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October 12, 2012

  

AGENDA

MEDICAL SERVICES BOARD OF THE
COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING
The Capital Center
225 E. 16th Avenue
6th Floor Conference Room
Denver, CO 80203
October 12, 2012
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.

 
MEDICAL SERVICES BOARD MEMBERS
 

Mary Trujillo-Young, President Richard Markley
Mike Stahl, Vice President Wendell Phillips
Jeffrey Cain Ginny Riley
Kathleen Chitty Linda Andre
Brenda LaCombe

Paul Melinkovich,

  Vacant

1.  Roll Call

 

2.  General Announcements

 

Date and location of the next Medical Services Board meeting: The next meeting is scheduled to be held Friday, November 9, 2012 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. When necessary, the Department will provide overflow space with listening capabilities via audio streaming and staff support.  Board members and the Department will make certain that all attendees who want to testify on a proposed rule or in the open forum are given the opportunity to do so. Please turn cell phones off while in the meeting room as they interfere with the recording equipment.

 

3.  Approval of the Minutes from the September 14, 2012 meeting
 
4.  Rules

 

Final Permanent Adoption By Consent Agenda 

 

Document 01 

 MSB 12-05-23-A                                                            

 

Revision to the Medical Assistance Rule Concerning  Adding Working Adults with Disabilities as a Category Eligible to Receive Home and Community Based Services, Section 8.100 (Eric Stricca, Eligibility Policy Section)

 

The Medical Services Board voted that testimony on Document 01 is complete and that this item be placed on a consent agenda for final permanent adoption.  Board members may remove rules from the consent agenda to consider further comments.

 

Final Permanent Adoption Agenda  

 

Document 02

MSB 12-07-17-B                                                            

 

Revision to the Children's Basic Health Plan Rule Concerning  Selection of a Managed Care Organization), Section 410 (Teresa Craig, Managed Care Section and Jennifer St. Peter, Budget Division) 

 

 

Initial Approval Agenda
 


Document 03

MSB 12-09-07-A                                                           

 

Revision to the Children's Basic Health Plan Rule Concerning Discontinuance of the Premium Assistance (aka CHP+ AtWork) Program, Sections 50,150,160,220,340,400,450 and 610, (Bill Heller, Managed Care Contracts Division)

                                                     

 

Document 04

MSB 12-07-17-C

 

Revision to the Children's Basic Health Plan Plus Rule Concerning Insufficient Access to Other Health Coverage, Section 120 (Bill Heller, Managed Care Contracts Division)
 


Document 05

MSB 12-08-31-A

 

Revision to the Medical Assistance Rule Concerning Medicare Part D Coverage, Section 8.800.4 (Cathy Traugott, Pharmacy Section)
  


Document 06

MSB 12-06-21-A

 

Revision to the Medical Assistance Rule Concerning Pharmacy Reimbursement Calculations and Associated Definitions, Section 8.800.13 and 8.800.1 (Cathy Traugett, Pharmacy Section and Jeff Wittreich, Fee-for-Service Rate Section)

 


Document 07

MSB 11-03-16-A


Revision to the Medical Assistance Rule Concerning Physician Services, Section 8.200 (Richard Delaney, Benefit Policy Section)


Document 08

MSB 12-07-03-A

 

Revision to the Medical Assistance Rule Concerning Income Limits for Children and Pregnant Women, Section 8.100.4.F and 8.100.4.G (Kathleen Seese, Eligibility Policy Section)

 


Document 09

MSB 12-04-20-A


Revision to the Medical Assistance Rule Concerning Claims Reimbursement and Status, Section 8.041 (Chris Underwood, Provider Operations Division and Dee Cole, Fiscal Agent Operations Section)

 

 

Closing Motion For Rules Agenda

 
5.  Open Forum for Public Comments

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

 

6.  Department Updates
 
  • 1293 Hospital Provider Fee Update - Nancy Dolson, Safety Net Programs Section
  • Department Updates/Questions - Suzanne Brennan, Health Programs Office Director
     
7.  Election of Officers
8.   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 judith.carey@state.co.us

Reasonable accommodations will be provided upon request for persons with disabilities.  Please notify the Coordinator at 303-866-4416 or  judith.carey@state.co.us at least one week prior to the meeting to make arrangements.