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November 13, 2009 - MSB Agenda





The Capitol Center

225 East 16th Avenue

Denver, CO 80203

November 13, 2009

9:00 A.M.


The mission of the Department of Health Care Policy and Financing is to improve access to cost-effective, quality health care services for Coloradans.







Ginny Riley, President

Alan Eisenberg


Paul Melinkovich, Vice President

Richard Markley


Linda Andre

Wendell Phillips


Jeffrey Cain

Sally Schaefer


Kathleen Chitty

Mary Trujillo-Young





1.  Roll Call


2.  General Announcements


Date and location of the next Medical Services Board meeting:  The meeting will be held Friday, December 11, 2009 beginning at 9:00 a.m. at The Capitol Center, 225 East 16th Avenue, Denver, CO 80203, in the Sixth Floor Conference Room.


It is the policy of this Board and the Department to remind everyone in attendance that this facility is private property. The capacity of the meeting room is 38.  Please do not block the doors or stand around the edges of the room.  Please be respectful of others on the floor and do not congregate in the hall outside the meeting room.  Please turn cell phones off while in the meeting room as they interfere with the recording equipment.


3.  Approval of the minutes from the October 16, 2009 meeting


4.  Rules


Emergency Agenda


Document 01

MSB 09-10-26-A

Revision to the Medical Assistance Rule Concerning Limitations on Reimbursement of Non-Medical Transportation Services for HCBS Waiver Services, §8.49  (Barbara Prehmus, Long Term Benefits Division)


Document 02

MSB 09-10-29-A

Revision to the Medical Assistance Rule Concerning Reduction to Outpatient Hospital Reimbursement, §8.300.6 (Elizabeth Lopez, Rates Section)


Document 03

MSB 09-10-29-B

Revision to the Medical Assistance Rule for Durable Medical Equipment, §8.590.7.I (Doug Van Hee, Program Performance Section)


Document 04

MSB 09-10-30-A

Revision to the Medical Assistance Rule Concerning Ambulatory Surgery Centers, §8.570 (Eric Wolf, Medicaid Program Division)


Final Permanent Adoption by Consent Agenda


Document 05

MSB 08-11-21-A

Revision to the Medical Assistance Rule Concerning Recipient Appeals, §8.057 (Jean Hohn, Appeals Officer)


Document 06

MSB 09-07-14-A

Revision to the Medical Assistance Rule Concerning Technical Corrections to the Provider Participation Rules to Require Providers to Screen Employees and Contractors for Excluded Individuals and Entities, §8.130.35 (Bob Douglas, Legal Division)


Initial Approval Agenda


Document 07

MSB 08-10-20-A

Revision to the Medical Assistance Rule Concerning Mental Health Capitation Rate Setting, §8.215 (Jed Ziegenhagen, Rates Section)


Closing Motion for Rules Agenda


5.  Department Updates

  • HB 09-1293 Health Care Affordability Act of 2009 Update - Chris Underwood, State Programs & Federal Financing -  Handout 
  • Preferred Drug List Moratorium Update - Tom Leahey, Pharmacy


6.  Open Forum for Public Comments

(All comments will be limited to a maximum of five minutes unless scheduled in advance.*)


7.  Adjourn

* Arrangements for open forum comments and presentations can be made by contacting the Board coordinator by mail at 1570 Grant Street, Denver, CO 80203; by phone at 303.866.4416; or by e-mail at


Reasonable accommodations will be provided upon request for persons with disabilities.  Please notify the Board Coordinator at 303-866-4416 or by e-mail at at least one week prior to the meeting if you need special accommodations in order to participate.