GOVERNMENT CODE CHAPTER 2177. TEXAS PHARMACEUTICAL INITIATIVE HB 4990 established the Texas Pharmaceutical Initiative to provide cost-effective access to prescription drugs and other medical supplies to individuals receiving health benefits…
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Policy Council for Children and Families works to improve the coordination, quality, efficiency, and outcomes of services provided to children with disabilities and their families through the state’s health, education, and…
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The Hospital Payment Advisory Committee functions as a sub-committee of the Medical Care Advisory Committee. It advises MCAC and the Health and Human Services Commission about hospital reimbursement methodologies for inpatient…
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The Rural Hospital Advisory Committee (RHAC) is a subcommittee of HPAC mandated by Senate Bill 1621, 86th Legislature, Regular Session, 2019, to advise HHSC of issues relating specifically to rural…
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Texas Council on Cardiovascular Disease and Stroke conducts health education, public awareness and community outreach; improves access to treatment; coordinates activities among state agencies; and develops a database of recommendations for…
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Summary/Charge: Focuses on improvements in the care of children and youth with medical, behavioral, or developmental complexity within Medicaid managed care. Objectives include, but are not limited to, advising HHSC on…
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Summary/Charge: Focuses on more effectively leveraging complaints data to identify potential problems in the Medicaid program, opportunities for improved MCO contract oversight and increasing program transparency. Also focuses on appeals and…
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Summary/Charge: Seeks to strengthen the oversight of utilization management practices to include prior authorization policies and processes used by manage care organizations (MCOs). Focuses on reducing Medicaid provider burden through administrative…
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Summary/Charge: Focuses on improvements related to service and care coordination within managed care. Objectives include assessing best practices for care coordination, addressing state-level barriers hindering MCO deliver of care coordination services,…
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Summary/Charge: Supports a comprehensive monitoring strategy to ensure members have timely access to the services they need. Objectives include accuracy of provider directories, incentivizing use of telehealth, telemedicine and telemonitoring services,…
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