March 30, 2015 at 12:30 PM - Board of Managers - Regular Meeting

1. CALL TO ORDER

2. ESTABLISHMENT OF QUORUM

3. PUBLIC COMMENT - Persons wishing to comment 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 Board meeting.  Commenters shall limit their comments to three (3) minutes and comments must be appropriate to the agenda item(s).  See the "Public Comment" section of the preceding General Information page for additional Public Comment-related requirements and information.

4. CONSENT AGENDA:

4.A. Board of Managers:

4.A.1. Approve minutes of January 27, 2015 Board of Managers meeting.

4.A.2. Receive listing of new vendors as of March 20, 2015; vendor listing pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.

4.B. Quality Committee:

4.B.1. Ratify renewal of Service Agreements with the Texas Medical Foundation for the period January 1, 2015 - December 31, 2016:

4.B.1.a. Non-Medicare Medical Records Review; and

4.B.1.b. Quality Assessment, Utilization Review, and Coding Review.

4.B.2. Receive information relating to U.S. Department of Health and Human Services (DHHS) Poverty Guidelines:

4.B.2.a. Annual update of the DHHS Poverty Guidelines from Federal Register, Vol. 80, No. 14, January 22, 2015, pp. 3236 - 3237; and

4.B.2.b. Historical DHHS Poverty Guidelines, 1965 - 2014 from Table 3.E8, Annual Statistical Supplement to the Social Security Bulletin, 2014.

4.B.3. Receive notice of annual increase adjustments of Nueces Aid Program’s Eligibility Guidelines; adjustments effective March 1, 2015 for:

4.B.3.a. 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; and

4.B.3.b. Household Income as required by Program’s Handbook Policy No. NA002, Attachment 4, Section I-F-3.

4.B.4. Receive summary information relating to Nueces Aid Program pharmacy service Utilization for calendar years ended December 31, 2013 and December 31, 2014:

4.B.4.a. Pharmacy Program;

4.B.4.b. Pharmacy Volume by Year;

4.B.4.c. Cost and Utilization Summary Report;

4.B.4.d. Therapeutic Class Total Report; and

4.B.4.e. Top 100 Utilized Drugs by Dollars.

4.B.5. Receive summary information relating to Nueces Aid Program for calendar years ended December 31, 2013 and December 31, 2014:

4.B.5.a. Program Enrollment;

4.B.5.b. Program Applications Processed; and

4.B.5.c. Program Eligibility:

4.B.5.c.1. Eligibility Demographics; and

4.B.5.c.2. Enrollment by Zip Code.  (INFORMATION)

4.B.6. 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 for calendar years ended December 31, 2013 and December 31, 2014.

4.C. Finance Committee:

4.C.1. Receive unaudited financial statements for the months and fiscal year-to-date periods ended December 31, 2014 and January 31, 2015.

4.C.2. Receive revenue report relating to Christus Spohn Health System Corporation Membership Agreement for current fiscal year-to-date.

4.C.3. Receive investment reports and ratify related investment transactions:

4.C.3.a. Quarterly Investment Report for fiscal quarter ended December 31, 2014; and

4.C.3.b. Interim Investment Transactions Report for period January 1, 2015 - March 26, 2015.

4.C.4. Ratify Calendar Year 2014 unreimbursed health care expenditure amounts submitted to the Texas Department of State Health Services for pro rata share distribution of Calendar Year 2014 income from the Tobacco Permanent Settlement Trust Account; expenditure submission pursuant to Texas Administrative Code, Title 25, Part 1, Chapter 102, Rules §102.1(b) and §102.3(a), (e)(2), and (f).

4.C.5. Receive summary report of intergovernmental transfers in support of the Medicaid 1115 Waiver-related Texas Healthcare Transformation and Quality Improvement Program sponsored by the Texas Health and Human Commission for fiscal year-to-date.

4.C.6. Receive summary payment information for current fiscal year-to-date:

4.C.6.a. Medical services at Nueces County juvenile detention facility;

4.C.6.b. Emergency medical services in unincorporated areas of Nueces County;

4.C.6.c. Supplemental funding for Nueces County Mental Health and Mental Retardation Center (presently known as Behavioral Health Center of Nueces County); and

4.C.6.d. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department.

4.D. Planning Committee:

4.D.1. Receive hospital providers' reports relating to certain Indigent Care Affiliation Agreements associated with the Hospital District's participation in the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver; receive providers' reports for the calendar quarter ended December 31, 2014:

4.D.1.a. Christus Spohn Health System Hospitals: Alice, Beeville, and Kleberg (Joint Report);

4.D.1.b. Corpus Christi Medical Center;

4.D.1.c. DeTar Healthcare System; and

4.D.1.d. Driscoll Children's Hospital.

5. REGULAR AGENDA:

5.A. Planning Committee:

5.A.1. Approve and confirm Nueces County Commissioners Court's nomination of Mr. Govind Nadkarni to the Christus Spohn Health System Corporation Board of Trustees to fill vacant position with unexpired term ending December 2016; vacant position previously occupied by Mr. Richard L. Bowers. (ACTION)

5.A.2. Receive update on Texas Healthcare Transformation and Quality Improvement Program Medicaid Section 1115 Waiver (Waiver) and related activities by the Texas Health and Human Services Commission (HHSC) with the U.S. Centers for Medicare & Medicaid Services (CMS):

5.A.2.a. HHSC's actions with CMS to extend or renew Waiver; and

5.A.2.b. CMS actions with HHSC relating to deferral of Waiver-related payments for hospital uncompensated care expenditures.

5.A.3. Receive information on legislation filed during the 84th Texas Legislative Session relating to intergovernmental transfers to the Texas Health and Human Services Commission for the non-federal share of Medicaid supplemental, waiver-related, and other similar payment programs in Texas. (INFORMATION)

5.B. Board of Managers:

5.B.1. Receive presentation from Christus Spohn Health System Corporation leadership regarding status update on design development process and timeline for construction of the planned Dr. Hector P. Garcia Memorial
Family Health Center. (INFORMATION)

5.C. Indigent Care Provider's Briefing:

5.C.1. Receive and discuss information from Christus Spohn Health System Corporation (Provider) relating to:

5.C.1.a. Medical aid and hospital care provided to the Nueces Aid Program population consistent with the Christus Spohn Health System Corporation Membership Agreement and related matters; and

5.C.1.b. Programs, projects, and/or activities at Christus Spohn Hospital Corpus Christi-Memorial and other Hospital District-owned facilities and related matters.  (INFORMATION)

5.D. Administrator's Briefing:

5.D.1. Next Scheduled Board and Committee meetings:

5.D.1.a. May 26, 2015 meetings; start times to be determined:

5.D.1.a.1. Planning Committee;

5.D.1.a.2. Finance Committee; and

5.D.1.a.3. Board of Managers.  (INFORMATION)

6. ADJOURN