1.Call to Order 2.Approval of the May 23, 2013 Council Meeting Minutes
Executive Commissioner’s Status Report
Information Items Related to Rules Related to Hospital Presumptive Eligibility Information on rule amendment proposed in the Texas Register in Title 1, Texas Administrative Code (TAC), Part 15, Chapters 366, Subchapter B, concerning the Presumptive Medicaid for Pregnant Women Program.
Regarding the Delivery System Reform Incentive Payment Rule Amendments Information on rule amendments proposed in the Texas Register in Title 1, TAC, Part 15, Chapter 354, §354.1602, §354. 1602,§354. 1633, and §354.1634 concerning the Texas Transformation and Quality Improvement Program and new §354.1637 concerning the Delivery System Reform Incentive Payment Program. HHSC also proposes to repeal existing §354.1635 concerning Regional Health Partnership Plan Modification.
Related to Waiver Payments to Hospitals, for Physician Services, and other Providers Information on rule amendments proposed in the Texas Register in Title 1, TAC, Chapter 355, §355.8065, related to Disproportionate Share Hospital Reimbursement Methodology, §355.8201 and §355.8202, related to Waiver Payments to Hospitals for Uncompensated Care and to Physician Group Practices for Uncompensated Care, and §355.8441, related to Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) as required by General Appropriations Act, Senate Bill 1, 83rd Legislature, Regular Session, 2013 (Article II, Health and Human Services Commission (HHSC), Rider 86).
Related to Payments to Qualified Nursing Facilities under Managed Care Information on consideration of a new rule in the Texas Register in Title 1, Part 15, Chapter 353, §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.
Related to Payment for Physician Assistants and Other Practioners Consideration on a new rule to be proposed in the Texas Register in Title 1, TAC, Part 15, Chapter 354, 354.1001, §355.1062.
Related to Reimbursement Methodology for Physician Assistants and Other Practitioners Consideration on a new rule to be proposed in the Texas Register in Title 1, TAC Part 15, amends §355.8093, Physicians Assistants, §355.8161. Reimbursement Methodology for Midwife Services, and §355.8281, Reimbursement Methodology, under Title 1, Part 15, Subchapter J.
5C.Regarding Medical Record Fees Consideration on a new rule to be proposed in the Texas Register in Title 1, TAC, Part 15, Chapter 354, Subchapter A, Division 1. 6. Adjourn
1.Call to Order 2.Approval of the May 23, 2013 Council Meeting Minutes
Executive Commissioner’s Status Report
Information Items Related to Rules Related to Hospital Presumptive Eligibility Information on rule amendment proposed in the Texas Register in Title 1, Texas Administrative Code (TAC), Part 15, Chapters 366, Subchapter B, concerning the Presumptive Medicaid for Pregnant Women Program.
Regarding the Delivery System Reform Incentive Payment Rule Amendments Information on rule amendments proposed in the Texas Register in Title 1, TAC, Part 15, Chapter 354, §354.1602, §354. 1602,§354. 1633, and §354.1634 concerning the Texas Transformation and Quality Improvement Program and new §354.1637 concerning the Delivery System Reform Incentive Payment Program. HHSC also proposes to repeal existing §354.1635 concerning Regional Health Partnership Plan Modification.
Related to Waiver Payments to Hospitals, for Physician Services, and other Providers Information on rule amendments proposed in the Texas Register in Title 1, TAC, Chapter 355, §355.8065, related to Disproportionate Share Hospital Reimbursement Methodology, §355.8201 and §355.8202, related to Waiver Payments to Hospitals for Uncompensated Care and to Physician Group Practices for Uncompensated Care, and §355.8441, related to Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) as required by General Appropriations Act, Senate Bill 1, 83rd Legislature, Regular Session, 2013 (Article II, Health and Human Services Commission (HHSC), Rider 86).
Related to Payments to Qualified Nursing Facilities under Managed Care Information on consideration of a new rule in the Texas Register in Title 1, Part 15, Chapter 353, §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.
Related to Payment for Physician Assistants and Other Practioners Consideration on a new rule to be proposed in the Texas Register in Title 1, TAC, Part 15, Chapter 354, 354.1001, §355.1062.
Related to Reimbursement Methodology for Physician Assistants and Other Practitioners Consideration on a new rule to be proposed in the Texas Register in Title 1, TAC Part 15, amends §355.8093, Physicians Assistants, §355.8161. Reimbursement Methodology for Midwife Services, and §355.8281, Reimbursement Methodology, under Title 1, Part 15, Subchapter J.
5C.Regarding Medical Record Fees Consideration on a new rule to be proposed in the Texas Register in Title 1, TAC, Part 15, Chapter 354, Subchapter A, Division 1. 6. Adjourn