Reports and Presentations

Note: These files are in PDF format unless otherwise noted.

Utilization Review in STAR+PLUS Managed Care Report - Fiscal Year 2023

This report provides findings and recommendations from the 2023 Utilization Review of the STAR+PLUS Managed Care Program.

Biannual Report on Initiatives to Reduce Avoidable Emergency Room Utilization and Improve Health Outcomes in Medicaid - August 2023

Fourth biannual report to provide an overview of HHSC’s efforts to coordinate with providers to identify and implement initiatives designed to reduce Medicaid recipients’ use of emergency room services as a primary means of receiving health care benefits and HHSC’s efforts to encourage Medicaid providers to continue implementing effective interventions and best practices that were developed and achieved under the DSRIP program.

Biannual Report on Initiatives to Reduce Avoidable Emergency Room Utilization and Improve Health Outcomes in Medicaid - March 2023

Third biannual report to provide an overview of HHSC’s efforts to coordinate with providers to identify and implement initiatives designed to reduce Medicaid recipients’ use of emergency room services as a primary means of receiving health care benefits and HHSC’s efforts to encourage Medicaid providers to continue implementing effective interventions and best practices that were developed and achieved under the DSRIP program.

Utilization Review in STAR+PLUS Managed Care Report - Fiscal Year 2022

This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.

Biannual Report on Initiatives to Reduce Avoidable Emergency Room Utilization and Improve Health Outcomes in Medicaid - August 2022

Second biannual report to provide an overview of HHSC’s efforts to coordinate with providers to identify and implement initiatives designed to reduce Medicaid recipients' use of emergency room services as a primary means of receiving health care benefits and HHSC’s efforts to encourage Medicaid providers to continue implementing effective interventions and best practices that were developed and achieved under the DSRIP program.

Biannual Report on Initiatives to Reduce Avoidable Emergency Room Utilization and Improve Health Outcomes in Medicaid - March 2022

Biannual report to provide an overview of HHSC’s efforts to coordinate with providers to identify and implement initiatives designed to reduce Medicaid recipients’ use of emergency room services as a primary means of receiving health care benefits and HHSC’s efforts to encourage Medicaid providers to continue implementing effective interventions and best practices that were developed and achieved under the DSRIP program.

Utilization Review in STAR+PLUS Managed Care Report - Fiscal Year 2021

This report provides findings and recommendations from the 2021 Utilization Review of the STAR+PLUS Managed Care program.