2. ESTABLISHMENT OF QUORUM

3. PUBLIC COMMENT - Persons wishing to comment must sign-in on the "Agenda Item Request to Speak" form provided at the entrance of the Board meeting room at least five (5) minutes prior to commencement of the Board meeting.  See the "Public Comment" section of the preceding General Information page for additional Public Comment-related information.

4. CONSENT AGENDA:

4.A. Board of Managers:

4.A.1. Approve minutes of January 22, 2013 regular meeting.

4.A.2. Receive complete listing of vendors as of April 1, 2013; listing pursuant to provisions of Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.

4.B. Quality Management Committee:

4.B.1. Receive information relating to U.S. Department of Health and Human Services (DHHS) Poverty Guidelines:

4.B.1.a. Annual update of the DHHS Poverty Guidelines from Federal Register, Vol. 78, No. 16, January 24, 2013, pp. 5182 - 5183; and

4.B.1.b. Historical DHHS Poverty Guidelines, 1965 - 2012 from Table 3.E8, Annual Statistical Supplement to the Social Security Bulletin, 2012.

4.B.2. Receive notice of annual adjustment of Nueces Aid Program’s Eligibility Guidelines for Household Resources as required by Program’s Handbook Policy No. NA002, Attachment 2, Sections I-B, I-C-1, I-C-22, and I-F; resources guidelines increase adjustments effective March 1, 2013.

4.B.3. Receive notice of annual adjustment of Nueces Aid Program’s Eligibility Guidelines for Household Income as required by Program’s Handbook Policy No. NA002, Attachment 4, Section I-F-3; income guideline increase adjustment effective March 1, 2013.

4.B.4. Receive summary information relating to Nueces Aid Program enrollment for the period of January 1, 2012 - December 31, 2012.

4.B.5. Receive summary information relating to Nueces Aid Program applications processed during the period of January 1, 2012 - December 31, 2012.

4.B.6. Receive summary information relating to Nueces Aid pharmacy service utilization for the period of January 1, 2012 - December 31, 2012:

4.B.6.a. Pharmacy Program;

4.B.6.b. Pharmacy Volume by Year;

4.B.6.c. Cost and Utilization Summary Report;

4.B.6.d. Therapeutic Class Total Report; and

4.B.6.e. Top 100 Utilized Drugs by Dollars.

4.B.7. Receive summary information relating to Nueces Aid Program eligibility as of December 31, 2012:

4.B.7.a. Eligibility Demographics; and

4.B.7.b. Enrollment by Zip Code.

4.B.8. Receive summary information relating to the Nueces Aid Program and suspected fraud cases under investigation, fraud cases closed, persons disqualified, and related recoveries, all pursuant to Texas Health and Safety Code, §61.066; information as of December 31, 2012.

4.C. Finance Committee:

4.C.1. Receive unaudited financial statements for the months and fiscal year-to-date periods ended:

4.C.1.a. December 31, 2012;

4.C.1.b. January 31, 2013; and

4.C.1.c. February 28, 2013.

4.C.2. Receive revenue report relating to CHRISTUS Spohn Health System Corporation Membership Agreement; receive Membership Revenue Report for fiscal year-to-date period ended April 1, 2013.

4.C.3. Receive summary payment information for fiscal year-to-date ended February 28, 2013:

4.C.3.a. Medical services at Nueces County juvenile detention facility;

4.C.3.b. Emergency medical services in unincorporated areas of Nueces County;

4.C.3.c. Supplemental funding for Nueces County Mental Health and Mental Retardation Center; and

4.C.3.d. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department.

4.C.4. Receive summary report of intergovernmental transfers relating to the Texas Health and Human Service Commission's Medicaid Disproportionate Share, Upper Payment Limit, and Transformation and Quality Improvement 1115 Waiver Programs for fiscal year-to-date ended March 31, 2013.

4.C.5. Receive investment reports and ratify related investment transactions:

4.C.5.a. Quarterly Investment Report for fiscal quarter ended December 31, 2012; and

4.C.5.b. Interim Investment Transactions Report for period of January 1, 2013 - March 31, 2013.

4.C.6. Receive summary information relating to medical and hospital care provided to the Nueces Aid population consistent with the Indigent Care Agreement and the CHRISTUS Spohn Health System Corporation Membership Agreement:

4.C.6.a. Imputed Claims Experience for calendar year-to-date ended March 31, 2013.

4.D. Planning Committee:

4.D.1. Receive information relating to Anchor Entity duties under the Regional Healthcare Partnership (RHP) created by the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver organized by the Texas Health and Human Services Commission; receive summary information on RHP Region 4 Plan projects submitted to the Commission:

4.D.1.a. Provider Project Values and Counts; and

4.D.1.b. Provider Project Category Values and Counts.

5. REGULAR AGENDA:

5.A. Quality Management Committee:

5.A.1. Ratify renewal of Service Agreements with the Texas Medical Foundation for the period January 1, 2013 - December 31, 2014:

5.A.1.a. Non-Medicare Medical Records Review; and

5.A.1.b. Quality Assessment, Utilization Review, and Coding Review.  (ACTION)

5.B. Finance Committee:

5.B.1. Adopt Board of Managers Resolution authorizing participation in the Texas Comptroller of Public Accounts' Leadership Circle Program relating to financial transparency online.  (ACTION)

5.B.2. Approve principal terms of office space lease extension in Tower II Office Building with Griffin Partners and T2 Building, L.P. and authorize Administrator to finalize extension terms and execute extension and related documents. (ACTION)

5.B.3. Ratify Calendar Year 2012 unreimbursed health care expenditure amounts submitted to the Texas Department of State Health Services for pro rata share distribution of Calendar Year 2012 income from the Tobacco Permanent Settlement Trust Account; expenditure submission pursuant to Texas Administrative Code, Title 25, Part 1, Chapter 102, Rules §102.1(b) and §102.3(a), (e)(2), and (f).  (ACTION)

5.C. Planning Committee:

5.C.1. Approve Interlocal Agreement with the Texas Health and Human Services Commission relating to intergovernmental transfers under the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver organized by the Commission and authorize Administrator to negotiate final Agreement terms and execute Agreement and related documents. (ACTION)

5.C.2. Receive providers' reports relating to certain Indigent Care Affiliation Agreements associated with the Hospital District's participation in the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver; receive providers' reports for quarter ended December 31, 2012:

5.C.2.a. CHRISTUS Spohn Hospitals: Alice, Beeville, and Kleberg (Joint Report);

5.C.2.b. Corpus Christi Medical Center;

5.C.2.c. DeTar Healthcare System; and

5.C.2.d. Driscoll Children's Hospital.  (INFORMATION)

5.C.3. Receive briefing on status of Nueces County Hospital District-initiated legislation in 83rd Texas Legislative Session:

5.C.3.a. Senate Bill 1863 relating to use of Hospital District's funds for Medicaid-related intergovernmental transfers.  (INFORMATION)

5.D. Indigent Care Provider's Briefing:

5.D.1. Receive and discuss information from CHRISTUS Spohn Health System Corporation (Provider) relating to:

5.D.1.a. Medical aid and hospital care provided to the Nueces Aid population consistent with the Indigent Care Agreement and the CHRISTUS Spohn Health System Corporation Membership Agreement and related matters; and

5.D.1.b. Programs, projects, and/or activities at CHRISTUS Spohn Hospital Corpus Christi - Memorial and other Hospital District-owned facilities and related matters.  (INFORMATION)

5.E. Administrator's Briefing:

5.E.1. Next Scheduled Board and Committee Meetings:

5.E.1.a. May 28, 2013 Meetings:

5.E.1.a.1. Finance Committee at 5:30 PM;

5.E.1.a.2. Planning Committee at 6:00 PM; and

5.E.1.a.3. Board of Managers at 6:30 PM.  (INFORMATION)

6. ADJOURN