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July 2013

  

AGENDA

MEDICAL SERVICES BOARD OF THE
COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING
The Capitol Center
225 E. 16th Avenue
6th Floor Conference Room
Denver, CO 80203
July 12, 2013
9:00 A.M.


The mission of the Department of Health Care Policy and Financing is to improve health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources.

 
MEDICAL SERVICES BOARD MEMBERS
 

Mary Trujillo-Young, President

Richard Markley

Mike Stahl, Vice President

Bregitta Hughes

Timothy Fox

Ginny Riley

Christy Blakely

Paul Melinkovich

Brenda LaCombe 

Patricia Givens

Donna Roberts

 


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, August 9, 2013 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 June 14, 2013 meeting
 
4.  Rules

  

FINAL PERMANENT ADOPTION BY CONSENT 

 
 

Document 01 

 

MSB 13-03-12-D  

 
 

Revision to the Medical Assistance Health Program Services and Supports Rule Concerning Ambulatory Surgery Center Benefit Coverage Standard Incorporation by Reference, Section 8.570.3.D.(Dana Batey, Health Programs Services and Support Division)                                                                                         

Document 02

 

MSB 13-03-12-F

 
Revision to the Medical Assistance Health Program Services and Supports Rule Concerning the Dialysis Treatment Center Benefit Coverage Standard Incorporation by Reference, Section 8.310 (Dana Batey, Health Programs Services and Support Division)

Document 03

 

MSB 13-03-12-L

 
Revision to the Medical Assistance Health Program Services and Supports Rule Concerning the Bariatric Surgery Benefit Coverage Standard Incorporation by Reference, Section 8.300.3 (Dana Batey, Health Programs Services and Support Division)

Document 04

 

MSB 13-03-12-A

 
Revision to the Medical Assistance Health Program Services and Supports Rule Concerning School-Based Health Centers Benefit Coverage Standard Incorporation by Reference, Section 8.295 (Meredith Henry, Health Programs Services and Support Division)

Document 05

 

MSB 13-04-22-B

 
Revision to the Medical Assistance Rule Concerning Federally Qualified Health Centers Rule Language, Section 8.700 (Richard Delaney, Health Programs Services and Support Division)

   

FINAL PERMANENT ADOPTION

 
 

Document 06

 

MSB 13-03-12-B 

 
Revision to the Medical Assistance Physician Services Rule Concerning Immunization Services Benefit Coverage Standard Incorporation by Reference, Section 8.200.3.C (Meredith Henry, Health Programs Services and Support Division)
 

Document 07

 

MSB 13-04-09-C 

 
Revision to the Medical Assistance Rule for Outpatient Hospital Reimbursement, Section 8.300.6 (Luisa Sanchez de Tagle, Rates and Analysis Division)
 

Document 08

 

MSB 13-04-22-A

 
Revision to the Medical Assistance Rule Concerning Federally Qualified Health Centers, Section 8.700.7 (Greg Linster, Rates and Analysis Division)
 

Document 09

 

MSB 13-04-23-A

 
Revision to the Medical Assistance Rule Concerning Durable Medical Equipment and Disposable Medical Supplies Provider Rate Increases, Section 8.590.7.I (Andrea Skubal, Pharmacy Unit)
 

 

TABLED RULE FROM JUNE AGENDA

 
 

Document 10

 

MSB 13-03-12-J 

 
 
Revision to the Medical Assistance Health Program Services and Supports Rule Concerning Podiatry Services Benefit Coverage Standard Incorporation by Reference, Section 8.200.3.A.8 (Richard Delaney, Health Programs Services and Support Division)
 
 

INITIAL APPROVAL AGENDA

 

Document 11

 

MSB 13-02-27-A

 
Revision to the Medical Assistance Rule Concerning Durable Medical Equipment and Disposable Medical Supplies Alternative and Augmentative Communication Devices Benefit Coverage Standard, Section 5.590.2.G (Andrea Skubal, Pharmacy Unit)
 

Document 12

 

MSB 13-05-22-A

 
Revision to the Medical Assistance Rule Concerning Intermediate Care Facilities for Individuals with Intellectual Difficulties (ICF/IID) Provider Fee, Section 8.448 (Weston Lander, Safety Net Programs Section)
 

Document 13

 

MSB 13-03-18-A

 
Revision to the Medical Assistance Rule Concerning Nursing Facility Provider Fees, non-Medicare Patient Days Review, Section 8.443.17.A.4.f (Matt Haynes, Safety Net Programs Section)
 

Document 14

 

MSB 13-06-12-A

 
Revision to the CHP+ Eligibility Rule Concerning Rule Changes Pursuant to the Patient Protection and Affordable Car Act, 10 CCR 2505-3, Sections 50, 110, 130, 150, 170 and 430 (Marivel Guadarrama, Eligibility Policy 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
  • Child Health Plan Plus Update - Written
  • HB 1293 Update – Chris Underwood, Provider Operations Division
  • ACA Rule Update – Marivel Guadarrama, Eligibility Policy Section
  • Home Health Update, Bill Heller, Managed Care Contracts Division
  • Department Update/Questions – Suzanne Brennan, Health Programs Office Director  
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 email 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.