Reports and Presentations

This report describes HHSC Value-based Care Strategy and Managed Care Value-Based Payment Programs, Quality Improvement Programs, Trends in Quality Measures, MCO Performance Indicator Dashboard, HIV Viral Suppression, Relocation to a Community-Based Setting and Statewide Initiatives to Improve Maternal Health Care. 

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.

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.

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.

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.

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.

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).

This report describes HHSC Value-Based Care Strategy Background, Managed Care Value-Based Payments Programs, the 1115 Healthcare Transformation Waiver, specifically the Delivery System Reform Incentive Payment Program, The Directed-Payment Programs, Trends in Key Quality Measures, HIV Viral Suppression and the number of individuals who relocated to a community setting.

In August 2020, HHSC and DSHS released the Postpartum Depression Strategic Plan, required by Section 32.046, Texas Health and Safety Code. This update reviews activities completed in fiscal year 2021 and future activities.