State Medicaid Managed Care Advisory Committee (SMMCAC) Agenda

May 27, 2021 - 1:00 pm

United States

Meeting Site:

TDue to the COVID-19 pandemic, this meeting will be conducted virtually using Microsoft Teams only. Join the meeting here.

There is not a physical location for this meeting.

Closed captioning for this meeting is available. Viewers are asked to highlight the closed captioning symbol "cc" on the bottom of their viewing screen to enable this function.

Attendees who would like to provide public comment should see the Public Comment section below.

  1. Call to order
  2. Roll call
  3. Consideration of February 25, 2021, minutes for approval (vote required)
  4. Advisory Committee chair updates
    1. Hospital Payment Advisory Committee
    2. Intellectual and Developmental Disability System Redesign Advisory Committee
    3. Medical Care Advisory Committee
    4. Perinatal Advisory Council
    5. Policy Council for Children and Families
    6. STAR Kids Managed Care Advisory Committee
    7. STAR+PLUS Pilot Program Workgroup
  5. SMMCAC subcommittee updates
    1. Clinical Oversight and Administrative Simplification
    2. Complaints, Appeals, and Fair Hearings
    3. Network Adequacy
    4. Service and Care Coordination
  6. Health and Human Services Commission updates
    1. Update on implementation of applied behavior analysis services
    2. Information/update on Directed Payment Programs from 1115 Delivery System Reform Incentive Payments transition
    3. Extension for the 1115 Waiver: Texas Healthcare Transformation and Quality Improvement Program
    4. Status of fiscal year 2022-2023 budget in relation to Medicaid Managed Care
    5. Updates on new legislation from the 87th legislative session pertaining to Medicaid managed care
  7. Assisted living facility rate methodology
  8. An overview of peer specialist services in Medicaid
  9. Intellectual or developmental disability redesign and impact to managed care
  10.  Public comment
  11.  Review of action items and agenda items for future meeting
  12.  Adjourn and thank you

Public comment may be taken on any agenda item.

Public Comment: The Texas Health and Human Services Commission (HHSC) welcomes public comments pertaining to topics related to eligibility, health and medical care services and policies that govern the administration of the Texas Medicaid program. Members of the public who would to provide public comment are asked to complete a Public Comment form here.

Members of the public who would like to provide written public comment to HHSC may email Pramila Nepal at no later than 5:00 p.m. Tuesday, May 25, 2021. Please include your name and the organization you are representing, or that you are speaking as a private citizen. Staff will not read written comments aloud during the meeting, but comments will be forwarded to State staff and committee members for their consideration. Comments should not include confidential information or protected health information.

If you would like to register to provide oral comments, please mark the correct box on the Public Comment form. Instructions for providing oral comment will be emailed to you. Registration should be completed no later than 5:00 p.m., Tuesday, May 25, 2021. Members of the public may also use the Microsoft Teams Live Event Q&A section during the meeting to submit a request to provide public comment. The request must contain your name and either the organization you are representing or that you are speaking as a private citizen, and your direct phone number. Do not include confidential information or protected health information in comments.

Public comment is limited to three minutes. Each speaker must state their name and either the organization they are representing or that they are speaking as a private citizen. Public members who are using handouts are asked to provide an electronic copy in accessible PDF format. Handouts are limited to two pages (paper size: 8.5” by 11”, one side only). Handouts must be emailed to HHSC immediately after registering and include the name of the person who will be commenting. Do not include confidential information or protected health information in handouts. Staff will not read handouts aloud during the meeting, but handouts will be provided to Committee members and State staff. It is not permissible for public speakers to interject or ask questions to Committee members during the rest of the meeting.

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Pramila Nepal, Advisory Committee Coordinator, Medicaid and CHIP Services Department at

This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting.

People with disabilities who wish to attend the meeting and require auxiliary aids or services should contact Nepal at at least 72 hours before the meeting so appropriate arrangements can be made.