Reports and Presentations

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

December 30, 2022

Capitation Rate Setting Strategy Used to Cover Long-Term Services and Supports Provided to Recipients Under the STAR+PLUS Medicaid Managed Care Program Report - September 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

Medicaid Managed Care Provider Network Adequacy Report - December 2022
This report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.
Texas Medicaid and CHIP Reference Guide - Fourteenth Edition (Pink Book) - 2022
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

Feasibility of Creating an Online Portal for the Medicaid Waiver Interest List - January 2023
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.

December 21, 2022

Nursing Facility Change of Ownership Committee Recommendation Update Report - December 2022
This report provides updates on the improvement process for reducing the time it takes for nursing facility providers undergoing a change of ownership to receive payment for services to Medicaid clients.

December 6, 2022

Texas Value-Based Payment and Quality Improvement Advisory Committee Recommendations to the 88th Texas Legislature - Fiscal Year 2022
Value-Based Payment and Quality Improvement Advisory Committee Recommendations to the 88th legislature.

November 30, 2022

Promoting Independence Plan - December 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.

November 21, 2022

Community Resource Coordination Groups of Texas Report - 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.

November 14, 2022

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.

November 10, 2022

Funding Impacts of the Delivery System Reform Incentive Payment Program Transition - 2022
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.