MAC Meeting Agenda

May 15, 2008 at 1 p.m.
OHCA Board Room
4545 N. Lincoln, Suite 124
Oklahoma City, OK 73105

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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]

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]

March OHCA Board Minutes

March DUR Meeting Packet 

April DUR Meeting Packet 

XI. Discussion

XII. New Business

XIII. Adjourn