HHSC: State Medicaid Managed Care Advisory Committee

Call to order and Roll call. The meeting was convened by Sandy Klein. A quorum was not present. Adoption of February 25, 2019 draft minutes. Chair election. Complaints Process and Data Improvements. Claire Middleton. (Claire.Middleton@hhsc.state.tx.us) The Health and Human Services Commission (HHSC) has identified opportunities to improve the managed care complaints process and data collection. The activities align with Deloitte recommendations in the Rider 61 (b) report. An HHSC workgroup is focused on the following: streamlining the complaint process; providing consistency in how complaints are routed, collected, and recorded; aggregating data to identify trends and early warning signs; and increasing transparency around data. Managed Care complaints may be submitted through a variety of channels some of which have independent processes including: Managed Care Organization (MCO) HHSC Ombudsman’s Office HHSC Medicaid CHIP Services (MCS) Department of Fam