Source: http://texashhsc.swagit.com/play/05202016-536
Timestamp: 2019-10-17 02:53:52
Document Index: 159136171

Matched Legal Cases: ['art 15', '§353', '§371', 'art 15', '§353', '§371', '§372', '§372', 'art 15', '§354', 'art 15', '§354', '§354', 'art 15', '§354', 'art 15', '§354', '§354', 'art 15', '§354', 'art 15', '§354', 'art 15', '§353', '§353', '§353', '§353', '§353', '§353', 'art 15', '§353', '§353', '§353', '§353', '§353', '§353', '§358', '§358', '§358', '§358', '§358', '§358', '§359', '§359', '§360', '§361', '§366', '§366', '§366', '§366', '§366', '§366', '§372', '§372', '§372', '§372', '§372', '§372', '§372', '§358', '§358', '§358', '§358', '§359', '§359', '§360', '§361', '§366', '§366', '§366', '§366', '§366', '§366', '§372', '§372', '§372', '§372', '§372', '§372', '§372', 'art 15', 'art 15', 'art 15', 'art 15', 'art 15']

May 20, 2016 Commission Council - Texas Health and Human Services Commission
May 20, 2016 Commission Council
Item 2 - Approval of the Nov. 20, 2015 Council Meeting minutes
Approval of the Nov. 20, 2015 Council Meeting minutes
Item 3 - Executive Commissioner’s Status Report: 1115 Waiver Update
Executive Commissioner’s Status Report: 1115 Waiver Update
Item 4 - Information Presentation: Transformation
Information Presentation: Transformation
Item 5A - Regarding Managed Care Organization Audits: Health and Human Services Commission (HHSC) proposes new Title 1, Part 15, Chapter 353, Subchapter A, §353.6, concerning Audit of Managed Care Organizations and new Chapter 371, Subchapter B, §371.37, concerning Audit of Managed Care Organizations.
Regarding Managed Care Organization Audits: Health and Human Services Commission (HHSC) proposes new
Title 1, Part 15, Chapter 353, Subchapter A, §353.6, concerning Audit of Managed Care Organizations and new
Chapter 371, Subchapter B, §371.37, concerning Audit of Managed Care Organizations.
Item 5B - Regarding Supplemental Nutrition Assistance Program (SNAP) Disqualifications Due to Criminal Activity: HHSC proposes to amend §372.501, concerning Disqualifications Due to Criminal Activity.
Regarding Supplemental Nutrition Assistance Program (SNAP) Disqualifications Due to Criminal Activity:
HHSC proposes to amend §372.501, concerning Disqualifications Due to Criminal Activity.
Items 5C & 6A - 5C. Regarding Delivery System Reform Incentive Payment (DSRIP) Transition Year - June: HHSC proposes Title 1, Part 15, Chapter 354, Subchapter D, new Division 5, concerning Actions in Preparation for Extension of the DSRIP Program, and new sections §§354.1641 – 354.1649 within the new division. 6A. Regarding DSRIP Program Transition Year - September: HHSC proposes Title 1, Part 15, Chapter 354, Subchapter D, new Division 6, concerning DSRIP Program Transition Year, and new sections §§354.1661, 354.1663, 354.1665, 354.1667, 354.1669, 354.1671, 354.1673, and 354.1675 within the new division. HHSC also proposes to amend Chapter 354, Subchapter D, Division 3, section §354.1624, concerning Independent Assessment of DSRIP Projects.
Items 5C & 6A
5C. Regarding Delivery System Reform Incentive Payment (DSRIP) Transition Year - June: HHSC proposes Title 1,
Part 15, Chapter 354, Subchapter D, new Division 5, concerning Actions in Preparation for Extension of the
DSRIP Program, and new sections §§354.1641 – 354.1649 within the new division.
6A. Regarding DSRIP Program Transition Year - September: HHSC proposes Title 1, Part 15, Chapter 354,
Subchapter D, new Division 6, concerning DSRIP Program Transition Year, and new sections §§354.1661,
354.1663, 354.1665, 354.1667, 354.1669, 354.1671, 354.1673, and 354.1675 within the new division. HHSC also proposes to amend Chapter 354, Subchapter D, Division 3, section §354.1624, concerning Independent
Assessment of DSRIP Projects.
Item 6B - Regarding Durable Medical Equipment Physician Signature: HHSC proposes amendments to Title 1, Part 15, Chapter 354, Subchapter A, Division 25, §354.1342, Conditions for Participation.
Regarding Durable Medical Equipment Physician Signature: HHSC proposes amendments to Title 1, Part 15,
Chapter 354, Subchapter A, Division 25, §354.1342, Conditions for Participation.
Item 6C - Regarding STAR Kids, STAR+PLUS, STAR Health, and Home and Community-Based Services: HHSC proposes amendments to Title 1, Part 15, Chapter 353 (relating to Medicaid Managed Care): Subchapter A (relating to General Provisions), §353.2, concerning Definitions; Subchapter G (relating to STAR+PLUS), §353.603; and Subchapter H (relating to STAR Health), concerning Member Participation; §353.701, concerning General Provisions; and §353.702, concerning Member Participation. HHSC proposes new Subchapter M, concerning Home and Community Based Services in Managed Care, including new §§353.901, 903, and 905. HHSC also proposes new Subchapter N, concerning STAR Kids, including new §§353.1201 to 353.1209.
Regarding STAR Kids, STAR+PLUS, STAR Health, and Home and Community-Based Services: HHSC
proposes amendments to Title 1, Part 15, Chapter 353 (relating to Medicaid Managed Care): Subchapter A
(relating to General Provisions), §353.2, concerning Definitions; Subchapter G (relating to STAR+PLUS),
§353.603; and Subchapter H (relating to STAR Health), concerning Member Participation; §353.701, concerning
General Provisions; and §353.702, concerning Member Participation.
HHSC proposes new Subchapter M, concerning Home and Community Based Services in Managed Care,
including new §§353.901, 903, and 905. HHSC also proposes new Subchapter N, concerning STAR Kids,
including new §§353.1201 to 353.1209.
Item 6D - Regarding Eligibility and Related Rules for Medicaid for the Elderly and People with Disabilities: HHSC proposes amendments to Title 1 Chapter 358, Subchapter C, Division 6, §358.431, concerning Definitions.
Regarding Eligibility and Related Rules for Medicaid for the Elderly and People with Disabilities: HHSC
proposes amendments to Title 1 Chapter 358, Subchapter C, Division 6, §358.431, concerning Definitions.
Items 6E - 7 - e. Regarding Financial Eligibility Exclusions for Medicaid for the Elderly and People with Disabilities: HHSC proposes new §358.357, concerning Achieving a Better Life Experience Program; §358.358, concerning School-Based Savings Program; §358.389, concerning Achieving a Better Life Experience Program; and §358.390, concerning School-Based Savings Program. f. Regarding Financial Eligibility Exclusions for Medicare Savings Programs: HHSC proposes to amend §359.103, concerning the Qualified Medicare Beneficiary Program and §359.109, concerning the Qualified Disabled and Working Individual Program. g. Regarding Financial Eligibility Exclusions for Medicaid Buy-In Programs: HHSC proposes amendments to §360.113, concerning Resources. h. Regarding Financial Eligibility Exclusions for the Medicaid Buy-In for Children Program: HHSC proposes amendments to §361.111, concerning Income. i. Regarding Eligibility Rules for Medicaid programs: HHSC proposes amendments to §366.319, concerning Child Support and Medical Support; §366.703 and §366.707, concerning Medicaid for Parents and Caretaker Relatives; §366.821 and §366.847, concerning Medically Needy Program; and §366.1107, concerning Determination of Household Composition. j. Regarding Eligibility Rules for the Children's Health Insurance Program (CHIP): HHSC proposes amendments to 1 Texas Administrative Code (TAC) Chapter 370 concerning the State Children's Health Insurance Program to align the rules with federal law and current HHSC policy and processes. k. Regarding Eligibility and Related Rules for Temporary Assistance for Needy Families (TANF) and SNAP: HHSC proposes amendments to 1 TAC §372.354, concerning Treatment of Resources in TANF; §372.355, concerning Treatment of Resources in SNAP; §372.404, concerning Countable and Excluded Income in TANF; §372.406, concerning Countable and Excluded Income in SNAP; §372.802, concerning One-Time TANF Eligibility Requirements; §372.1153, concerning Personal Responsibility Agreement Requirements; and §372.1154, concerning Cooperating with Personal Responsibility Agreement Requirements. 7. Adjourn
e. Regarding Financial Eligibility Exclusions for Medicaid for the Elderly and People with Disabilities: HHSC
proposes new §358.357, concerning Achieving a Better Life Experience Program; §358.358, concerning
School-Based Savings Program; §358.389, concerning Achieving a Better Life Experience Program; and
§358.390, concerning School-Based Savings Program.
f. Regarding Financial Eligibility Exclusions for Medicare Savings Programs: HHSC proposes to amend §359.103,
concerning the Qualified Medicare Beneficiary Program and §359.109, concerning the Qualified Disabled and
Working Individual Program.
g. Regarding Financial Eligibility Exclusions for Medicaid Buy-In Programs: HHSC proposes amendments to
§360.113, concerning Resources.
h. Regarding Financial Eligibility Exclusions for the Medicaid Buy-In for Children Program: HHSC proposes
amendments to §361.111, concerning Income.
i. Regarding Eligibility Rules for Medicaid programs: HHSC proposes amendments to §366.319, concerning Child
Support and Medical Support; §366.703 and §366.707, concerning Medicaid for Parents and Caretaker
Relatives; §366.821 and §366.847, concerning Medically Needy Program; and §366.1107, concerning
Determination of Household Composition.
j. Regarding Eligibility Rules for the Children's Health Insurance Program (CHIP): HHSC proposes amendments
to 1 Texas Administrative Code (TAC) Chapter 370 concerning the State Children's Health Insurance Program to
align the rules with federal law and current HHSC policy and processes.
k. Regarding Eligibility and Related Rules for Temporary Assistance for Needy Families (TANF) and SNAP:
HHSC proposes amendments to 1 TAC §372.354, concerning Treatment of Resources in TANF; §372.355,
concerning Treatment of Resources in SNAP; §372.404, concerning Countable and Excluded Income in TANF;
§372.406, concerning Countable and Excluded Income in SNAP; §372.802, concerning One-Time TANF
Eligibility Requirements; §372.1153, concerning Personal Responsibility Agreement Requirements; and
§372.1154, concerning Cooperating with Personal Responsibility Agreement Requirements.
Item 1 - Call to Order Item 2 - Approval of the Nov. 20, 2015 Council Meeting minutes Item 3 - Executive Commissioner’s Status Report: 1115 Waive... Item 4 - Information Presentation: Transformation Item 5A - Regarding Managed Care Organization Audits: Healt... Item 5B - Regarding Supplemental Nutrition Assistance Progr... Items 5C & 6A - 5C. Regarding Delivery System Reform Incent... Item 6B - Regarding Durable Medical Equipment Physician Sig... Item 6C - Regarding STAR Kids, STAR+PLUS, STAR Health, and ... Item 6D - Regarding Eligibility and Related Rules for Medic... Items 6E - 7 - e. Regarding Financial Eligibility Exclusion...
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Regarding Delivery System Reform Incentive Payment (DSRIP) Transition Year - June: HHSC proposes Title 1,\nPart 15, Chapter 354, Subchapter D, new Division 5, concerning Actions in Preparation for Extension of the\nDSRIP Program, and new sections \u00a7\u00a7354.1641 \u2013 354.1649 within the new division.\n6A. Regarding DSRIP Program Transition Year - September: HHSC proposes Title 1, Part 15, Chapter 354,\nSubchapter D, new Division 6, concerning DSRIP Program Transition Year, and new sections \u00a7\u00a7354.1661,\n354.1663, 354.1665, 354.1667, 354.1669, 354.1671, 354.1673, and 354.1675 within the new division. HHSC also proposes to amend Chapter 354, Subchapter D, Division 3, section \u00a7354.1624, concerning Independent\nAssessment of DSRIP Projects.","dfile":"https://storage.googleapis.com/vault-001/2016/05/20/05202016-543.360.mp4","image":"https://stills.swagit.com/stills/2016/05/20/05202016-543.480x360.jpg?r=2","mediaid":8,"smimage":"https://stills.swagit.com/stills/2016/05/20/05202016-543.480x360.jpg?r=2","title":"Items 5C & 6A ","sources":[{"type":"application/x-mpegURL","src":"https://58e745a7cb90d.streamlock.net/on-demand/_definst_/vault-001/2016/05/20/05202016-543.360.mp4/playlist.m3u8"}]},{"poster":"https://stills.swagit.com/stills/2016/05/20/05202016-545.480x360.jpg?r=2","description":"Regarding Durable Medical Equipment Physician Signature: HHSC proposes amendments to Title 1, Part 15,\nChapter 354, Subchapter A, Division 25, \u00a7354.1342, Conditions for Participation.","dfile":"https://storage.googleapis.com/vault-001/2016/05/20/05202016-545.360.mp4","image":"https://stills.swagit.com/stills/2016/05/20/05202016-545.480x360.jpg?r=2","mediaid":10,"smimage":"https://stills.swagit.com/stills/2016/05/20/05202016-545.480x360.jpg?r=2","title":"Item 6B ","sources":[{"type":"application/x-mpegURL","src":"https://58e745a7cb90d.streamlock.net/on-demand/_definst_/vault-001/2016/05/20/05202016-545.360.mp4/playlist.m3u8"}]},{"poster":"https://stills.swagit.com/stills/2016/05/20/05202016-546.480x360.jpg?r=2","description":"Regarding STAR Kids, STAR+PLUS, STAR Health, and Home and Community-Based Services: HHSC\nproposes amendments to Title 1, Part 15, Chapter 353 (relating to Medicaid Managed Care): Subchapter A\n(relating to General Provisions), \u00a7353.2, concerning Definitions; Subchapter G (relating to STAR+PLUS),\n\u00a7353.603; and Subchapter H (relating to STAR Health), concerning Member Participation; \u00a7353.701, concerning\nGeneral Provisions; and \u00a7353.702, concerning Member Participation.\nHHSC proposes new Subchapter M, concerning Home and Community Based Services in Managed Care,\nincluding new \u00a7\u00a7353.901, 903, and 905. HHSC also proposes new Subchapter N, concerning STAR Kids,\nincluding new \u00a7\u00a7353.1201 to 353.1209.","dfile":"https://storage.googleapis.com/vault-001/2016/05/20/05202016-546.360.mp4","image":"https://stills.swagit.com/stills/2016/05/20/05202016-546.480x360.jpg?r=2","mediaid":11,"smimage":"https://stills.swagit.com/stills/2016/05/20/05202016-546.480x360.jpg?r=2","title":"Item 6C ","sources":[{"type":"application/x-mpegURL","src":"https://58e745a7cb90d.streamlock.net/on-demand/_definst_/vault-001/2016/05/20/05202016-546.360.mp4/playlist.m3u8"}]},{"poster":"https://stills.swagit.com/stills/2016/05/20/05202016-547.480x360.jpg?r=2","description":"Regarding Eligibility and Related Rules for Medicaid for the Elderly and People with Disabilities: HHSC\nproposes amendments to Title 1 Chapter 358, Subchapter C, Division 6, \u00a7358.431, concerning Definitions.","dfile":"https://storage.googleapis.com/vault-001/2016/05/20/05202016-547.360.mp4","image":"https://stills.swagit.com/stills/2016/05/20/05202016-547.480x360.jpg?r=2","mediaid":12,"smimage":"https://stills.swagit.com/stills/2016/05/20/05202016-547.480x360.jpg?r=2","title":"Item 6D ","sources":[{"type":"application/x-mpegURL","src":"https://58e745a7cb90d.streamlock.net/on-demand/_definst_/vault-001/2016/05/20/05202016-547.360.mp4/playlist.m3u8"}]},{"poster":"https://stills.swagit.com/stills/2016/05/20/05202016-548.480x360.jpg?r=2","description":"e. Regarding Financial Eligibility Exclusions for Medicaid for the Elderly and People with Disabilities: HHSC\nproposes new \u00a7358.357, concerning Achieving a Better Life Experience Program; \u00a7358.358, concerning\nSchool-Based Savings Program; \u00a7358.389, concerning Achieving a Better Life Experience Program; and\n\u00a7358.390, concerning School-Based Savings Program.\nf. Regarding Financial Eligibility Exclusions for Medicare Savings Programs: HHSC proposes to amend \u00a7359.103,\nconcerning the Qualified Medicare Beneficiary Program and \u00a7359.109, concerning the Qualified Disabled and\nWorking Individual Program.\ng. Regarding Financial Eligibility Exclusions for Medicaid Buy-In Programs: HHSC proposes amendments to\n\u00a7360.113, concerning Resources.\nh. Regarding Financial Eligibility Exclusions for the Medicaid Buy-In for Children Program: HHSC proposes\namendments to \u00a7361.111, concerning Income.\ni. Regarding Eligibility Rules for Medicaid programs: HHSC proposes amendments to \u00a7366.319, concerning Child\nSupport and Medical Support; \u00a7366.703 and \u00a7366.707, concerning Medicaid for Parents and Caretaker\nRelatives; \u00a7366.821 and \u00a7366.847, concerning Medically Needy Program; and \u00a7366.1107, concerning\nDetermination of Household Composition.\nj. Regarding Eligibility Rules for the Children's Health Insurance Program (CHIP): HHSC proposes amendments\nto 1 Texas Administrative Code (TAC) Chapter 370 concerning the State Children's Health Insurance Program to\nalign the rules with federal law and current HHSC policy and processes.\nk. Regarding Eligibility and Related Rules for Temporary Assistance for Needy Families (TANF) and SNAP:\nHHSC proposes amendments to 1 TAC \u00a7372.354, concerning Treatment of Resources in TANF; \u00a7372.355,\nconcerning Treatment of Resources in SNAP; \u00a7372.404, concerning Countable and Excluded Income in TANF;\n\u00a7372.406, concerning Countable and Excluded Income in SNAP; \u00a7372.802, concerning One-Time TANF\nEligibility Requirements; \u00a7372.1153, concerning Personal Responsibility Agreement Requirements; and\n\u00a7372.1154, concerning Cooperating with Personal Responsibility Agreement Requirements.\n7. Adjourn","dfile":"https://storage.googleapis.com/vault-001/2016/05/20/05202016-548.360.mp4","image":"https://stills.swagit.com/stills/2016/05/20/05202016-548.480x360.jpg?r=2","mediaid":13,"smimage":"https://stills.swagit.com/stills/2016/05/20/05202016-548.480x360.jpg?r=2","title":"Items 6E - 7 ","sources":[{"type":"application/x-mpegURL","src":"https://58e745a7cb90d.streamlock.net/on-demand/_definst_/vault-001/2016/05/20/05202016-548.360.mp4/playlist.m3u8"}]}]; player.playlist([]); player.playlist(playlist); // Play through the playlist automatically. player.playlist.autoadvance(0);