August 15, 2019 - 9:00am

Department of State Health Services, Moreton Building, Public Hearing Room M-100
1100 West 49th Street
Austin, TX 78756

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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. Welcome, introductions, and opening remarks
  2. Approval of February 14, 2019, and June 13, 2019, meeting minutes (Vote required)
  3. Medicaid and Children’s Health Insurance Program activities
    ACTION ITEMS:
  4. Nursing Facility Code of Federal Regulations Updates
    - Sharon Wallace, Rule Writer, LTCR Policy, Rules and Training
    Texas Health and Health and Human Services (HHSC)  proposes amendments to §§19.1, 19.101, 19.401 - 19.411, 19.413, 19.414, 19.416, 19.417, 19.421, 19.501 - 19.504, 19.601, 19.602, 19.606, 19.702, 19.703, 19.706, 19.801 - 19.803, 19.901, 19.1001, 19.1010, 19.1101, 19.1104, 19.1107 - 19.1111, 19.1113, 19.1201 - 19.1203, 19.1205, 19.1401, 19.1501, 19.1601, 19.1901, 19.1902, 19.1908 - 19.1912, 19.1915, 19.1917, 19.1929, and 19.2704 in Title 40 of the Texas Administrative Code (TAC) Part 1, Chapter 19, concerning Nursing Facility Requirements for Licensure and Medicaid Certification. HHSC proposes new §§19.701, 19.904, 19.1102, 19.1116, and 19.1931 in Chapter 19. HHSC proposes the repeal of §§19.418, 19.701, 19.705, 19.1102, 19.1103, 19.1903, and 19.1904 in Chapter 19.
    Informational Items:
  5. Delivery System Reform Incentive Payment (DSRIP) Program Demonstration Years 9-10
    - Andy Vasquez, Director, Quality and Program Improvement
    HHSC proposes to amend §354.1707, relating to Performer Valuations, and proposed new §§354.1729, concerning Definitions; 354.1731, concerning Medicaid and Low-income or Uninsured Patient Population by Provider; 354.1733, concerning Regional Healthcare Partnerships (RHPs); 354.1735, concerning Participants; 354.1737, concerning RHP Plan Update for DY9-10; 354.1739, concerning RHP Plan Update Review; 354.1741, concerning RHP Plan Update Modifications; 354.1743, concerning Independent Assessor; 354.1745, concerning Categories; 354.1747, concerning Performer Valuations; 354.1749, concerning Category A Requirements for Performers; 354.1751, concerning Category B Requirements for Performers; 354.1753, concerning Category C Requirements for Performers; 354.1755, concerning Category D Requirements for Performers; 354.1757, concerning Disbursement of Funds; 355.8216, concerning Delivery System Reform Incentive Payments for Demonstration Years 9-10; and 355.8218, concerning Funding for DSRIP Monitoring Program for Demonstration Years 9-10. All sections are in TAC Title 1, Part 15, Chapters 354 and 355.
  6. Local Provider Participation Fund Reporting
    - Charles Greenberg, Director of Hospital Finance and Waiver Programs
    HHSC proposes new TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 4, § 355.8068, concerning Local Provider Participation Fund Reporting.
  7. Reimbursement for Clinical Laboratory Services
    - Kevin Niemeyer, Senior Rate Analyst, HHSC
    HHSC proposes to amend TAC Title 1, Part 15, Chapter 355, Subchapter J, Division 32, §355.8610, concerning Reimbursement for Clinical Laboratory Services.
  8. Inpatient Hospital Reimbursement
    - Victoria Grady, Director, Rate Analysis
    HHSC proposes to amend TAC Title 1, Part 15, Chapter 355 Subchapter J, Division 4, Section 355.8052, concerning Inpatient Hospital Reimbursement, to provide increased Medicaid inpatient reimbursement to rural hospitals effective September 1, 2019, and to create a new standard dollar amount add-on for children’s hospitals called the Children’s Hospital Supplemental add-on.
  9. Reimbursement Methodology for the Home and Community-based Services, Texas Home Living, and Day Activity and Health Services programs
    - Victoria Grady, Director, Rate Analysis
    HHSC proposes to amend TAC Title 1, Part 15, Chapter 355, §355.112, concerning Attendant Compensation Rate Enhancement; §355.723, concerning Reimbursement Methodology for Home and Community-Based Services and Texas Home Living Programs; and §355.6907, concerning Reimbursement Methodology for Day Activity and Health Services.
  10. Reimbursement Methodology for Physical, Occupational, and Speech Therapy Services
    - Victoria Grady, Director, Rate Analysis
    HHSC proposes amendments to Title 1, Part 15, Chapter 355, Subchapter J, Division 5, §355.8097, concerning Reimbursement Methodology for Physical, Occupational, and Speech Therapy Services.
  11. Public comment
  12. Proposed next meeting: November 7, 2019, at 9:00 a.m.
  13. 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 or Camille.Weizenbaum@hhsc.state.tx.us at least 72 hours before the meeting so appropriate arrangements can be made.