Reports and Presentations
December 30, 2022
A study to assess the impact of revising the capitation rate setting strategy used to cover long-term care services and supports provided to members enrolled in the STAR+PLUS Medicaid managed care program, from a strategy based on the setting in which services are provided to a strategy based on a blended rate across settings.
December 27, 2022
The Texas Health and Human Services Commission (HHSC) assessed the feasibility of creating an online portal for individuals to both request and check placement on a Medicaid waiver program interest list. Through this study, HHSC determined the most cost-effective automated method for determining the level of need of an individual seeking services.
December 1, 2022
Report on evaluation of the feasibility, cost-effectiveness, and impact on Medicaid recipients of providing benefits and services through the managed care model that are not currently provided through that model.
October 4, 2022
The supplemental report builds on the information provided in the September 2022 Dually Eligible Individuals Enrolled in Medicaid Managed Care report and provides HHSC’s findings regarding the cost-effectiveness of transitioning Medicaid-only services for dually eligible people into Medicaid managed care and requiring cost-sharing for those services, considerations of the costs associated with the operational and systematic changes needed to implement the transition and a recommendation as to whether the transition and cost-sharing should be implemented.
September 23, 2022
Describes the study HHSC conducted on the current Medicare cost-sharing requirements for dually eligible people and the programmatic impacts from transitioning Medicaid-only services into managed care and charging cost-sharing for those services.
May 5, 2022
Presentation to the Texas House of Representatives Human Services Committee on the 1115 Transformation Waiver status, implementation status of HB 133 (87R) and HB 2658 (87R), and overview of IDD Medicaid Waivers and Rider 30 update (SB 1, 87R).