MAC Meeting Agenda
May 15, 2008 at 1 p.m.
OHCA Board Room
4545 N. Lincoln, Suite 124
Oklahoma City, OK 73105
Printable Version
Tentative Agenda
I. Welcome, Roll Call, and Public Comment Instructions
II. Approval of minutes of the March 27, 2008 Medical Advisory Committee Meeting [MAC Meeting Minutes]
III. Financial Report: Anne Garcia, Chief Financial Officer [March Financial Report]
IV. Legislative Update: Nico Gomez, Director of Communication Services
V. Program Operations & Benefits Update: Becky Pasternik-Ikard, Director of Program Operations [SoonerCare Programs Report]
- CM 2005-2007 [Care Management Report]
- Insure OK update (outreach efforts, IP, ESI employer survey) [InsureOk Report]
- Update on High Risk OB [OB Report]
VI. Provider Services Support Update: Paul Keenan, MD, Chief Medical Officer [Provider FastFacts]
VII. Focus on Excellence Website: Cassell Lawson, Director, OLL
VIII. E-prescribing: Kelly Pensoneau, CPM, Pharmacy Services
IX. PACE Program Update: Trevlyn Cross, Director, Indian Health Services
X. Action Items: Cindy Roberts, Director of Program Integrity & Planning
OHCA Initiated Rule - Emergency
1. Family Planning - Rules are revised to remove gender and age restriction for family planning services. Language change will clarify that family planning services are available to members with reproductive capability. [Rule 1 Family Planning Policy]
2. Obstetrics - Rules are revised to allow (a) reimbursement of one non stress test and/or one biophysical profile to a Maternal Fetal Medicine Specialist without requiring a prior authorization and (b) require Obstetrician (OB) signature on the OHCA-17 form only in cases where the OB co-manages and bills the enhanced at risk ante-partum management fee. [Rule 2 Obstetrics Policy]
XI. Discussion
XII. New Business
XIII. Adjourn
