The Texas Health and Human Services Commission (HHSC) proposed a new rule that would require Medicaid Managed Care Organizations (MCO) disease management care programs to have performance measures that are comparable to the Medicaid fee-for-service/Primary Care Case Management disease management program.
Additionally, MCOs must demonstrate an ability to manage complex diseases among Medicaid recipients. A public hearing will be held on May 17, 2007, from 9-10 a.m. in the HHSC Lone Star Conference Room at 11209 Metric Boulevard, Austin, Texas 78758. For more information, contact Meisha Spencer at (512) 491-1453.
For more details about the proposed rule, and to read a section-by-section summary, see the relevant section of the April 27 Texas Register.
HHSC seeks to amend the code to revise time limits for submitting Medicaid claims for school districts delivering School Health and Related Services (SHARS). The proposed change would move up the filing deadline of initial claims. HHSC also will implement annual cost reporting, cost reconciliation, and cost settlement processes beginning with State Fiscal Year (SFY) 2007. The purpose of the change is to help control costs.
For more details about the proposed rule, see the relevant section of the April 27 Texas Register.
HHSC proposes an amendment to change the reimbursement methodology for freestanding psychiatric inpatient hospitals from Tax Equity Fiscal Responsibility Act principles to a hospital-specific per diem rate. For more information about the difference between the two, see the relevant section of the April 27 Texas Register.
HHSC proposes an amendment that would give Early and Periodic Screening, Diagnosis, and Treatment program clients a personal care services benefit. To find out how and where to comment on this proposal, see the relevant section of the April 27 Texas Register.
