Texas Register July 12, 2019 Volume: 44 Number: 28

Office of the Attorney General

 

Opinions

Request for Opinion: Willed body program

ATTORNEY GENERALRequests for OpinionsRQ-0292-KPRequestor:John K. Hubbard, PhD, PTChairmanAnatomical Board of the State of TexasRe: Authority of a commercial entity to operate a willed body program in Texas (RQ‑0292‑KP)Briefs requested by July 25, 2019For further information, please access the website at www.texasattorneygeneral.gov or call the Opinion Committee at (512) 463-2110.TRD-201902059Ryan L. BangertDeputy Attorney General for Legal CounselOffice of the Attorney GeneralFiled: July 1, 2019

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Texas Health and Human Services Commission

Proposed Rules

Proposes to amend §355.8097, concerning Reimbursement Methodology for Physical, Occupational, and Speech Therapy Services.

CHAPTER 355. REIMBURSEMENT RATESSUBCHAPTER J. PURCHASED HEALTH SERVICESDIVISION 5. GENERAL ADMINISTRATION1 TAC §355.8097The Executive Commissioner of the Texas Health and Human Services Commission (HHSC) proposes to amend §355.8097, concerning Reimbursement Methodology for Physical, Occupational, and Speech Therapy Services.BACKGROUND AND PURPOSEThe proposed amendment to §355.8097 sets the reimbursement percentage for services provided by therapy assistants at 80 percent of the rate paid to a licensed therapist. Medicaid currently reimburses 70 percent of the rate paid to a licensed therapist for services provided by physical, occupational, and speech therapy assistants.The proposed amendment is necessary to comply with House Bill (H.B.) 1, General Appropriations Act, 86th Legislature, Regular Session, 2019 (Article II, HHSC, Rider 47).

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes repealing 22 TAC §72.19 (Fees).

CHAPTER 72. FEES, LICENSE APPLICATIONS, AND RENEWALS22 TAC §72.19The Texas Board of Chiropractic Examiners (Board) proposes repealing 22 TAC §72.19 (Fees). The Board will propose new §72.19 in a separate rulemaking action. The purpose of the Board’s repeal and replacement of the rule is to remove fees related to registering radiologic technologists as the Board no longer has jurisdiction over that profession under Senate Bill (SB) 674 (85th Legislature, Regular Session). As the number of Board fees is small, the repeal and replacement will also move the fee schedule from the attached graphic into the main text of the rule to make the information more accessible. The Board is also removing superfluous language from the rule for clarity.The repeal and replacement will also raise the two late renewal fees to make them conform to statutory requirements. Under Occupations Code §201.354(d), the Board is required to set late renewal fees at one and a half times the standard renewal fee (currently $300) for renewals submitted late 90 days or less, and at twice the standard renewal fee for renewals submitted late more than 90 days but less than one year. By statute, those fees should be $450 and $600, respectively. However, the Board’s current fee schedule has those fees set at $435 and $570. The Board is proposing raising those fees by $15 and $30 to bring them into compliance with Occupations Code §201.354(d).

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §72.19 (Fees).

22 TAC §72.19The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §72.19 (Fees). The Board will propose repealing the current §72.19 in a separate rulemaking action. The purpose of the Board’s repeal and replacement of the rule is to remove fees related to registering radiologic technologists, as the Board no longer has jurisdiction over that profession under Senate Bill (SB) 674 (85th Legislature, Regular Session). As the number of Board fees is small, the repeal and replacement will also move the fee schedule from the attached graphic into the main text of the rule to make the information more accessible. The Board is also removing superfluous language from the rule for clarity.The repeal and replacement will also raise the two late renewal fees to make them conform to statutory requirements. Under Occupations Code §201.354(d), the Board is required to set late renewal fees at one and a half times the standard renewal fee (currently $300) for renewals submitted late 90 days or less, and at twice the standard renewal fee for renewals submitted late more than 90 days but less than one year. By statute, those fees should be $450 and $600, respectively. However, the Board’s current fee schedule has those fees set at $435 and $570. The Board is proposing raising those fees by $15 and $30 to bring them into compliance with Occupations Code §201.354(d).

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §75.2 (Place of Business) to replace and rename the current rule.

22 TAC §75.2The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §75.2 (Place of Business) to replace and rename the current rule. The Board is repealing the current rule (Out-of-Facility Practice) in a separate rulemaking action.The rule removes references to chiropractic facilities, over which the Board no longer has any jurisdiction following passage of the Board’s Sunset bill (Senate Bill 304) in the 85th Regular Legislative Session. The rule clarifies what information a licensee must maintain about locations where services are provided, including those provided at a licensee’s residence or by a licensee operating a mobile-only practice. Under the rule, a licensee must keep the required location information for six years.

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Advisory Board of Athletic Trainers

Proposed Rules

Proposes the repeal of 22 TAC §75.6 (Mandatory Notice to Public).

22 TAC §75.6The Texas Board of Chiropractic Examiners (Board) proposes the repeal of 22 TAC §75.6 (Mandatory Notice to Public). The Board will propose a new §75.6 in a separate rulemaking action.The replacement rule updates language for clarity. It also includes a copy of the notice (as required by Occupations Code §201.203) as an attached graphic for licensees to print, thus ensuring uniformity. The replacement rule removes language about a licensee’s obligation to display a chiropractic licensee; that language will be moved to new stand-alone 22 TAC §75.7 (Mandatory Display of License).

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §75.6 (Mandatory Notice to Public).

22 TAC §75.6The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §75.6 (Mandatory Notice to Public). The new rule updates language for clarity. The new rule also includes a copy of the notice (as required by Occupations Code §201.203) as an attached graphic for licensees to print, thus ensuring uniformity. The new rule removes language about a licensee’s obligation to display a chiropractic licensee; that language will be moved to new stand-alone 22 TAC §75.7 (Mandatory Display of License). The Board is repealing the current rule in a separate rulemaking action.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §75.7 (Mandatory Display of License).

22 TAC §75.7The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §75.7 (Mandatory Display of License). The purpose is to move and update existing language from 22 TAC §75.6 (Mandatory Notice to Public) about a licensee’s obligation to prominently display a current chiropractic license into a stand-alone rule. The new rule will make it easier for licensees and the public to find the information. The Board will repeal and replace §75.6 to remove references to the displaying of a license in a separate rulemaking action.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §75.7 (Mandatory Display of License).

22 TAC §75.7The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §75.7 (Mandatory Display of License). The purpose is to move and update existing language from 22 TAC §75.6 (Mandatory Notice to Public) about a licensee’s obligation to prominently display a current chiropractic license into a stand-alone rule. The new rule will make it easier for licensees and the public to find the information. The Board will repeal and replace §75.6 to remove references to the displaying of a license in a separate rulemaking action.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §75.8 (Unsafe and Unsanitary Conditions).

22 TAC §75.8The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §75.8 (Unsafe and Unsanitary Conditions). The purpose of the new rule is to establish basic sanitary and safety standards for locations where chiropractic is practiced. This rule-making is also in response to a recommendation made by the Texas Sunset Commission as part of its review of agency policies, procedures, and operations.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes the repeal of 22 TAC §80.1 (Duty to Respond to Complaint).

CHAPTER 80. COMPLAINTS22 TAC §80.1The Texas Board of Chiropractic Examiners (Board) proposes the repeal of 22 TAC §80.1 (Duty to Respond to Complaint). The Board is replacing this rule with new 22 TAC §80.1 in a separate rulemaking action. The new rule removes references to chiropractic facilities and makes the rule more readable.

Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §80.1 (Duty to Respond to Complaint) to replace and rename the current rule.

22 TAC §80.1The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §80.1 (Duty to Respond to Complaint) to replace and rename the current rule. The Board is repealing the current rule in a separate rulemaking action.The new rule is intended to remove previous references to chiropractic facilities, over which the Board no longer has jurisdiction following passage of the Board’s Sunset bill (Senate Bill 304) in the 85th Regular Legislative Session. The new rule also removes unnecessary language and makes it more readable. 

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes the repeal of 22 TAC §80.2 (Complaint Procedures).

22 TAC §80.2The Texas Board of Chiropractic Examiners (Board) proposes the repeal of 22 TAC §80.2 (Complaint Procedures). The Board is replacing this rule with new 22 TAC §80.2 in a separate rulemaking action.The new rule is intended to remove previous references to radiologic technologists. The new rule also removes the Board’s complaint form out of the rule to allow the Board to update it without going through rulemaking. The new rule also removes language regarding temporary license suspensions, which will be placed in new 22 TAC §80.9 in a separate rulemaking.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §80.2 (Complaint Procedures) to replace and rename the current rule.

22 TAC §80.2The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §80.2 (Complaint Procedures) to replace and rename the current rule. The Board is repealing the current rule in a separate rulemaking action.The new rule is intended to remove previous references to radiologic technologists, over which the Board no longer has jurisdiction following passage of Senate Bill 674 in the 85th Regular Legislative Session. The new rule also removes the Board’s complaint form out of the rule to allow the Board to update it as needed without going through rulemaking. The new rule also removes language regarding temporary license suspensions, which will be placed in new 22 TAC §80.9 in a separate rulemaking.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes the repeal of 22 TAC §80.3 (Disciplinary Guidelines).

22 TAC §80.3The Texas Board of Chiropractic Examiners (Board) proposes the repeal of 22 TAC §80.3 (Disciplinary Guidelines). The Board is replacing this rule with new 22 TAC §80.3 in a separate rulemaking action. The new rule is intended to make clear when the Board will not report minor administrative violations to national databases. The new rule also removes unnecessary language for clarity.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §80.3 (Disciplinary Guidelines) to replace the current rule. The Board is repealing the current rule in a separate rulemaking action.

22 TAC §80.3The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §80.3 (Disciplinary Guidelines) to replace the current rule. The Board is repealing the current rule in a separate rulemaking action.The new rule is intended to make clear when the Board will not report minor administrative violations to national databases. The new rule also removes unnecessary language to make it more readable.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes the repeal of 22 TAC §80.5 (Expert Review Process).

22 TAC §80.5The Texas Board of Chiropractic Examiners (Board) proposes the repeal of 22 TAC §80.5 (Expert Review Process). The Board is replacing this rule with new 22 TAC §80.5 in a separate rulemaking action. The new rule requires the Board to provide an expert review report to a licensee and an opportunity to respond before the report is considered by the Board’s enforcement committee. The new rule also makes non-substantive changes for clarity.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §80.5 (Expert Review Process) to replace the current rule.

22 TAC §80.5The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §80.5 (Expert Review Process) to replace the current rule. The new rule requires the Board to provide an expert review report to a licensee and an opportunity to respond before the report is considered by the Board’s enforcement committee. The new rule also makes non-substantive changes for clarity. The Board is repealing the current rule in a separate rulemaking action.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes the repeal of 22 TAC §80.6 (Undercover Investigations).

22 TAC §80.6The Texas Board of Chiropractic Examiners (Board) proposes the repeal of 22 TAC §80.6 (Undercover Investigations). The Board is replacing this rule with new 22 TAC §80.6 in a separate rulemaking action. The new rule makes non-substantive changes to the text for clarity.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §80.6 (Undercover Investigations) to replace the current rule.

22 TAC §80.6The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §80.6 (Undercover Investigations) to replace the current rule. The new rule makes non-substantive changes to the text for clarity. The Board is repealing the current rule in a separate rulemaking action.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes the repeal of 22 TAC §80.7 (Cease and Desist Orders).

22 TAC §80.7The Texas Board of Chiropractic Examiners (Board) proposes the repeal of 22 TAC §80.7 (Cease and Desist Orders). The Board is replacing this rule with new 22 TAC §80.7 in a separate rulemaking action. The new rule makes non-substantive changes to the text for clarity.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §80.7 (Cease and Desist Orders) to replace the current rule.

22 TAC §80.7The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §80.7 (Cease and Desist Orders) to replace the current rule. The new rule makes non-substantive changes to the text for clarity. The Board is repealing the current rule in a separate rulemaking action.

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Texas Board of Chiropractic Examiners

Proposed Rules

Proposes new 22 TAC §80.9 (Temporary License Suspension).

22 TAC §80.9The Texas Board of Chiropractic Examiners (Board) proposes new 22 TAC §80.9 (Temporary License Suspension). The rule transfers existing language concerning the Board’s emergency license suspension procedures (authorized by Occupations Code §201.507) from 22 TAC §80.2 (Complaint Procedures) into a new stand-alone rule. The new rule retains the basic procedures currently in §80.2 and removes superfluous language for clarity. The new rule also makes clear the only purpose of the 14-day hearing is to determine whether there are reasonable grounds for the temporary suspension to remain in effect.

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Texas Department of Insurance

Withdrawn Rule

Proposed amended §§3.3702, 3.3705, and 3.3708, published in the December 21, 2018, issue of the Texas Register (43 TexReg 8228), is automatically withdrawn.

SUBCHAPTER X. PREFERRED AND EXCLUSIVE PROVIDER PLANSDIVISION 1. GENERAL REQUIREMENTS28 TAC §§3.3702, 3.3705, 3.3708Proposed amended §§3.3702, 3.3705, and 3.3708, published in the December 21, 2018, issue of the Texas Register (43 TexReg 8228), is automatically withdrawn. The agency failed to adopt the proposal within six months of publication. (See Government Code, §2001.027, and 1 TAC §91.38(d).)

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Texas Department of Insurance

Withdrawn Rule

Proposed amended §3.3725, published in the December 21, 2018, issue of the Texas Register (43 TexReg 8228), is automatically withdrawn.

DIVISION 2. EXCLUSIVE PROVIDER BENEFIT PLAN REQUIREMENTS28 TAC §3.3725Proposed amended §3.3725, published in the December 21, 2018, issue of the Texas Register (43 TexReg 8228), is automatically withdrawn. The agency failed to adopt the proposal within six months of publication. (See Government Code, §2001.027, and 1 TAC §91.38(d).)

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Texas Department of Insurance

Adopted Rules

Adopts amendments to §353.502, concerning Managed Care Organization’s Plans and Responsibilities in Preventing and Reducing Waste, Abuse, and Fraud; and §353.505, concerning Recovery of Funds.

CHAPTER 353. MEDICAID MANAGED CARESUBCHAPTER F. SPECIAL INVESTIGATIVE UNITS1 TAC §353.502, §353.505The Texas Health and Human Services Commission (HHSC) adopts amendments to §353.502, concerning Managed Care Organization’s Plans and Responsibilities in Preventing and Reducing Waste, Abuse, and Fraud; and §353.505, concerning Recovery of Funds.The amendments to §353.502 and §353.505 are adopted without changes to the proposed text as published in the March 22, 2019, issue of the Texas Register (44 TexReg 1491), and therefore will not be republished.BACKGROUND AND JUSTIFICATIONThe purpose of the amendments is to implement various provisions of House Bill (H.B.) 2379, 85th Legislature, Regular Session, 2017, and update procedures which a managed care organization (MCO) must follow to refer cases to the HHSC Office of the Inspector General (HHSC-OIG).H.B. 2379 amended Chapter 531, Texas Government Code, regarding the recovery and retention of funds paid to providers as a result of fraud or abuse. The bill allows an MCO to retain half of the funds they recover under certain circumstances and remit the remainder to HHSC-OIG for deposit in the general revenue fund. When HHSC-OIG pursues fraud or abuse cases referred to it by an MCO, the MCO is entitled to half of the money recovered for each payment the MCO reported in detail, less any applicable federal share. The remainder of the recovered funds are deposited in the general revenue fund by HHSC-OIG. In addition, the bill requires HHSC-OIG and the MCO to coordinate efforts to ensure recovery efforts for the same case of waste, abuse, or fraud are not duplicated.H.B. 2379 also requires an MCO to provide a detailed description of the fraud or abuse and each payment made to a provider as a result of the fraud or abuse, when the MCO notifies HHSC-OIG of a fraud or abuse case. The amendments clarify the information that must be included in an MCO’s referral to HHSC-OIG concerning fraud, waste, or abuse.Finally, the amendments modify the requirements for an MCO to review 30 recipients or 15 percent of a provider’s claims when investigating fraud, waste, or abuse. An MCO can review fewer recipients or claims if the MCO’s referral to HHSC-OIG includes written justification for the decision. HHSC-OIG reserves the right to request additional information if the agency deems it necessary.

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Texas Department of Insurance

Adopted Rules

Adopts amendments to §371.1311, concerning the Role of the Office of the Inspector General (OIG) and Special Investigative Units (SIUs).

CHAPTER 371. MEDICAID AND OTHER HEALTH AND HUMAN SERVICES FRAUD AND ABUSE PROGRAM INTEGRITYSUBCHAPTER F. INVESTIGATIONS1 TAC §371.1311The Texas Health and Human Services Commission (HHSC) adopts amendments to §371.1311, concerning the Role of the Office of the Inspector General (OIG) and Special Investigative Units (SIUs).The amendments to §371.1311 are adopted without changes to the proposed text as published in the March 22, 2019, issue of the Texas Register (44 TexReg 1496), and therefore will not be republished.BACKGROUND AND JUSTIFICATIONThe purpose of the amendments is to implement various provisions of House Bill (H.B.) 2379, 85th Legislature, Regular Session, 2017, and update procedures which a managed care organization (MCO) must follow to refer cases to the HHSC Office of the Inspector General (HHSC-OIG).H.B. 2379 amended Chapter 531, Texas Government Code, regarding the recovery and retention of funds paid to providers as a result of fraud or abuse. The bill allows an MCO to retain half of the funds they recover under certain circumstances and remit the remainder to HHSC-OIG for deposit in the general revenue fund. When HHSC-OIG pursues fraud or abuse cases referred to it by an MCO, the MCO is entitled to half of the money recovered for each payment the MCO reported in detail, less any applicable federal share. The remainder of the recovered funds are deposited in the general revenue fund by HHSC-OIG. In addition, the bill requires HHSC-OIG and an MCO to coordinate efforts to ensure recovery efforts for the same case of waste, abuse, or fraud are not duplicated.

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Texas Medical Board

Adopted Rules

Adopts new rule §185.32, concerning Training and Registration Requirements for Physician Assistants Performing Radiologic Procedures.

CHAPTER 185. PHYSICIAN ASSISTANTS22 TAC §185.32The Texas Medical Board approves the Texas Physician Assistant Board (Board) adoption of new rule §185.32, concerning Training and Registration Requirements for Physician Assistants Performing Radiologic Procedures. The new rule is being adopted without changes to the proposed text as published in the January 25, 2019, issue of the Texas Register (44 TexReg 401). The adopted rule will not be republished.The new rule is set forth to implement requirements for physician assistants performing medical radiologic procedures under a physician’s order, in accordance with Texas Occupations Code, Section 601.254. The rule refers to Texas Occupations Code, Section 157.001 requirements, as physicians must in all cases delegate medical acts, including medical radiologic procedures and dangerous and hazardous procedures, only to individuals who are qualified through education and training and who are able to perform the delegated procedure safely, properly, and in the customary manner. The rule is intended to ensure patient safety by requiring physician assistants to be properly educated and trained prior to performing radiologic procedures, while allowing for delegating physicians the discretion to determine training programs appropriate for medical radiologic procedures being performed by physician assistants.

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Texas Health and Human Services Commission

In Addition

Notice of Public Hearing on Proposed Medicaid Payment Rates for Inpatient Hospital Services

Notice of Public Hearing on Proposed Medicaid Payment Rates for Inpatient Hospital ServicesHearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on July 29, 2019, from 8:30 a.m. – 10:00 a.m., to receive comment on proposed Medicaid payment rates for Inpatient Hospital Services. The proposed rate actions are based on direction provided by the 2020-2021 General Appropriations Act (Article II, 86th Legislature, Regular Session, 2019, Riders 11 and 28).The public hearing will be held in the HHSC Public Hearing Room at the Winters Building, located at 701 West 51st Street, Austin, Texas. Entry is through security at the main entrance of the building, which faces 51st Street. Disabled parking only is available at the Winters Building. All other visitors should park at the garage at the Brown-Heatly Building, 4900 North Lamar Boulevard. HHSC will broadcast the public hearing; the broadcast can be accessed at https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings. The broadcast will be archived and can be accessed on demand at the same website. The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements.

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Texas Health and Human Services Commission

In Addition

Notice of Public Hearing on Proposed Medicaid Payment Rates for Private Duty Nursing

Notice of Public Hearing on Proposed Medicaid Payment Rates for Private Duty NursingHearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on July 29, 2019, at 10:30 a.m. – 12:00 p.m., to receive comment on proposed Medicaid payment rates for Private Duty Nursing. The proposed rate actions are based on direction provided by the 2020-2021 General Appropriations Act, 86th Legislature, Regular Session, Article II, Rider 46, at pages II-63 (Health and Human Services Section, Health and Human Services Commission).The public hearing will be held in the HHSC Public Hearing Room at the Winters Building, located at 701 West 51st Street, Austin, Texas. Disabled parking only is available at the Winters Building. All other visitors should park at the garage at the Brown-Heatly Building, 4900 North Lamar Boulevard. Entry is through security at the main entrance of the building, which faces 51st Street. HHSC will broadcast the public hearing; the broadcast can be accessed at https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings. The broadcast will be archived and can be accessed on demand at the same website. The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements.

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Texas Health and Human Services Commission

In Addition

Notice of Public Hearing on Proposed Medicaid Payment Rates for the Personal Care Services

Notice of Public Hearing on Proposed Medicaid Payment Rates for the Personal Care ServicesHearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on July 29, 2019, from 10:30 a.m. – 12:00 p.m., to receive comment on proposed Medicaid payment rates for the Personal Care Services. The proposed rate actions are based on direction provided by the 2020-2021 General Appropriations Act (Article II, 86th Legislature, Regular Session, 2019, Rider 45).The public hearing will be held in the HHSC Public Hearing Room at the Winters Building, located at 701 West 51st Street, Austin, Texas. Entry is through security at the main entrance of the building, which faces 51st Street. HHSC will broadcast the public hearing; the broadcast can be accessed at https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings. The broadcast will be archived and can be accessed on demand at the same website. The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. 

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Texas Health and Human Services Commission

In Addition

Notice of Public Hearing on Proposed Medicaid Payment Rates Physical, Occupational, and Speech Therapies

Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on July 29, 2019, from 10:30 a.m. – 12:00 p.m., to receive comment on proposed Medicaid payment rates for the Physical, Occupational, and Speech Therapies. The proposed rate actions are based on direction provided by the 2020-2021 General Appropriations Act (Article II, 86th Legislature, Regular Session, 2019, Rider 47).The public hearing will be held in the HHSC Public Hearing Room at the Winters Building, located at 701 West 51st Street, Austin, Texas. Entry is through security at the main entrance of the building, which faces 51st Street. Disabled parking only is available at the Winters Building. All other visitors should park at the garage at the Brown-Heatly Building, 4900 North Lamar Boulevard. HHSC will broadcast the public hearing; the broadcast can be accessed at https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings. The broadcast will be archived and can be accessed on demand at the same website. The hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements.

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Texas Health and Human Services Commission

In Addition

Public Notice: Revised Texas State Plan for Medical Assistance Amendment (Nurse Inflator Calculation)

Public Notice: Revised Texas State Plan for Medical Assistance AmendmentIn the June 7, 2019, issue of the Texas Register, (44 TexReg 2889), the Texas Health and Human Services Commission (HHSC) published notice of its intent to submit transmittal number 19-0019 to the Texas State Plan for Medical Assistance under Title XIX of the Social Security Act.The purpose of the amendment is to remove recent revisions to the inflation projection methodology for the Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IID) and to the nursing wage inflation methodology, which affect ICF/IID programs. The proposed amendment reflects HHSC’s decision not to use the revised methodology for the nurse inflator calculations at this time. 

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Texas Department of State Health Services

In Addition

Notice of Order Permanently Placing Beta-hydroxythiofentanyl in Schedule I