[3364] Understanding UMCC Standards and MCO Responsibilities
Hear HHSC staff discuss key sections of the UMCC, its standards and MCO responsibilities...that affect HCSSA providers.
NOW AVAILABLE: RELEASED 03/02/2020 This program was presented on 2.12.2020 at the Texas Association of Home Care & Winter Conference in Denton.
It is one of 18 presentations captured and produced for online access.
Presentation Info:
Presentation Date: February 12, 2020
TAHC&H Event: TAHC&H Winter Conference | Denton
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
Program Description: What is the UMCC? The UMCC is the Uniform Managed Care Contract that governs
Texas Medicaid and CHIP Managed Care Services. In this session providers will learn why it’s so important to understand the States’ contract
which sets forth the terms and conditions for Health Plans participating in Texas Medicaid Managed Care, administered by HHSC.
Hear HHSC staff discuss key sections of the UMCC, its standards and MCO responsibilities so that you know what standards the MCO’s must meet and
why they may require certain processes for providers.
Program Learning Outcome: Participants will be able to verbalize understanding of key sections of UMCC standards and MCO responsibilities and identify the importance of understanding the State’s contract.
TAHC&H Faculty/Presenter: Sylvia Salvato, TX HHSC, Manager, Policy & Program Development, Medicaid and CHIP Services Department
About the Presenter: Sylvia Salvato is a Manager of Medicaid Policy and Program Development with the Texas Health and Human Services Commission.
She has a Master’s of Social Work degree from Texas State University. In addition to nearly ten years of service to the state of Texas, Ms. Salvato has previous experience working in
environments including the federal government, long term care, acute care, behavioral health services, and clinical research.
[3364] Understanding UMCC Standards and MCO Responsibilities
[3361] What's New in Star Plus?
Hear the latest on the Star Plus initiative including expansion into 13 new service areas.
NOW AVAILABLE: RELEASED 03/02/2020 This program was presented on 2.12.2020 at the Texas Association of Home Care & Winter Conference in Denton.
It is one of 18 presentations captured and produced for online access.
Presentation Info:
Presentation Date: February 12, 2020
TAHC&H Event: TAHC&H Winter Conference | Denton
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
Program Description: The Texas Medicaid Star+Plus program, is a managed care program worth nearly $10 billion
in premium revenue for managed care organizations and serves nearly 525,000 seniors and people who are blind and disabled. In October 2019, Texas Health
and Human Services Commission (HHSC) announced that after a competitive procurement, HHSC intends to award new contracts in 13 different service areas for the STAR+PLUS product.
Hear directly from HHSC staff who provide an update for all of Texas Managed Care products, give you a preview of any changes related to the re-procurement and report on any
upcoming legislative and policy initiatives. Invited Managed Care Organizations (MCOs) including Superior, Molina, United, Amerigroup have also confirmed to participate in a
panel discussion to talk through changes and respond to audience questions!
Program Learning Outcome: Participants will actively engage in the discussion by describing any changes related to the re-procurement and any upcoming legislative and policy initiatives.
TAHC&H Faculty/Presenter: Sylvia Salvato, TX HHSC, Manager, Policy & Program Development, Medicaid and CHIP Services Department
About the Presenter: Sylvia Salvato is a Manager of Medicaid Policy and Program Development with the Texas Health and Human Services Commission.
She has a Master’s of Social Work degree from Texas State University. In addition to nearly ten years of service to the state of Texas, Ms. Salvato has previous experience working in
environments including the federal government, long term care, acute care, behavioral health services, and clinical research.
[3361] What's New in Star Plus?