition to Managed Care 6) General Session and Other Business a) Community First Choice Update b) Potential agenda topics and schedule for next meeting c) General Discussion 7) Public Comment 8) Adjourn. Additional Information Contact: Jonas Schwartz, 512/462-6292
Texas Health and Human Services Commission
April 29, 2014 – 10:00 AM
4900 N. Lamar Blvd., HHSC Brown Heatly Bldg., Rm. 1410, Austin
Texas System of Care Consortium 1. Welcome 2. Introductions 3. Approval of October 29th 2013 meeting minutes (Action)* 4. Texas System of Care (SOC) Consortium Business a. Consortium Membership (Action)* b. Consortium Operational Guidelines (Action)* c. Legislative Report 5. Update from SOC Expansion Communities 6. Recess 7. SOC Implementation Expansion Updates a. Leadership and Resource Development b. Family Voice c. Youth Voice d. Cultural and Linguistic Competency e. Training and Technical Assistance f. Communication and Social Marketing g. Data and Evaluation 8. Public Testimony 9. Updates: Related Programs a. Youth Empowerment Services b. Medicaid Senate Bill 58 c. Medicaid STAR Kids 10. New Business & Announcements 11. Adjourn Additional Information Contact: Sherri Hammack, 512/954-8563
5/1/2014
Texas Medical Board
May 1, 2014 – 08:00 AM
333 Guadalupe, Lobby Area, Room 100, Austin
Licensure Committee 1. Call to order and roll call. 2. Discussion, recommendation and possible action regarding licensee requests: 3. Discussion, recommendation, and possible action regarding applicants for licensure, permits, and certification. a. Applicants for pain management certification b. Applicants appearing concerning eligibility c. Proposed orders offered by the Executive Director d. Physician licensure applicants to be licensed e. Surgical assistant licensure applicants to be licensed f. Acudetox applicants to be certified 4. Discussion, recommendation and possible action regarding unsigned orders from previous meetings. 5. Report on physician licensure statistics. 6. Discussion, recommendation, and possible action regarding cancellation of licenses by request for incomplete registration. a. Surgical assistant b. Acudetox 7. Discussion, recommendation, and possible action regarding Nonprofit Health Organizations a. Applicants for initial certification b. Requests for biennial recertification c. Cancellation of organizations certified as Nonprofit Health Organizations 8. Discussion, recommendation, and possible action regarding proposed amendments to board rules: a. 163.4 Procedural Rules for Licensure Applicants b. 163.5 Licensure Documentation c. 166.6 – Exemption from Registration fee for retired physician providing voluntary charity care d. 172.5(b) – Visiting Physician Temporary Permit e. 172.8 Faculty Temporary License f. 184.4 Surgical Assistants – Qualifications for Licensure g. 187.5 National Practitioner Data Bank h. 187.13 Ineligibility Determination i. 187.24 – Pleadings 9. Discussion, recommendation, and possible action regarding National Practitioner Data Bank reporting policy for licensure applicants 10. Discussion, recommendation, and possible action regarding substantial equivalence list 11. Discussion, recommendation, and possible action regarding applicant packets 12. Discussion, recommendation, and possible action regarding Ten Year Rule 13. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
Texas Board of Orthotics and Prosthetics
May 1, 2014 – 08:30 AM
1 Baylor Plaza, Room M321/323, Houston
Rules Committee The Committee 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 February 20, 2014 Committee Minutes 4. 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 s821.20(a)(5) Complaints -Rules to include legislatively-mandated rule changes pursuant to House Bill 963 of the 81st Legislature, Regular Session, 2009; House Bill 2703 and Senate Bill 1733 of the 82nd Legislature, Regular Session, 2011; and House Bill 2254 and Senate Bill 162 of the 83rd Legislature, Regular Session, 2013, including amendments to 821.1, 821.9, 821.16, 821.17, 821.20 and new s821.31 -Rules as proposed from the November 2013 meeting of the Texas Board of Orthotics and Prosthetics, including amendments to 821.2, 821.4, 821.5, 821.8, 821.10, 821.13, and 821.15, and new s821.30 5. Discussion and Possible Action Regarding Enforcement of Rules. 6. Set Next Meeting Date and Propose Agenda Items 7. Public Comment 8. 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: 512/834-452
Texas Medical Board
May 1, 2014 – 08:45 AM
333 Guadalupe, Tower 2, Suite 225, Austin
Executive Committee 1. Call to order and roll call. 2. Update on Strategic Plan 2015-2019. 3. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
Texas Medical Board
May 1, 2014 – 09:15 AM
333 Guadalupe, Tower 2, Suite 225, Austin
Finance Committee 1. Call to order and roll call. 2. Budget report. 3. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
Texas Medical Board
May 1, 2014 – 09:30 AM
333 Guadalupe, Tower 2, Suite 225, Austin
Disciplinary Process Review Committee 1. Call to order and roll call. 2. Discussion, recommendation, and possible action regarding referrals and reports from the Texas Physician Health Program. 3. Discussion, recommendation, and possible action regarding renewals involving impaired licensees. 4. Reports and discussion regarding the Investigation, Litigation and Compliance Departments. 5. Discussion, recommendation, and possible action regarding Rule Review and proposed changes to the following chapters in Title 22 of the Texas Administrative Code: A. Chapter 184, Surgical Assistants, s184.16. Discipline of Surgical Assistants B. Chapter 187, Procedural Rules, s187.26. Service in SOAH Proceedings, s187.28. Discovery, s187.29. Mediated Settlement Conferences C. Chapter 190, Disciplinary Guidelines, s190.8. Violation Guidelines, s190.14. Disciplinary Sanction Guidelines 6. Discussion and possible direction regarding a positive breath alcohol level. 7. Discussion and possible direction regarding probationers and practice setting protocols. 8. Review, discussion, and possible action regarding review of probationers appearances. 9. Consideration and approval of membership of the Expert Physician Panel. 10. Reports and discussion regarding cases over one year old. 11. Review, discussion, and possible action regarding appeals of dismissed complaints: (11:00 a.m.) A. Jurisdictional Complaints: i. Investigations C. Non-Jurisdictional Complaints 12. Discussion, recommendation, and possible action regarding routine follow-up on investigative files previously referred from DPRC for follow-up action 13. Review, discussion, and possible action regarding selected files and cases. 14. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
Texas Health and Human Services Commission
May 1, 2014 – 01:30 PM
701 W. 51st St., John H. Winters Bldg, Public Hearing Rm, Austin
Hospital Payment Advisory Committee 1. Opening Comments: Peggy Deming, Hospital Payment Advisory Committee Chair 2. Approval of February 6, 2013 Meeting Minutes Information items: 3. Waiver Payments to Hospitals, for Physician Services, and Other Providers HHSC is amending TAC, Title 1, Part 15, Chapter 355, s355.8201, concerning Waiver Payments to Hospitals, s355.8202, concerning Waiver Payments for Physician Services, and s355.8203, concerning Waiver Payments to Other Performers. Amendments include additional definitions; specify deadlines for affiliation and certification submissions; allow hospitals to request adjustments to increase their interim hospital-specific limits (HSLs) for purposes of calculating uncompensated care (UC) payments and require an additional reconciliation for hospitals submitting such requests; describe how advance UC payments will be calculated when a partial-year UC application was used to determine the preceding demonstration year's UC payment; clarify how a governmental entity must submit its intergovernmental transfers (IGT) in certain situations; provide better organization and clarification, including compiling references to Delivery System Reform Incentive Payments (DSRIP) in a single rule section; and eliminate references to obsolete transition payments where appropriate, clarify eligibility requirements, and make other changes to conform the rule to CMS approved waiver protocols. Pam McDonald, HHSC Notice of proposed rules/action items: 4. Rule Changes to Potentially Preventable Readmissions (PPR) and Potentially Preventable Complications (PPC) HHSC proposes to amend Title 1, Part 15, Chapter 354, Subchapter A, Division 35, Reimbursement Adjustments for Potentially Preventable Events, s354.1445 and s354.1446. The proposed amendments change the timing of the reporting process relative to the reimbursement reductions; include financial disincentives for hospitals that do not properly code "present on admission" conditions; and clarifies language used previously by TMHP to more accurately capture the population included in the PPR and PPC reports. Matt Ferrara, HHSC 5. Public Comment* 6. Proposed Next Meeting: Friday, June 13, 2014 at 1:30 p.m. 7. Adjourn *Public comment will be taken following each item, after a staff presentation, and/or before a vote on an action item. Additional Information Contact: Contact: Sallie Allen, 512/424-6969
Texas Board of Orthotics and Prosthetics
May 1, 2014 – 02:00 PM
1 Baylor Plaza, Room M321/323, Houston
Enforcement Committee The Committee will meet to discuss and possibly act on the folllowing 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 February 21, 2014, Committee Minutes 4. Review, Discussion and Possible Action Regarding Complaint # 1070-12-0012 5. Review, Discussion and Possible Action Regarding Complaint # 1070-12-0017 6. Review, Discussion and Possible Action Regarding Complaint # 1070-12-0025 7. Review, Discussion and Possible Action Regarding Complaint # 1070-12-0026 8. Staff Report Concerning Update on Open Cases, to include Tabled Cases 9. Discussion and Possible Action Concerning Closed Cases 10. Set Next Meeting Date and Propose Agenda Items 11. Public Comment 12. 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: 512/834-4521
Texas Medical Board
May 1, 2014 – 02:30 PM
333 Guadalupe, Tower 2, Suite 225, Austin
Board Meeting 1. Full Board call to order and roll call. Agenda item at 2:30 p.m. 2. Consideration and approval of Proposal for Decisions 3. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
5/2/2014
Texas Board of Orthotics and Prosthetics
May 2, 2014 – 08:30 AM
1 Baylor Plaza, Room M423, Houston
Licensing and Accreditation Committee The Committee 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 February 19, 2014, Committee Minutes 4. Review, Discussion, and Possible Action to Approve or Disapprove the Following Pending Assistant Applications RC (Orthotics and Prosthetics) WH (Orthotics and Prosthetics) 5. Review, Discussion, and Possible Action to Approve or Disapprove the Following Pending Student Applications AA (Orthotics) WB (Orthotics and Prosthetics) RB (Orthotics and Prosthetics) RC (Orthotics and Prosthetics) MF (Orthotics and Prosthetics) DG (Orthotics and Prosthetics) GH Orthotics and Prosthetics) BJ (Orthotics) SK (Prosthetics) WK Orthotics and Prosthetics) WK (Orthotics and Prosthetics) CL (Orthotics and Prosthetics) BM (Orthotics and Prosthetics) RM (Orthotics and Prosthetics) CP (Orthotics and Prosthetics) MP (Orthotics and Prosthetics) DP (Orthotics and Prosthetics) JR (Orthotics and Prosthetics) FS (Orthotics and Prosthetics) JS (Orthotics and Prosthetics) AS (Orthotics and Prosthetics) AW (Orthotics and Prosthetics) 6. Review, Discussion, and Possible Action to Approve or Disapprove the Following Pending Practitioner Applications CD (Orthotics and Prosthetics) BG (Orthotics and Prosthetics) MK (Prosthetics) CS (Orthotics and Prosthetics) 7. Review, Discussion, and Possible Action to Approve or Disapprove the Following Facility Accreditation Applications APC (Orthotics and Prosthetics) HC-EP (Orthotics and Prosthetics) HC-SM (Orthotics and Prosthetics) MOP (Orthotics and Prosthetics) RGV (Prosthetics) SC (Orthotics and Prosthetics) SA (Orthotics and Prosthetics) TPCI (Prosthetics) 8. Review, Discussion, and Possible Action to Approve or Disapprove the Following Pending Uniquely Qualified Person Applications RR (Orthotics and Prosthetics) 9. Review, Discussion, and Possible Action regarding the Evaluation of Orthotic-and Prosthetic-Related Degrees of Volunteers from Malaysia with current Texas Licensing Requirements 10. Set Next Meeting Date and Propose Agenda Items 11. Public Comment 12. 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: 512/834-4521
Department of State Health Services
May 2, 2014 – 09:00 AM
Coastal Bend RAC, 1201 Laguna Shores, Corpus Christi
Injury Prevention Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order Approval of Minutes Discussion and possible action on the following items: 1. Review/update of hospital-based injury prevention program components and materials a. Data workgroup b. Partner workgroup c. Training workgroup d. Strategies workgroup e. Evaluation workgroup 2. Review of GETAC position statement on injury and violence prevention workforce development General Public Comment (Comment time may be limited at Chair's discretion) Summary for the GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: Phil Lockwood, 512/834-6700 X 2032
Texas Board of Orthotics and Prosthetics
May 2, 2014 – 01:00 PM
1 Baylor Plaza, Room M-423, Houston
Board Meeting 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 November 8, 2013 and February 21, 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 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 Cases, to include Tabled Cases Discussion and Possible Action Concerning Closed Cases c. Rules Committee Review, Discussion, and Possible Action by the Rules Committee Regarding Proposed New Rules Concerning Licenses and Registrations Issued by the Board, 22 Texas Administrative Code, Chapter 821: Rule s821.20(a)(5) Complaints Rules to include legislatively-mandated rule changes pursuant to House Bill 963 of the 81st Legislature, Regular Session, 2009; House Bill 2703 and Senate Bill 1733 of the 82nd Legislature, Regular Session, 2011; and House Bill 2254 and Senate Bill 162 of the 83rd Legislature, Regular Session, 2013, including amendments to 821.1, 821.9, 821.16, 821.17, 821.20 and new s821.31 Rules as proposed from the November 2013 meeting of the Texas Board of Orthotics and Prosthetics, including amendments to 821.2, 821.4, 821.5, 821.8, 821.10, 821.13, and 821.15, and new s821.30 Discussion and Possible Action Regarding Enforcement of Rules 5. Review, Discussion, and Possible Action by the Texas Board of Orthotics and Prosthetics Regarding Proposed 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: Rule s821.20(a)(5) Complaints Rules to include legislatively-mandated rule changes pursuant to House Bill 963 of the 81st Legislature, Regular Session, 2009; House Bill 2703 and Senate Bill 1733 of the 82nd Legislature, Regular Session, 2011; and House Bill 2254 and Senate Bill 162 of the 83rd Legislature, Regular Session, 2013, including amendments to 821.1, 821.9, 821.16, 821.17, 821.20 and new s821.31 Rules as proposed from the November 2013 meeting of the Texas Board of Orthotics and Prosthetics, including amendments to 821.2, 821.4, 821.5, 821.8, 821.10, 821.13, and 821.15, and new s821.30 6. Review, Discussion, and Possible Action Regarding Final Disciplinary Action on 1070-14-0011 7. Review, Discussion, and Possible Action Regarding Default Orders of 1070-10-0061 & 1070-11-0033 8. Staff Attorney's Report Regarding the Pending Hearings at the State Office of Administrative Hearings including: 1070-09-0006, 1070-09-0010, 1070-09-0014, 1070-09-0027, 1070-09-0032, 1070-09-0040, 1070-10-0044, 1070-10-0057, 1070-10-0074, 1070-10-0075, 1070-11-0045, 1070-13-0023, 1070-13-0029 9. Review, Discussion, and Possible Action Regarding New Enforcement Cases 10.Report on the Annual Meeting of the Texas Association of Orthotics and Prosthetics. 11. 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 12. 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 Cases as well as Disciplinary Action Log and Tool 13. 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 14. Set Next Meeting Dates and Propose Agenda Items 15. Public Comment 16. Adjournment Action may be taken on any of the above items. The Board 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 Board'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: 512/834-4521
5/5/2014
Texas Health and Human Services Commission
May 5, 2014 – 02:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Health and Human Services Commission Stakeholder Forum Agenda: 1. Legislative Appropriations Request Exceptional Items 2. Affordable Care Act Update 3. Farm Bill Update 4. “Eat Healthy” Website Overview 5. Community Partner Program Update 6. Senate Bill 7 Update 7. 1115 Waiver Update Contact: John Livingston, Health and Human Services Commission Office of Community Access, 4900 N. Lamar Blvd., Austin, 512-206-5624, John.Livingston@hhsc.state.tx.us.
5/8/2014
Texas Health and Human Services Commission
May 8, 2014 – 09:00 AM
701 W. 51st St. (John H. Winters Bldg, Public Hearing Room), 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 CHIP: Kay Ghahremani, Health and Human Services Commission (HHSC) 3. Approval of February 2014 Meeting Minutes informational items: 4. Anesthesiologists Assistants HHSC is amending 1 TAC s354.1064, Anesthesiologist Assistant Conditions of Participation, and 1 TAC s354.1065, Anesthesiologist Assistant Benefits and Limitations to reflect the conditions, requirements, and limitations described in HHSC's state plan amendment approved by the Centers for Medicare and Medicaid Services (CMS). This amendment adds anesthesiologist assistants to the fee schedule as a Medicaid provider with an effective date of June 1, 2013. Kami Geoffray, HHSC 5. Delivery of Nonemergency Medical Transportation Services HHSC is amending 1 TAC Chapter 380, Medical Transportation Program (MTP). Senate Bill (S.B.) 8, 83rd Legislature, Regular Session, 2013, added Section 533.00257 to the Government Code, which requires HHSC to provide MTP services on a regional basis through managed transportation organizations (MTOs). The amendments and new rules define the term "managed transportation organization" and specify requirements of participation in the MTP as required by S.B. 8. In addition, the amended rules update references to agencies, delete obsolete citations and definitions, and update language to reflect current policy for the MTP. Shannon Pickett, HHSC 6. Medicaid for Transitioning Foster Care Youth HHSC is amending 1 TAC Chapter 366, s366.611, concerning Medicaid for Transitioning Foster Care Youth, and proposes new s366.1201, concerning Medicaid for Youth Under the Interstate Compact on the Placement of Children. The proposed rules align the eligibility requirements of Medicaid for Transitioning Foster Care Youth (MTFCY) with the eligibility requirements of the new Former Foster Care Children's (FFCC) program and provide coverage to former foster care youth who were approved by this State for placement inside or outside Texas in accordance with the Interstate Compact on the Placement of Children (ICPC), codified at Texas Family Code s162.102, and to former foster youth from any state who were receiving Medicaid services in Texas on or before December 31, 2013, subject to other conditions of eligibility. Stephanie Stephens, HHSC 7. Programs of All-Inclusive Care for the Elderly (PACE) HHSC, on behalf of DADS, is amending 40 TAC Chapter 60, Contracting to Provide Programs of All-Inclusive Care for the Elderly (PACE): s60.6 concerning definitions; and s60.8 concerning contracting requirements. The amendments are to clarify existing contracting procedures and add contracting requirements to PACE program rules. Ginny Barlow, DADS 8. Deaf Blind with Multiple Disabilities (DBMD) Program HHSC, on behalf of DADS, is amending 40 TAC Chapter 42, 42.103, 42.104, 42.201, 42.212, 42.214, 42.215, 42.216, 42.217, 42.223, 42.242, 42.301, 42.401, 42.402, 42.403, 42.404, 42.405, 42.406, 42.615, 42.620, 42.625, 42.626, 42.628, 42.630, and 42.631. These proposed amendments, new sections, and repeal, address the use of restrictive interventions; require an annual nursing assessment by a registered nurse; prohibit a program provider from terminating or retaliating against specified persons for certain actions; revise definitions, service provider qualifications, and requirements for providing employment assistance and supported employment; replace deleted requirements with references to proposed new Chapter 49, Contracting for Community Services which will be effective September 1, 2014; add requirements for a service backup plan and for residential habilitation, nursing, and specialized nursing services and revise case manager documentation requirements; revise safety provisions for individuals receiving licensed assisted living and licensed home health assisted living; update reporting requirements in the event of an individual's death, list of required forms, terminology and references; and clarify billing, licensure, documentation, training and record keeping requirements. Kathi Montalbano, DADS 9. Waiver Payments to Hospitals, for Physician Services, and Other Providers HHSC is amending TAC, Title 1, Part 15, Chapter 355, s355.8201, concerning Waiver Payments to Hospitals, s355.8202, concerning Waiver Payments for Physician Services, and s355.8203, concerning Waiver Payments to Other Performers. Amendments include additional definitions; specify deadlines for affiliation and certification submissions; allow hospitals to request adjustments to increase their interim hospital-specific limits (HSLs) for purposes of calculating uncompensated care (UC) payments and require an additional reconciliation for hospitals submitting such requests; describe how advance UC payments will be calculated when a partial-year UC application was used to determine the preceding demonstration year's UC payment; clarify how a governmental entity must submit its intergovernmental transfers (IGT) in certain situations; provide better organization and clarification, including compiling references to Delivery System Reform Incentive Payments (DSRIP) in a single rule section; and eliminate references to obsolete transition payments where appropriate, clarify eligibility requirements, and make other changes to conform the rule to CMS approved waiver protocols. Pam McDonald, HHSC 10. CHIP Balance Billing HHSC proposes to amend 1 TAC s370.4, Definitions, and 1 TAC s370.453, Balance Billing. The proposed changes to 370.453 are intended to prevent the unauthorized billing of CHIP members and their families for covered services. The amendment adds definitions for "emergency behavioral health condition," "emergency service," and "emergency medical condition". Carisa Magee, HHSC 11. CHIP Out-of-Network Providers HHSC proposes to amend Title 1, Part 15, s370.604, Managed Care Organization Requirements Concerning Out-of-Network Providers to align the Children's Health Insurance Program (CHIP) managed care program requirements with the current Medicaid managed care program requirements for out-of-network providers by requiring CHIP managed care organizations (MCOs) to follow out-of-network utilization standards and corresponding reporting requirements. Emily Zalkovsky, HHSC notice of proposed rules/action items: 12. 3-Day Payment Window HHSC proposes to amend TAC, Title 1, Part 15, Chapter 354, Subchapter A, Division 6, s354.1072, concerning Authorized Inpatient Hospital Services, to remove the exemption from compliance with the three-day payment window for children's hospitals. This amendment aligns the program rule regarding children's hospitals and the three-day payment window with the reimbursement rule (TAC s355.8052) already in effect. Kami Geoffray, HHSC 13. Out-of-State Medicaid Provider Eligibility HHSC proposes to amend Title 1, Part 15, Chapter 352, s352.17, Out-of-State Medicaid Provider Eligibility, to include provisions allowing the enrollment of out-of-state providers who provide a medically necessary service that is otherwise unavailable or has limited availability within the state of Texas. The proposed amendment also allows the enrollment of out-of-state providers for limited exceptions for good cause. Laurie VanHoose, HHSC 14. Potentially Preventable Readmissions (PPR) and Potentially Preventable Complications (PPC) HHSC proposes to amend Title 1, Part 15, Chapter 354, Subchapter A, Division 35, Reimbursement Adjustments for Potentially Preventable Events, s354.1445 and s354.1446. The proposed amendments change the timing of the reporting process relative to the reimbursement reductions; include financial disincentives for hospitals that do not properly code "present on admission" conditions; and clarifies language used previously by TMHP to more accurately capture the population included in the PPR and PPC reports. Matt Ferrara, HHSC 15. Pediatric Long Term Care Facilities HHSC proposes to amend Title 1, Part 15, Chapter 355, Subchapter C, s355.307,
requiring a pediatric care facility to maintain an average daily census of 80 percent children. The number of such individuals (adults aged in place) who may be counted as children for purposes of determining whether the facility meets the requirements for remaining a pediatric care facility is currently limited to 15 percent. The proposal increases the allowed percentage to 35 percent of the average daily census of the facility and would allow those adults who have "aged in place" to be counted as children and eliminate their relocation to other facilities. Laura Marble, HHSC 16. Reimbursement Methodology for Home and Community-based Services and Texas Home Living HHSC proposes to amend Title 1, Part 15, Chapter 355, Subchapter F, s355.725, concerning Reimbursement Methodology for Common Waiver Services in Home and Community-based Services (HCS) and Texas Home Living (TxHmL). This amendment adds a reimbursement methodology for transition assistance services in HCS and TxHmL. Judy Myers, HHSC 17. Cost Determination Process HHSC proposes to amend Title 1, Part 15 Chapter 355, Subchapter A, s355.102, s355.103, s355.104, s355.105, and s355.111, concerning Cost Determination Process; Subchapter C, s355.308, concerning Reimbursement Methodology for Nursing Facilities; Subchapter E, s355.503, s355.505, and s355.513, concerning Community Care for Aged and Disabled; and Subchapter G, s355.6907, concerning Telemedicine Services and other Community-Based Services. These changes include increasing the capitalization threshold for assets; extending the useful life of wheelchair lifts to five years; renumbering the subparagraphs in s355.103(b) to provide clarity; clarifying that providers are required to use the most current version of a resource; updating references in s355.103; removing language related to consolidated cost reports for certain community care providers; updating language regarding distribution of materials prior to public rate hearings; and revising the compliance period for providers to correct an administrative contract violation. Judy Myers, HHSC 18. Public Comment 19. Proposed Next Meeting: Thursday, August 14, 2014 at 9 a.m. 20. Adjourn. Additional Information Contact: Sallie Allen, 512/424-6969
Texas Health and Human Services Commission
May 8, 2014 – 10:00 AM
2405 Robert Dedman Dr. (UT Thompson Conference Ctr, Rm 2.102, Austin
Institute of Health Care Quality and Efficiency Board of Directors (IHCQE) 1. Welcome, Introductions and Opening Statements 2. Old Business: a. Review and approval of meeting minutes of February 21 and April 15, 2014 b. Report on Workgroup Progress (Vote May Be Taken) i. Inaugural Recommendations Evaluation ii. Workgroup A: Measurement and Analytics iii. Workgroup B: Best Practices and Patient and Stakeholder Engagement iv. Workgroup C: Innovative Payment and Delivery Systems v. Workgroup D: Productivity and Process Improvement 3. Background Presentations: a. Aetna b. Lone Star Circle of Care 4. Lunch (Recess) 5. Staff Update: a. Proposed list of 2014 Recommendation Topics (Vote may be taken) b. Proposed process for developing and approving recommendations (Vote may be taken) 6. State Agency Updates: a. Department of Aging and Disability Services (DADS) b. Department of State Health Services (DSHS) c. Employment Retirement System of Texas (ERS) d. Health and Human Services Commission (HHSC) e. Health and Human Services Commission Health Information Technology (HHSC-IT) f. Teacher Retirement System of Texas (TRS) g. Texas A&M University (TAMU) h. Texas Department of Insurance (TDI) i. Texas Higher Education Coordinating Board (THECB) j. Texas Medical Board (TMB) k. Texas State University System (TSU) l. Texas Tech University Health Science Center (TTU) m. Texas Workforce Commission (TWC) n. University of Houston (UH): Vacant o. University of North Texas Health Science Center (UNT) p. University of Texas System (UT) 7. Final Board Actions 8. Public Comment 9. Review of staff action items for follow-up prior to next meeting 10. Adjourn. Additional Information Contact: Jimmy Blanton, 512/380-4372
5/9/2014
Texas Health and Human Services Commission
May 9, 2014 – 10:00 AM
4900 N. Lamar Blvd., Brown-Heatly Bldg., Room 4501, Austin
Advisory Committee on Qualifications for Health Care Translators and Interpreters 1. Call to order. 2. Approval of minutes for March 21, 2014 meeting. (vote required*) 3. Report on administrative action items from last meeting. 4. Finalize proposal for certification (vote required*). 5. Discussion on disseminating information on the committee recommendations. 6. Discussion on developing a registry for health care interpreters. 7. Public comment.* 8. Discuss goals and work plan of the committee for 2014, including completion of report and recommendations for Executive Commissioner. 9. Adjourn. Additional Information Contact: Paula Traffas, 512/438-8209
5/13/2014
House Committee on Appropriations – Subcommittee on Art. III
May 13, 2014 – 9:00 AM
Capitol Extension Building, Room E1.030, Austin
Subcommittee on Article III The House Appropriations Subcommittee on Article III will convene a public hearing to consider the following interim charge topics: Review the current higher education funding formulas. The Subcommittee will consider whether items funded outside base formulas should be included inside the formulas.(Interim Charge 10). Review existing research funds; evaluate the purpose for their creation and the progress made toward the goal of each fund; and determine to what extent eligibility overlap exists among the funds.(Interim Charge 11) The Subcommittee will hear invited and public testimony. Public Testimony will be limited to 5 minutes per witness. Additional Information Contact: Rep. John Otto, 512/463-0570
5/14/2014
Texas Health and Human Services Commission
May 14, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Orthotic Procedures and Devices. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Orthotic Procedures and Devices. 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 Orthotic Procedures and Devices are proposed to be effective July 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; 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 April 30, 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 sarah.hambrick@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 This Meeting Will Be Webcast
Texas Health and Human Services Commission
May 14, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for FluLaval Vaccine. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the FluLaval Vaccine. 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 FluLaval Vaccine are proposed to be effective July 1, 2014. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8081, which addresses payments for laboratory and x-ray services, radiation therapy, physical therapists' services, physician services, podiatry services, chiropractic services, optometric services, ambulance services, dentists' services, psychologists' services, licensed psychological associates' services, maternity clinic services, and tuberculosis clinic services; and §355.8085, which addresses the reimbursement methodology for physicians and other practitioners. 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 April 30, 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 sarah.hambrick@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 This Meeting Will Be Webcast
Texas Health and Human Services Commission
May 14, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Medicaid Biennial Calendar Fee Review. Hearing. 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 July 1, 2014, for the following services: Birthing Centers; Eye and Ocular; Adnexa Surgery; Nervous System Surgery; Vision Devices and Related Services. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8001, which addresses the reimbursement methodology for vision care services; §355.8081, which addresses payments for laboratory and x-ray services, radiation therapy, physical therapists' services, physician services, podiatry services, chiropractic services, optometric services, ambulance services, dentists' services, psychologists' services, licensed psychological associates' services, maternity clinic services, and tuberculosis clinic services; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; §355.8181, which addresses the reimbursement methodology for birthing center services; and §355.8461, which addresses the reimbursement methodology for the Early and Periodic Screening, Diagnosis, and Treatment services eyeglass program. 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 April 30, 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 sarah.hambrick@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 This Meeting Will Be Webcast
5/15/2014
Texas Health and Human Services Commission
May 15, 2014 – 10:00 AM
6330 Highway 290 East, ITT Building, Rooms 3-4, Austin
Quality Based Payment Advisory Committee 1. Welcome and Introductions 2. Approval of the February 20, 2014 Minutes 3. Informational Presentations: a. Dr Shenkman: The At Risk process, the proposed pediatric behavioral health HEDIS measures b. Medicaid/CHIP discussions on value based payment (VBP) options c. Other updates 4. Lunch (Recess) 5. Committee Discussions and Recommendations a. Enrollment b. Telemedicine c. Shared savings d. Quality Measures 6. Public Comment 7. Discussion of Topics and Schedule for the Next Meeting 8. Adjourn. Additional Information Contact: matthew.ferrara@hhsc.state.tx.us
5/16/2014
Texas Health and Human Services Commission
May 16, 2014 – 10:00 AM
701 W. 51st St. (John H. Winters Bldg., Room 460W), Austin
Interagency Coordinating Council for HIV and Hepatitis 1. Welcome and introductions. 2. Presentation on Medicaid and Eligible Individuals with HIV by Alex Melis, Health and Human Services Commission. 3. Discussion on the 2014 and the 2015 Interagency Coordinating Council for HIV and Hepatitis Reports. 4. Roundtable discussion on members' current agency initiatives related to HIV and Hepatitis. 5. Discussion and identification of future agenda items and potential dates for future meetings. 6. Public comments. 7. Adjourn. Additional Information Contact: Clare Seagraves, 512/424-6967
– End of Report –
