State Medicaid Managed Care Advisory Committee (SMMCAC) Clinical Oversight and Administrative Simplification (COAS) Subcommittee

The Clinical Oversight and Administrative Simplification Subcommittee Seeks to strengthen the oversight of utilization management practices to include prior authorization policies and processes used by managed care organizations (MCOs). Focuses on reducing Medicaid provider burden through administrative improvements in four areas: claims payments, eligibility information, provider enrollment processes and prior authorization submissions. Prior authorization discussions will focus on provider process issues and Health and Human Services Commission (HHSC) oversight of MCO prior authorization data. Also discusses specific Medicaid medical benefits as needed. In attendance.  Marcella Ford, Yolanda Haynes-Mims, Dr. Lindsey Vasquez Call to order, introductions, and roll call. The meeting was convened by Marcella Ford. A quorum was not present. Consideration of February 13, 2025, and May 8, 2025, draft meeting minutes. The minutes could not be approved due to the absence of a