Texas Health and Human Services Digest: February 17, 2021

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From HHSC: While every effort has been made to offer an accurate and current listing of meeting agendas and events on this calendar, the information has been compiled from a variety of sources and is subject to change without notice to the user.

Please Note: This is a comprehensive list of upcoming meetings provided by HHSC. Not every meeting fits the parameters for coverage by Texas Insight. Refer to Texas Insight’s “Weekly Insight” newsletters for regular updates on planned coverage.

February 17, 2021

February 18, 2021

February 19, 2021

February 22, 2021

February 23, 2021

February 24, 2021

February 25, 2021

March 3, 2021

March 4, 2021

Proposed Rules
Formal Comments via the Texas Register
To let the public know about a rulemaking action – such as new, amended or repealed rules – HHS publishes a notice in the Texas Register, a publication of the Texas Secretary of State. Interested parties then can review and comment on the proposed rule. The Secretary of State publishes a new issue of the Texas Register each Friday.

The Administrative Procedure Act (Texas Government Code, Chapter 2001) requires the notice published in the Texas Register to include a brief explanation of the proposed rule and a request for comments from any interested person. The notice also includes instructions for submitting comments regarding the rule to the agency, including the date by which comments must be submitted. Agencies must give interested persons “a reasonable opportunity” to submit comments. The public comment period begins on the day after the notice of a proposed rule is published in the Texas Register and lasts for a minimum of 30 calendar days.

Below is a list of proposed rules that have been published in the Texas Register. The proposed rules that are published in the Texas Register are open for public comment until the end of the comment period.

TitleProject No., DescriptionContactComment End Date
Title 1, Chapter 353, Subchapter A, Sections 353.4 and 353.7, concerning Managed Care Organization Requirements Concerning Out-of-Network Providers and Coordination of Benefits with Primary Health Insurance Coverage#21R032: Coordination of Care from Specialty ProvidersHHS Rules Coordination Office3/15/21
Title 1, Chapter 354, Subchapter A, Division 22, Sections 354.1311 and 354.1312, concerning Benefits and Limitations and Conditions for Participation#19R017: Medicaid Substance Use Disorder Rule AmendmentLaura Jourdan3/15/21
Title 1, Chapter 355, Subchapter J, Division 31, Section 355.8600, Reimbursement Methodology for Ambulance Services#21R029: Reimbursement Methodology for Ambulance ServicesHHS Provider Finance3/15/21
Title 26, Chapter 553, Licensing Standards for Assisted Living Facilities#19R066: Assisted Living Facilities ReorganizationHHS Rules Coordination Office3/1/21
Title 25, Chapter 131, concerning Freestanding Emergency Medical Care Facilities#20R009: Freestanding Emergency Medical Care FacilitiesHHS Policy, Rules and Training2/22/21
Title 26, Chapter 509, concerning Freestanding Emergency Medical Care Facilities#20R009: Freestanding Emergency Medical Care FacilitiesHHS Policy, Rules and Training2/22/21

Draft Rules Informal Comments

Informal opportunities to comment occur before a rule is published in the Texas Register. HHS staff may solicit informal public and stakeholder input by:

  • inviting stakeholders to submit comments on potential rule changes during rule development.
  • sharing a draft rule with stakeholders for review.
  • using existing HHS advisory committees to comment on rules.
TitleProject No.ContactComment Start DateComment End Date
Title 25, Chapter 157, Subchapter G, Sections 157.122 and 157.133, concerning Trauma Service Areas and Requirements for Stroke Facility Designation#20R100DSHS EMS-Trauma Systems Section2/11/212/25/21

2021 Schedule
As HHSC has received a waiver to Rate Hearing Requirements, there will not be a rate hearing conducted on many of these rates.

TitleProposed Effective DatePacket
Updated
Documents
Notice Of Proposed Prospective Reimbursement For Rural Hospitals Participating In MedicaidSeptember 01, 2021 Notice Of Proposed Prospective Reimbursement For Rural Hospitals Participating In Medicaid
09-01-2021-prospective-reimbursement-rural-hospitals-in-medicaid.pdf

Notice Of Proposed Prospective Reimbursement For Rural Hospitals Participating In Medicaid Attachment
09-01-2021-prospective-reimbursement-rural-hospitals-in-medicaid-attch-rate-vis.pdf

Proposed Payment Rates for Home and Community-Based Services – Adult Mental Health (HCBS-AMH) Supported Home Living (SHL) and Youth Empowerment Services (YES) Waiver In-Home RespiteApril 01, 2021 Proposed Payment Rates for Home and Community-Based Services – Adult Mental Health (HCBS-AMH) Supported Home Living (SHL) and Youth Empowerment Services (YES) Waiver In-Home Respite
04-01-2021-proposed-rate-hcs-hcbs-mh-sbl-yes-waiver-ihresp.pdf
Notice of Proposed Adjustments to Fees, Rates, or Charges for Medicaid Biennial Calendar Fee Review of the following: Long Acting Reversible Contraceptives (LARCs)April 01, 2021 Notice of Proposed Adjustments to Fees, Rates, or Charges for Medicaid Biennial Calendar Fee Review of the following: Long Acting Reversible Contraceptives (LARCs)
04-01-2021-larcs-biennialcalendarfeereview.pdf
Notice of Proposed Adjustments to Fees, Rates or Charges for Wound CareMarch 01, 2021 Notice of Proposed Adjustments to Fees, Rates or Charges for Wound Care
03-2021-policy-woundcare.pdf
Notice of Proposed Adjustments to Fees, Rates or Charges for Telemonitoring UpdateMarch 01, 2021 Notice of Proposed Adjustments to Fees, Rates or Charges for Telemonitoring Update
03-2021-policy-telemonitoring.pdf
Notice of Proposed Adjustments to Fees, Rates or Charges for Stereotactic RadiosurgeryMarch 01, 2021 Notice of Proposed Adjustments to Fees, Rates or Charges for Stereotactic Radiosurgery
03-2021-policy-stereotactic-radiosurgery.pdf
Notice of Proposed Adjustments to Fees, Rates or Charges for Nutritional (Enteral) Products, Supplies, and Equipment – Home Health & CCP: Immobilized Lipase CartridgeMarch 01, 2021 Notice of Proposed Adjustments to Fees, Rates or Charges for Nutritional (Enteral) Products, Supplies, and Equipment – Home Health & CCP: Immobilized Lipase Cartridge
03-2021-policy-nutrional-prod-sup-equip.pdf
Notice of Proposed Adjustments to Fees, Rates or Charges for Digital Breast TomosynthesisMarch 01, 2021 Notice of Proposed Adjustments to Fees, Rates or Charges for Digital Breast Tomosynthesis
03-2021-policy-dbt.pdf
Notice of Proposed Adjustments to Fees, Rates or Charges for Colorectal Cancer Screening PolicyMarch 01, 2021 Notice of Proposed Adjustments to Fees, Rates or Charges for Colorectal Cancer Screening Policy
03-2021-policy-colorectal-cancer-screen.pdf
Notice of Proposed Adjustments to Fees, Rates or Charges for Healthcare Common Procedure Coding System (HCPCS)March 01, 2021 Notice of Proposed Adjustments to Fees, Rates or Charges for Healthcare Common Procedure Coding System (HCPCS)
03-2021-policy-hcpcs.pdf

Notice of Proposed Adjustments to Fees, Rates or Charges for Healthcare Common Procedure Coding System (HCPCS) Attachments
03-2021-policy-hcpcs-att.zip

Biennial Calendar Fee ReviewMarch 01, 2021 Biennial Calendar Fee Review
03-2021-biennialcalendarfeereview.pdf

Biennial Calendar Fee Review Attachments
03-2021-biennialcalendarfeereview-att.zip

Notice of Proposed Adjustments to Fees, Rates or Charges for Medical Transportation Program (MTP) Fee ReviewJanuary 01, 2021 Notice of Proposed Adjustments to Fees, Rates or Charges for Medical Transportation Program (MTP) Fee Review
01-2021-medical-transport.pdf
Notice of Proposed Adjustments to Fees, Rates or Charges for 2021 Annual Healthcare Common Procedure Coding System (HCPCS) UpdatesJanuary 01, 2021 Notice of Proposed Adjustments to Fees, Rates or Charges for 2021 Annual Healthcare Common Procedure Coding System (HCPCS) Updates
01-01-2021-policy-hcpcs-annual-2021.pdf

Notice of Proposed Adjustments to Fees, Rates or Charges for 2021 Annual Healthcare Common Procedure Coding System (HCPCS) Updates Attachments
01-01-2021-policy-hcpcs-annual-2021-att.zip

Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) High Throughput TestingJanuary 01, 2021 Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19) High Throughput Testing
01-01-2021-notice-adjfees-hcpcs-covid19-highthrouhput-testing.pdf
Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19)January 01, 2021 Notice of Adjustments to Fees, Rates or Charges for Quarterly Healthcare Common Procedure Coding System (HCPCS) Updates Related to Coronavirus Disease 2019 (COVID-19)
01-01-2021-notice-adjfeesratescharges-hcpcs-covid19.pdf

LTC Provider Resources During an Emergency. Long-term care providers impacted by the current severe weather event should be implementing emergency management plans. LTC providers in need of resources or assistance during an emergency, such as the current severe weather, are reminded that you can:

  • Contact your LTCR regional office regarding events that are affecting residents (such as no heat, evacuation, frozen fire sprinkler systems, etc.). They can initiate an emergency request.
  • Contact your local emergency management or Regional Advisory Council, who can initiate a STAR request.
  • Contact your local power company if you are having power issues. Nursing facilities, assisted living facilities, and inpatient hospices should inform the power company that you are a LTC provider, as those providers are prioritized for service restoration per the Public Utility Commission rules.
  • Contact your Texas Department of Emergency Management District Coordinator if you are having challenges getting generator fuel.

If you need guidance or assistance in relocating residents, work with your LTCR Regional Director. All requests to exceed licensed capacity must be approved by the Director of Survey Operations. If your facility is projected to exceed its licensed capacity because it is accepting residents who have been evacuated from another facility, email Renee Blanch-Haley and include State Capacity Increase Request in the subject line.

Please refer to Provider Letter 2018-19 (PDF) as applicable and to your program’s rules for additional important information regarding emergency preparedness. If you have any questions, contact your LTCR regional office, email LTCR Policy Rules and Training or call 512-438-3161.

Health officials alert public to carbon monoxide dangers. With power outages from this week’s winter storm affecting large portions of Texas, the Texas Department of State Health Services is urging people to use extreme caution with electric generators and heat sources that produce carbon monoxide.

Generators should only be placed outdoors at least 10 feet away from buildings. They should never be operated indoors or in garages. Likewise, cars should not be run inside a garage, even with the door open, because carbon monoxide can build up, leading to death. Outdoor grills, camp stoves and other appliances meant for open-air use should not be used to heat a home because they, too, create carbon monoxide.

Carbon monoxide is an odorless and invisible gas produced by burning gasoline, propane, wood, charcoal and other fuel. If it builds up in a confined space and people breathe it in, it can replace the oxygen in their blood leading to carbon monoxide poisoning and death.

Symptoms of carbon monoxide poisoning include dizziness, drowsiness, severe headache, weakness, nausea and confusion. Anyone with one or more of these symptoms should go – or be moved to – a well-ventilated area outdoors and receive immediate medical attention.

People without power can take steps to stay warm by:

  • Closing blinds or curtains to trap heat inside.
  • Closing off rooms to avoid wasting heat.
  • Stuffing towels or rags in cracks under doors.
  • Eating and drinking because food can warm the body.
  • Wear multiple layers of warm, loose-fitting clothing.

Those who need a warm place to go due to the winter weather affecting Texas can locate approximately 200 warming centers across the state at tdem.texas.gov/warming-centers.