Reports and Presentations
January 20, 2023
This report provides important background on complex issues, including previous relevant legislation; the current landscape of group home regulation, including HHSC boarding home standards adopted at the local level; and recommendations for policymakers on how to potentially improve health and safety standards in these and other unregulated settings.
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 28, 2022
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.
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 21, 2022
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.
December 6, 2022
Value-Based Payment and Quality Improvement Advisory Committee Recommendations to the 88th legislature.
November 30, 2022
The Promoting Independence Plan is Texas' comprehensive response to the Supreme Court's 1999 Olmstead decision, but also outlines a vision and guiding principle for the Health and Human Services Commission to provide a system of holistic services and supports that foster independence and self-determination for people with disabilities so that they may be able to live fully integrated into their chosen communities. The goals of the 2022 PIP reflect several key areas essential to achieving this vision.
November 21, 2022
The report provides information about the experiences of CRCGs in their efforts to provide a coordinated approach to service delivery for children, youth, adults, and families with multi-agency needs. This report also includes recommendations for policy and statutory changes at agencies that are involved in the provision of systems of care services and recommendations for the statewide expansion of sites participating in the Texas System of Care.
November 14, 2022
This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.