June 13, 2019 - 9:00am

Health and Human Services Commission, Brown-Heatly Building, Public Hearing Room
4900 North Lamar Blvd.
Austin, TX 78751

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Webcasting Available

This meeting will be webcast. To access the webcast, go to https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings the day and time of the meeting.

  1. Opening comments
  2. Medicaid and Children’s Health Insurance Program activities
  3. Approval of November 8, 2018, meeting minutes (Vote required)


  1. Administrative Penalties, Amelioration, and Informal Dispute Resolution for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Programs

The Texas Health and Human Services Commission (HHSC) proposes amendments, new sections, and repeals to Texas Administrative Code (TAC) Title 40, Part 1, Chapter 9, Intellectual Disability Services--Medicaid State Operating Agency Responsibilities, and Chapter 49, Contracting for Community Services. The purpose of the proposed rules is to implement Texas Human Resources Code §§161.089, 161.0891, and 161.0892 added by House Bill 2590, 85th Legislature, Regular Session, 2017.

- Tahoe Fintel, Senior Policy Specialist, LongTerm Care Resources Policy, Rules & Training, HHSC


  1. Disproportionate Share Hospital (DSH) Program Unspent Funds and Hospital-Specific Limit (HSL)

HHSC proposes amendments to TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 4, §355.8065, concerning DSH Reimbursement Methodology, and §355.8066, concerning HSL Methodology. The amendments will add language to the rules relating to methodology that HHSC will use to pay the unspent funds available for program years 2014 - 2017 DSH, and for the calculation of the HSL for these retrospective and prospective DSH payments.

- Tori Grady, Director of Rate Analysis, HHSC

  1. Inpatient Direct Graduate Medical Education (GME) Reimbursement

HHSC proposes an amendment to TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 4, §355.8058, concerning Inpatient GME Reimbursement. The proposed amendment will allow teaching hospitals owned or operated by non-governmental entities to receive Medicaid GME supplemental payments, provided that the non-federal share is provided by a local governmental entity.

- Kevin Niemeyer, Senior Rate Analyst, HHSC

  1. Public comment
  2. Proposed next meeting: August 15, 2019, at 9:00 a.m.
  3. Adjourn

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Camille Weizenbaum, Advisory Committee Coordinator, Medicaid and CHIP Services Department, 512-487-3446, Camille.Weizenbaum@hhsc.state.tx.us.

This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting.

People with disabilities who wish to attend the meeting and require auxiliary aids or services should contact Weizenbaum at 512-487-3446 at least 72 hours before the meeting so appropriate arrangements can be made.