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Meeting Agenda
1. CALL TO ORDER
2. ESTABLISHMENT OF QUORUM
3. PUBLIC COMMENT
4. REGULAR AGENDA:
4.A. Approve minutes of April 17, 2012 meeting.  (ACTION)
4.B. Consider recommendation to Board of Managers to ratify renewal of Service Agreements with the Texas Medical Foundation for the period January 1, 2013 - December 31, 2014:
4.B.1. Non-Medicare Medical Records Review; and
4.B.2. Quality Assessment, Utilization Review, and Coding Review.  (ACTION)
4.C. Receive information relating to U.S. Department of Health and Human Services (DHHS) Poverty Guidelines:
4.C.1. Annual update of the DHHS Poverty Guidleines from Federal Register, Vol. 78, No. 16, January 24, 2013, pp. 5182 - 5183; and
4.C.2. Historical DHHS Poverty Guidelines, 1965 - 2012 from Table 3.E8, Annual Statistical Supplement to the Social Security Bulletin, 2012.
(INFORMATION)
4.D. 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.  (INFORMATION)
4.E. 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.  (INFORMATION)
4.F. Receive summary information relating to Nueces Aid Program pharmacy service Utilization for the period of January 1, 2012 - December 31, 2012:
4.F.1. Pharmacy Program;
4.F.2. Pharmacy Volume by Year;
4.F.3. Cost and Utilization Summary Report;
4.F.4. Therapeutic Class Total Report; and
4.F.5. Top 100 Utilized Drugs by Dollars. (INFORMATION)
4.G. Receive summary information relating to Nueces Aid Program enrollment for the period of January 1, 2012 - December 31, 2012.  (INFORMATION)
4.H. Receive summary information relating to Nueces Aid Program applications processed during the period of January 1, 2012 - December 31, 2012.  (INFORMATION)
4.I. Receive summary information relating to Nueces Aid Program eligibility as of December 31, 2012:
4.I.1. Eligibility Demographics; and
4.I.2. Enrollment by Zip Code.  (INFORMATION)
4.J. 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.  (INFORMATION)
5. CLOSED MEETING:
5.A. Receive reports on medical and health care services provided under the Indigent Care Agreement, pursuant to Texas Health and Safety Code, §161.031, §161.0315(f), and §161.032:
5.A.1. Annual Record Review Report 2012;
5.A.2. Primary Care Record Review 2012; and
5.A.3. Dental Services Report Record Review 2012.
6. OPEN MEETING:
6.A. Consider final action, decision, or vote on matters deliberated in Closed Meeting.  (ACTION AS NEEDED)
7. ADJOURN
Agenda Item Details Reload Your Meeting
Meeting: April 9, 2013 at 6:30 PM - Board Quality Management Committee - Regular Meeting
Subject:
1. CALL TO ORDER
Subject:
2. ESTABLISHMENT OF QUORUM
Subject:
3. PUBLIC COMMENT
Subject:
4. REGULAR AGENDA:
Subject:
4.A. Approve minutes of April 17, 2012 meeting.  (ACTION)
Attachments:
Subject:
4.B. Consider recommendation to Board of Managers to ratify renewal of Service Agreements with the Texas Medical Foundation for the period January 1, 2013 - December 31, 2014:
Subject:
4.B.1. Non-Medicare Medical Records Review; and
Attachments:
Subject:
4.B.2. Quality Assessment, Utilization Review, and Coding Review.  (ACTION)
Attachments:
Subject:
4.C. Receive information relating to U.S. Department of Health and Human Services (DHHS) Poverty Guidelines:
Subject:
4.C.1. Annual update of the DHHS Poverty Guidleines from Federal Register, Vol. 78, No. 16, January 24, 2013, pp. 5182 - 5183; and
Attachments:
Subject:
4.C.2. Historical DHHS Poverty Guidelines, 1965 - 2012 from Table 3.E8, Annual Statistical Supplement to the Social Security Bulletin, 2012.
(INFORMATION)
Attachments:
Subject:
4.D. 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.  (INFORMATION)
Attachments:
Subject:
4.E. 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.  (INFORMATION)
Attachments:
Subject:
4.F. Receive summary information relating to Nueces Aid Program pharmacy service Utilization for the period of January 1, 2012 - December 31, 2012:
Subject:
4.F.1. Pharmacy Program;
Attachments:
Subject:
4.F.2. Pharmacy Volume by Year;
Attachments:
Subject:
4.F.3. Cost and Utilization Summary Report;
Attachments:
Subject:
4.F.4. Therapeutic Class Total Report; and
Attachments:
Subject:
4.F.5. Top 100 Utilized Drugs by Dollars. (INFORMATION)
Attachments:
Subject:
4.G. Receive summary information relating to Nueces Aid Program enrollment for the period of January 1, 2012 - December 31, 2012.  (INFORMATION)
Attachments:
Subject:
4.H. Receive summary information relating to Nueces Aid Program applications processed during the period of January 1, 2012 - December 31, 2012.  (INFORMATION)
Attachments:
Subject:
4.I. Receive summary information relating to Nueces Aid Program eligibility as of December 31, 2012:
Subject:
4.I.1. Eligibility Demographics; and
Attachments:
Subject:
4.I.2. Enrollment by Zip Code.  (INFORMATION)
Attachments:
Subject:
4.J. 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.  (INFORMATION)
Attachments:
Subject:
5. CLOSED MEETING:
Subject:
5.A. Receive reports on medical and health care services provided under the Indigent Care Agreement, pursuant to Texas Health and Safety Code, §161.031, §161.0315(f), and §161.032:
Subject:
5.A.1. Annual Record Review Report 2012;
Subject:
5.A.2. Primary Care Record Review 2012; and
Subject:
5.A.3. Dental Services Report Record Review 2012.
Subject:
6. OPEN MEETING:
Subject:
6.A. Consider final action, decision, or vote on matters deliberated in Closed Meeting.  (ACTION AS NEEDED)
Subject:
7. ADJOURN

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