Texas Health and Human Services Digest: June 29, 2020

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Previous meetings have made alternative arrangements like phone-in capability or have been canceled. These meetings are on the calendar as of today.

June 29, 2020

June 30, 2020

July 1, 2020

The Administrative Procedure Act (Texas Government Code, Chapter 2001(link is external)) 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.

The Administrative Procedure Act (Texas Government Code, Chapter 2001(link is external)) 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.

No rules are presently available for public comment.

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.

The following are draft rules on which HHS is accepting informal public or stakeholder input. All rules are posted in MS Word format unless otherwise noted.

 

TitleProject No.ContactComment Start DateComment End Date
Title 1, Chapter 353 Medicaid Managed Care, concerning State of Texas Access Reform (STAR) Health Continuity of Care#20R037Shannon Stewart6/29/207/13/20
Title 26, Chapter 744, 746, 747, 748, & 749 Minimum Standards for School-Age and Before or After-School Programs, Child-Care Centers, Child-Care Homes, General Residential Operations, & Child-Placing Agencies#20R026HHSC Child Care Regulation6/29/207/13/20
Repeal of Title 25, Chapter 411, Subchapter J, Standards of Care and Treatment in Psychiatric Hospitals, and new Title 26, Chapter 568, Standards of Care and Treatment in Psychiatric Hospitals#20R008HHSC Policy, Rules, and Training6/25/207/9/20
Title 26, Chapter 558 Licensing Standards for Home and Community Support Services Agencies#19R069HHSC Policy, Rules, and Training6/23/207/7/20
Repeal of Title 40, Chapter 109, Subchapter C, Specialized Telecommunications Assistance Program, and new Title 26, Chapter 360, Subchapter C, Specialized Telecommunications Assistance Program#18R061Bryant Robinson6/18/207/2/20
Title 26, Chapter 744, 746, & 747 Minimum Standards for School Age and Before or After School Programs, Child-Care Centers, & Child-Care Homes#20R024HHSC Child Care Regulation6/17/207/1/20

 

Recently, we have found ourselves confronted with a different kind of “normal.” For many across the country, that suddenly meant adjusting to online learning and schooling. It has also elevated the concerns parents have if their children get sick and need care.

With this in mind, the Connecting Kids to Coverage National Campaign created new resources that partners can share to remind parents and caretakers that Medicaid and the Children’s Health Insurance Program (CHIP) provide free or low-cost health insurance for eligible children and teens up to age 19. With Medicaid and CHIP, parents get the peace of mind that comes with knowing their children have access to essential medical care, such as preventive services or emergency care should they get sick or injured. The resources also remind parents that even if they have applied before and were not able to obtain coverage, they may now be eligible.

In addition to an animated video in English and Spanish, the Campaign offers a print-ready palm card, poster, and direct-mail insert in English and Spanish for use in community outreach. There is also a digital button that can be added to websites to easily connect to families with health insurance information in their state through the “Find Coverage for Your Family” map on InsureKidsNow.gov.

This Outreach and Education webinar, Measure Collaboration Workspace Series – eCQI Resource Center, Hybrid Measure, Measure Collaboration Workspace, and the CMS Measures Inventory Tool is scheduled for Wednesday, July 15, 2020, for Eligible Hospitals, Critical Access Hospitals, Eligible Clinicians, and Eligible Professionals performing electronic clinical quality measure (eCQM) reporting for the following CMS programs:

  • Hospital Inpatient Quality Reporting (IQR) Program
  • Medicare and Medicaid Promoting Interoperability Programs
  • Quality Payment Program (QPP): The Merit-based Incentive Payment System (MIPS)
  • Advanced Alternative Payment Models (Advanced APMs)
  • APM: Comprehensive Primary Care Plus (CPC+)
  • APM: Primary Care First (PCF)

The webinar will be presented on July 15, 2020, at 1 p.m. Eastern Time (ET). The webinar slides will be available for download from https://protect2.fireeye.com/url?k=d880a558-84d5ac4b-d8809467-0cc47adb5650-7d1bf098bae294d3&u=http://www.qualityreportingcenter.com/ under Upcoming Events the day before the presentation.

The webinar will be presented by Rose Almonte MS, RN, Principal Clinical Informatics, MITRE; Bridget Blake, Principal Systems Engineer, MITRE; Edna Boone, Center for Clinical Standards and Quality (CCSQ) Contractor, Clinovations; Shanna Hartman, MS, RN, Nurse, CCSQ, CMS; Katrina Hoadley, MS, RN, Nurse, CCSQ, CMS; Debbie Krauss, MS, RN, Nurse, CCSQ, CMS; Mary Sheehan, MPH, RD, LD, MMS Inventory Task Lead, Battelle, Artrina Sturges, EdD, Alignment of eCQMs Lead, Inpatient Value, Incentives, and Quality Reporting (VIQR) Outreach and Education Support Contractor, and Marissa White, MPH, MMS Inventory Team, Battelle.
You may register for the webinar at the following link: https://globalmeetwebinar.webcasts.com/starthere.jsp?ei=1339890&tp_key=c3f496d170. (To save time and keystrokes, add the event to your calendar BEFORE registering.

The Centers for Medicare & Medicaid Services (CMS) wants to remind eligible hospitals and critical access hospitals that the Annual Call for Measures for the Medicare Promoting Interoperability Program closes this Wednesday, July 1 at 11:59 p.m. ET.

Proposals submitted by the deadline will be considered for inclusion in future rulemaking.

CMS is interested in adding measures that:

  • Build on the advanced use of CEHRT using 2015 Edition Certification Standards and Criteria;
  • Promote interoperability and health information exchange;
  • Improve program efficiency, effectiveness, and flexibility;
  • Provide patient access to their health information;
  • Reduce clinician burden; and
  • Align with the MIPS Promoting Interoperability Performance Category.

Applicants should also consider the following when submitting their proposal:

  • Health IT activities that may be attested to in lieu of traditional reporting;
  • Potential new Opioid Use Disorder prevention and treatment related measures; and
  • Measurable outcomes demonstrating greater efficiency in costs or resource use that can be linked to the use of health IT-enabled processes.

Submission Details
Proposals must be sent to CMSPICallforMeasures@ketchum.com. Applicants will receive email confirmations of their submission.

Submission forms must be complete to be considered. Proposals that do not provide information for every field/section in the form will not be evaluated for consideration. Any information/field not applicable to the measure proposal must state “N/A” or “not applicable” or the proposal will not be considered.

Resources

For More Information
Visit the 2020 Call for Measures page on the Promoting Interoperability Programs website.

The Texas Drug Utilization Review Board will perform a clinical review at their Oct. 23, 2020, meeting of anticonvulsants, antihemophilic, antineoplastic, antiretroviral, and medications used to treat multiple sclerosis.

These are protected drug classes not currently reviewed on the Texas Medicaid Preferred Drug List. All medications within these drug classes will be preferred and continue to be available without prior authorization.

The July 24 board meeting will include an announcement regarding the new drug classes planned for review at the Oct. 23 meeting.

To learn more, visit the Vendor Drug Program website or contact vdp-formulary@hhsc.state.tx.us.