Reports and Presentations

This report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.

The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.

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.

Texas Health and Safety Code, Section 534.068(f) requires HHSC to submit a report to the legislature that includes a summary of the significant findings identified during a review of fiscal audit activities.

This report provides updates on the improvement process for reducing the time it takes for nursing facility providers undergoing a change of ownership (CHOW) to receive payment for services to Medicaid clients.

The Internal Audit Plan is a list of the scheduled audits to be conducted in FY23 based on a business risk assessment focused on identifying and evaluating risks related to each major HHS activity and input from management. This addendum summarizes revisions made to the Internal Audit Plan for fiscal year 2023.

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

This report summarizes the transition of directed payment programs from the Delivery System Reform Incentive Payment (DSRIP) program. It also lists five recommendations for financial stability throughout the DSRIP transition.

The Internal Audit Annual Report provides a summary of its 2022 activities which complies with the guidelines set forth by the State Auditor’s Office.

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.