Understanding UMCC Standards and MCO Responsibilities


[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

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