Reports and Presentations

The Fiscal Year 2019 Coordinated Statewide Behavioral Health Expenditure Proposal provides information regarding $3.9 billion in behavioral health funding reported from SBHCC member agencies and institutions of higher education (including Medicaid behavioral health funding). The proposal links expenditures to strategies in the strategic plan to demonstrate how state appropriations will be used to further its goals during fiscal year 2019. Strategic plan goals, objectives, and strategies will assist agencies and institutions of higher education in enhancing coordination, eliminating redundancy, and ensuring optimal service delivery. 

This report requires the Health and Human Services Commission (HHSC) to identify efficiencies across agencies to integrate systems of care and work jointly with the Texas Diabetes Council (TDC) to improve screening rates for Medicaid patients at risk for diabetes; and increase enrollment in diabetes self-management education (DSME) programs for those Medicaid patients diagnosed with diabetes. 

Quarterly Rider 216 report for the Enterprise Data Governance Initiative reflecting actual expenditure, cost savings and accomplishments implementing the Enterprise Data Governance project.

This report is the product of a survey to Medicaid and CHIP managed care organizations (that collected and compared data on MCO usage of medical and surgical, and mental health and substance use disorders that were subject to prior authorization or utilization review; denied as not medically necessary or experimental or investigational; internally appealed, including dadta that indicates whether the appeal was denied; or subject to an independent external review including data that indicates whether the denial was upheld.

HHSC is committed to improving the quality of life for individuals with intellectual disabilities who reside at the SSLCs. This report highlights ongoing efforts to achieve targeted improvements in services and supports provided.

As required by the 85th Legislature of the State of Texas, Texas Health and Human Services Commission (HHSC) conducted an evaluation of Medicaid and Children’s Health Insurance Program (CHIP) managed care in Texas.

As required by the 85th Legislature of the State of Texas, Texas Health and Human Services Commission (HHSC) conducted a study of the potential savings from implementing certain changes to HHSC’s current method of administering prescription drug benefits for Medicaid and the Children’s Health Insurance Program (CHIP). An addendum to this report was issued on March 6, 2019, to clarify the estimated cost and savings impact to the state, HHSC and Federal Government.

The report includes the prescription drug rebate outstanding principal and interest amounts, age of receivables, annual collection rates, billed amounts, dollar value of pricing and utilization adjustments, and dollars collected. This report includes a separate prescription drug rebate collection report for each managed care and fee-for-service (FFS) rebate program.

This report summarizes the exchange of information between agencies to support continuity of care services for individuals with mental illness involved with the criminal justice system and supplement local post-booking jail diversion activities.

A progress report discussing the achievement of enrollment goals included in the Home and Community-based Services Waiver Slot Enrollment Plan  (Plan) submitted in fiscal year 2017.

The report evaluation existing pre-eligibility and post-eligibility processes and describes how the processes and associated data reviewed satisfy the intent behind the matches requested by the rider. 

As required by the 85th Legislature of the State of Texas, Texas Health and Human Services Commission (HHSC) conducted a review of the agency’s contract management and oversight function for Medicaid and Children’s Health Insurance Program (CHIP) managed care contracts.