2. ROLL CALL OF BOARD OF MANAGERS

___ Daniel W. Dain, Chairman
___ Sylvia Tryon Oliver, Vice-Chairman
___ Belinda Flores, R.N.
___ Vishnu V. Reddy, M.D.
___ John E. Valls, M.B.A.
___ Mariana Garza, J.D.
___ Efrain Guerrero, Jr.
 

3. CALL TO ORDER, ESTABLISHMENT OF QUORUM, MEETING POSTING CONFIRMATION, AND CLOSED MEETING NOTICE
 

3.A. Call to order.
 

3.B. Establish quorum.
 

3.C. Confirm posting of Meeting's public notice in accordance with Texas Open Meetings Act, Texas Government Code, Chapter 551.
 

3.D. Public notice is hereby given that the Board of Managers may elect to go into Closed Meeting session(s) at any time during the meeting to discuss any matter(s) listed on the agenda when so authorized by the provisions of the Open Meetings Act, Texas Government Code, Chapter 551.
 

4. PUBLIC COMMENT - Persons attending in-person and wishing to comment on any item(s) on the agenda or any subject within the Board's responsibilities 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 meeting. Persons attending via audio or video conference and wishing to comment on any item(s) on the agenda or any subject within the Board's responsibilities must verbally notify the presiding officer of their desire to comment when the officer calls for public comment from those attending via audio and video conference. Commenters shall limit their comments to three (3) minutes, except that Commenters addressing the Board through a translator shall limit their comments to six (6) minutes. 
 

5. CONSENT AGENDA - The Consent Agenda consists of those agenda items which are routine, administrative in nature, not in need of separate attention, and which a member of the Board has not requested be discussed separately. If requested to be discussed separately, that agenda item will be removed from the Consent Agenda by the presiding officer to the Regular Agenda and discussed as a part of the Regular Agenda at the appropriate time. All remaining items listed under the Consent Agenda will be voted upon in a single vote:
 

5.A. Approve Board of Managers Regular Meeting minutes of September 21, 2021.
 

5.B. Receive listing of new vendors as of October 14, 2021; listing provided pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
 

5.C. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2021 year-to-date:

5.C.1. Salaries, benefits, supplies, and intergovernmental transfers at/for Corpus Christi/Nueces County Public Health Department;
 

5.C.2. Emergency medical services provided in unincorporated areas of Nueces County;
 

5.C.3. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
 

5.C.4. Medical services provided at County correctional facilities:

5.C.4.a. Nueces County Jail; and

5.C.4.b. Nueces County Juvenile Detention Center;
 

5.C.5. Funding for alcohol and drug abuse treatment programs:

5.C.5.a. Cenikor (Charlie's Place);

5.C.5.b. Council on Alcohol and Drug Abuse; and

5.C.5.c. Palmer Drug Abuse Program;
 

5.C.6. Funding for diabetes prevention and supporting programs;
 

5.C.7. Public health grants; and
 

5.C.8. Legal and professional fees. (Finance Committee)
 

5.D. Receive summary imputed claims information on medical and hospital care provided to the Nueces Aid Program population consistent with the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement for the fiscal year-to-date period-ended September 30, 2021. (Finance Committee)
 

5.E. Receive fiscal year-to-date Specified Annual Percentage-related revenue reports; revenue receipts pursuant to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, Section 5.03. (Finance Committee)
 

5.F. Receive monthly statement of escrow amounts deposited and/or withdrawn by CHRISTUS Spohn Health System Corporation; deposits pursuant to and consistent with Schedule 1 to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement; receive statements for months-ended August 31, 2021 and September 30, 2021. (Finance Committee)
 

5.G. Receive statement of amounts deposited to and/or withdrawn from Local Provider Participation Fund for fiscal year-to-date; deposits and withdrawals pursuant to Board of Managers Order authorizing participation in a health care provider participation program pursuant to Texas Health and Safety Code, Chapter 298C, as amended. (Finance Committee)
 

5.H. Receive summary report of cumulative estimated provider payments and actual intergovernmental transfers made in support of local and other healthcare providers participating in Medicaid supplemental and directed payment programs sponsored by the Texas Health and Human Services Commission (HHSC):

5.H.1. Directed Payment Programs - Medicaid managed care organization payments to healthcare providers that support overall Medicaid program goals and objectives:

5.H.1.a. Comprehensive Hospital Increase Reimbursement Program (CHIRP);

5.H.1.b. Network Access Improvement Program (NAIP);

5.H.1.c. Texas Incentives for Physicians and Professional Services (TIPPS);

5.H.1.d. Uniform Hospital Rate Increase Program (UHRIP); and
 

5.H.2. Supplemental Payment Programs - HHSC-directed payments made to hospitals for achieving certain goals or to support health care providers that see significant numbers of uninsured or persons without much money:

5.H.2.a. Disproportionate Share Hospitals (DSH) program;

5.H.2.b. Graduate Medical Education (GME);

5.H.2.c. Hospital Uncompensated Care (UC) pool; and
 

5.H.3. Phase-Out Programs:

5.H.3.a. Delivery System Reform Incentive Payment (DSRIP) pool. (Finance Committee)
 

6. REGULAR AGENDA - The Regular Agenda consists of those agenda items which are non-routine, not administrative in nature, or are otherwise in need of separate attention. Each Regular Agenda item will be voted upon separately if action is required:
 

6.A. Finance Committee:

6.A.1. Receive Quarterly and Annual Investment Reports:

6.A.1.a. Quarterly Investment Report for fiscal quarter-ended September 30, 2021; and

6.A.1.b. Annual Investment Report for fiscal year-ended September 30, 2021.  (INFORMATION)
 

6.A.2. Receive reports relating to Nueces Aid Program enrollment for the month-ended September 30, 2021:

6.A.2.a. Total Persons and Households Enrolled;

6.A.2.b. Enrollment Summary;

6.A.2.c. Denials;

6.A.2.d. Application Processing Summary; and

6.A.2.e. Enrollment by Zip Code. (INFORMATION)
 

6.B. Request For Funding:

6.B.1. Discuss and consider request by Nueces County/County Judge for additional work by Texas Health Institute relating to the dissemination of health equity information and augmentation of behavioral health and substance-use data on the community dashboard developed by Accenture LLP; and authorize Administrator to finalize details and execute an Agreement.  (ACTION)
 

6.C. Indigent Health Care:

6.C.1. Discuss and consider issuance of Request for Proposals for Development and Implementation of a Strategic Marketing Plan for Nueces Aid Program Enrollment Growth (RFP); authorize Administrator to issue RFP. (ACTION)
 

6.D. Replacement Medical Examiner's Facility Site:

6.D.1. Discuss and consider proposed plan for the removal of a parcel of Hospital District-owned real property requested by Nueces County as a site for the replacement of the County's medical examiner's facility from the District's real property leased to CHRISTUS Spohn Health System Corporation for possible conditional transfer of ownership of the property to the County for its use for replacement of their current medical examiner facility; the proposed real property is a 3.39 acre tract out of Lot 1, Block 3, Medical Center Subdivision, as shown on a map recorded in Volume 69, Page 443, Map Records, Nueces County, Texas and located on the former Memorial Medical Center campus at 2606 Hospital Boulevard, Corpus Christi, Texas.  (INFORMATION/ACTION)
 

6.E. Community Mental Health Initiatives:

6.E.1. Receive and discuss information presented by Nueces County's Director of Mental Health Programs on Hospital District-funded and other mental health programs. (INFORMATION)
 

6.F. Board of Managers Business:

6.F.1. Review application process for reappointment and appointment to the Board of Managers. (INFORMATION)
.

6.G. Administrator's Actions:

6.G.1. Ratify Administrator's action(s) performed as part of his duties directing the affairs of the District and/or as required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):

6.G.1.a. Engagement of Collier, Johnson & Woods, P.C., Certified Public Accountants to perform an audit of the Hospital District's financial statements for the fiscal year ended September 30, 2021; (ACTION) and

6.G.1.b. Engagement of Linda K. Wertz for consulting services and technical assistance associated with the Texas Health and Human Services Commission's Section 1115 Medicaid Waiver and Regional Healthcare Partnership, Region 4; engagement for the period October 1, 2021 - September 30, 2022.  (ACTION)
 

7. ADMINISTRATOR'S BRIEFING:
 

7.A. Next Board of Managers and Board Committee regular meetings (all meetings' dates, times, and locations subject to change):
 

7.A.1. Finance Committee: November 16, 2021, 9:30 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401; and
 

7.A.2. Board of Managers:  November 16, 2021, 10:00 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.  (INFORMATION)
 

8. CLOSED MEETING - Public notice is hereby given that the Board of Managers may elect to go into closed meeting session(s) at any time during the meeting to discuss any matter(s) listed on the agenda, when so authorized by the provisions of the Open Meetings Act, Texas Government Code, Chapter 551 and the Board specifically expects to go into a closed session(s) on the matters listed below pursuant to the Act, §551.071. In the event the Board elects to go into closed session(s) regarding an agenda item(s), the section(s) of the Open Meetings Act authorizing the closed session will be publicly announced by the presiding officer. Should any final action, final decision, or final vote be required in the opinion of the Board with regard to any matter considered in closed session(s), then the final action, final decision, or final vote shall be either: (a) in the open meeting covered by the Notice upon reconvening of the public meeting; or (b) at a subsequent public meeting of the Board upon notice thereof, as the Board shall determine pursuant to applicable laws:
 

8.A. Consult with attorneys on matters relating to the establishment of a Board of Managers Policy regarding acceptance of funding requests from entities, agencies, or other organizations.
 

8.B. Consult with attorneys on matters relating to inclusion of certain requirements in Hospital District agreements.
 

8.C. Consult with attorneys on matters relating to Hospital District-owned real property requested by Nueces County as a site for the replacement of the County's medical examiner's facility.
 

9. OPEN MEETING - Following the Closed Meeting, the Board of Managers will reconvene the Open Meeting prior to taking any action(s) on matters considered in the Closed Meeting or adjourning the meeting.
 

10. Consider final action, decision, or vote on matters considered in the Closed Meeting. (ACTION AS NEEDED)
 

11. ADJOURN