Dshs Form 10 660 Community Engagement 90 Day Quarterly Progress Report Washington
Dshs Form 10 660 Community Engagement 90 Day Quarterly Progress Report Washington – * Note: If you find that the text on some images is blurry or hard to read, you can fix the problem by right-clicking on the image and selecting “open image in new tab”.
Source: Texas Health and Human Services Commission. (October 1, 2020). Health and social services system organization chart [PDF file]. Retrieved from https://hhs.texas.gov/sites/default/files/documents/about-hhs/ leadership/hhs-org-chart.pdf
Dshs Form 10 660 Community Engagement 90 Day Quarterly Progress Report Washington
The Texas Health and Human Services Commission (HHSC) is an umbrella agency that provides many services and programs to Texans. HHSC programs and services include Medicaid, Children’s Health Insurance Program (CHIP), long-term services and supports, Supplemental Nutrition Assistance Program (SNAP) food benefits, Temporary Assistance for Needy Families (TANF), mental health and substance use services, and services. for older Texans, women and people with disabilities. Services are provided through a comprehensive system of programs and benefits. HHSC also oversees certain regulatory functions, such as the licensing and credentialing of nursing facilities, the licensing of child care providers, the granting of certain professional licenses and certifications, and the management of state assisted living centers and state psychiatric facilities.
Texas Health And Human Services System
The Texas Department of State Health Services (DSHS) is also an umbrella agency for HHSC, but operates as a separate department. DSHS focuses on public health functions such as vital statistics, collecting and disseminating health data, prevention of chronic diseases and infections, maternal and child health, laboratory testing, and licensing and regulation of certain facilities and operations.
Over the past 17 years, the Texas Health and Human Services system has undergone extensive reorganization in an effort to create a more efficient, effective and responsive system. HHSC’s transformation began in 2003 as an umbrella agency that oversees multiple programs and departments. After the 2015 Sun Review Commission and subsequent recommendations through SB 200 (85th, Nelson / Price), the consolidation of the agency was prioritized in the reorganization. Some client services were transferred to HHSC, including state hospital inpatient services, SSLC, and some regulatory and administrative services. The move eliminated the Department of Assistive and Rehabilitation Services (DARS) and the Department of Aging and Disability Services (DADS). In addition, behavioral health and regulatory functions (previously administered by DSHS and the Department of Family and Protective Services (DFPS), Office of Mental Health Coordination, and Chief Forensic Officer positions are being transferred to HHSC over the next several years. As the transformation continues, DFPS will become an independent agency , and the Health and Human Services system subsequently became all comprised of HHSC and DSHS.
Additionally, the HHSC Executive Board was established during the transition. The council’s primary purpose is to obtain input from the public and advise the HHSC Executive Commissioner on policies related to the health and human services system. Information about the HHSC Executive Council is available at https://hhs.texas.gov/about-hhs/leadership/councils/health-human-services-commission-executive-council.
Transformation planning and implementation continues within the HHS system and is led by the Office of Transformation, Policy and Performance, which reports to the Chief Policy Officer. The Chief Policy Officer reports directly to the Executive Commissioner and is responsible for innovation, performance management, policy development and data analysis.
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The Joint Committee to Oversee the Transition of Health and Human Services Regulations is overseeing the transformation of the HHS system. The committee consists of four members of the Texas Senate, four members of the Texas House, three public members appointed by the Governor, and the HHSC Executive Commissioner as an ex officio member. According to Chair Nelson, the committee’s role is to ensure easy access to services for individuals, remove blurred lines of authority, remove barriers to system-wide improvements, and improve overall efficiency.
Ahead of the 86th session of the Texas Legislature, leadership pledged to prioritize major initiatives including school finance reform and local property taxes. In addition, mental health and substance use continue to attract significant attention, with school safety/mental health and opioid use highlighted as an important policy agenda. The Texas Legislature continues to invest resources to improve access to behavioral support and services for both adults and youth, address mental health workforce shortages, and overhaul the state’s hospital system. Investments in continuing to redesign and build inpatient mental health services are essential to ensure the critical mental health services that Texans need are available.
HB 1 funds for mental health and substance use support and services provided by HHSC are set aside in Article II of the state budget. For more information on financing, see the Financing section of this guide. The Legislature has made several decisions to improve access to mental health and substance use services. Some highlights include:
SB 11 was filed to address safe and supportive schools, with mental health as one of the components of the legislation. It also includes provisions for school-based containment strategies and staff training on how to respond in emergencies.
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Additionally, SB 10 (Nelson) was amended to this bill through an express legislative measure near the end of the legislative session. SB 10 was created by the Texas Children’s Mental Health Consortium (Consortium). The goal is to leverage the expertise and capacity of higher education institutions to increase collaboration between institutions, increase access to behavioral health care for youth, and address youth psychiatric workforce shortages. The bill creates four major initiatives: Child Psychiatry Access Network (CPAN), Texas Child Access Through Telemedicine (THATT), Child Psychiatry Workforce Expansion, and Child and Adolescent Psychiatry Fellowship. The Texas Legislature provided $99 million to implement and launch the initiative.
More details on SB 11 and other school mental health legislation can be found in the TEA section of this guide and the Foundation School Climate Regulations of the 86th Legislative Session at https://.utexas. edu/wp-content/uploads/2020/01/FINAL_86th-Lege_Policy-Brief_School-Climate. pdf.
HB 253 directs HHSC to develop and implement a five-year strategic plan to improve access to postpartum depression (PPD) screening, referral, treatment, and support services. The strategic plan should include strategies for:
SB 633 directs HHSC to create a regional group of local mental health authorities serving a population of less than 250,000 to improve access to mental health services. HHSC is required to develop a mental health service development plan for each group of local mental health authorities that will increase the group’s capacity to provide access to needed services. The plan is required to focus on reducing the cost of mental health crisis services, the cost of transporting people served by local authorities to mental health facilities, the incarceration of individuals with mental illness in county jails and hospital emergency room visits for individuals with mental illness. .
Federal Register :: Medicare Program; Hospital Inpatient Prospective Payment Systems For Acute Care Hospitals And The Long Term Care Hospital Prospective Payment System And Policy Changes And Fiscal Year 2023 Rates; Quality Programs
SB 670 requires HHSC to encourage health care providers and health facilities to provide telemedicine and telehealth services, including mental health and substance use services. Requires HHSC to implement some changes to ensure that Medicaid managed care organizations reimburse telemedicine and telehealth services at the same rate as in-person services.
SB 750 contains many provisions aimed at improving health care services for women in the state’s Medicaid and Healthy Texas Women programs, including:
SB 1177 Directs HHSC to update Medicaid managed care contracts to include language that allows MCOs to offer appropriate, cost-effective, and evidence-based medical services from a list approved by a Medicaid managed care advisory committee “replacement” for mental health or substance abuse. use of state services specified in the state Medicaid plan.
HB 2813 Establishes a Statewide Behavioral Health Coordinating Council for a strategic statewide approach to behavioral health services. The bill shortens the council’s requirements to develop and oversee the implementation of a five-year strategic health plan, produce biennial spending reports and publish a list of state-funded services and programs.
Federal Register :: Medicare Program; Hospital Inpatient Prospective Payment Systems For Acute Care Hospitals And The Long Term Care Hospital Prospective Payment System And Policy Changes And Fiscal Year 2019 Rates; Quality Reporting
HB 3980 directs HHSC and DSHS to publish reports on suicide prevalence in Texas and prevention efforts in state systems and agencies, including:
In addition, HB 3908 directs the State Coordinating Council for Behavioral Health to create a stakeholder task force to assist in the development of legislative reports. The report is required to identify opportunities and make recommendations to improve national suicide data collection, use data to guide and inform decision-making and policy development, and reduce suicide by targeting the most at-risk categories.
HB 3285 is a comprehensive multi-agency substance abuse bill. While the bill addresses various initiatives, below is a brief description of some of the changes that require the involvement of HHSC or DSHS. Here is a non-exhaustive summary of the Bill’s provisions:
Funding for HHSC continues to be a major component of the Texas state biennial budget, accounting for approximately 30 percent of the total budget for the 2020-21 biennium. 27 Mental health and substance use funding has historically been underfunded, including provider payment levels. This affects the providers’ willingness to participate in the state’s Medicaid program, which has a direct impact on access to services. The Texas Legislature has increased mental health funding over the past two years, but many programs and services are still underfunded. In the latest budget, Texas increased substance use fees, but it was only a small fraction of the HHSC requirements and the first increase in a decade.
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*Note: these numbers are before the transformation of the health and social services system and the consolidation of state authorities
After the Sunset Commission reviewed all of the Health and Human Services Advisory Committees, the continuing committees were reconstituted by rule; The list is available on the HHSC website at https://hhs.texas.gov/about-hhs/leadership/advisory-committees.
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