Background and Purpose

The State Medicaid Managed Care Advisory Committee provides recommendations and ongoing input to HHSC on the statewide implementation and operation of Medicaid managed care. The committee looks at a range of issues, including program design and benefits, systemic concerns from consumers and providers, efficiency and quality of services delivered by Medicaid managed care organizations, contract requirements for Medicaid managed care, provider network adequacy, and trends in claims processing. 

The committee also will help HHSC with policies related to Medicaid managed care and serves as the central source for stakeholder input on the implementation and operation of Medicaid managed care.

Members

Sandy Klein, San Antonio
Chair
Representing: Long-term Services and Supports Providers Including Nursing Facility Provider and Direct Service Workers

Deanna Abraham, Wortham
Representing: Recipients with Disabilities Including Recipients with an Intellectual or Developmental Disability or with Physical Disabilities, or Consumer Advocates Representing Those Recipients.

Michael Adams, Tyler
Representing: Obstetrical Care Providers

John Asbury, M.D.,Temple
Representing: Primary Care Providers and Specialty Care Providers

Chase Bearden, Austin
Representing: Advocates for Children with Special Healthcare Needs

Fabian Borrego, Edinburg
Representing: Hospitals

Troy Carter, Sugar Land
Representing: Parents of Children Who Are Recipients

Laura Deming, Richmond
Representing: Parents of Children Who Are Recipients

Anne Dunkelberg, Austin
Representing: Low Income Recipients or Consumer Advocates Representing Low Income Recipients

Johnny Gore, Denton
Representing: Managed Care Organizations and Participating Health Care Providers

Janice Fagen, San Antonio
Representing: Managed Care Organizations and Participating Health Care Providers

Soad Michelsen, M.D., San Antonio
Representing: Community Based Organizations Serving Low Income Children and Their Families

Paula Robinson, Houston
Representing: Recipients with Disabilities Including Recipients with an Intellectual or Developmental Disability or with Physical Disabilities, or Consumer Advocates Representing Those Recipients.

Michelle Schaefer, Sonora
Representing: Rural Providers

David Weden, Austin
Representing: Entities with Responsibilities for the Delivery of Long-term Services and Supports or Other Medicaid Service Delivery

Resources

Medicaid Managed Care Initiatives page

More information

Please contact Charles Bredwell at charles.bredwell@hhsc.state.tx.us.


Past Events

December 12, 2018

June 18, 2018

March 14, 2018

August 17, 2017