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.
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.
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.
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.
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.
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 16, 2022
Rural Texas Pediatric Tele-Connectivity Resource Program Report - Fiscal Year 2022
This third biennial submission of the Pediatric Tele-Connectivity Resource Program for Rural Texas (Pedi Tele-Conn Program) report includes updated and new information (since the December 2020 report) on grants awarded to nonurban healthcare facilities to implement telemedicine services that connect these facilities to pediatric specialists and pediatric subspecialists who provide telemedicine services.
This third biennial submission of the Pediatric Tele-Connectivity Resource Program for Rural Texas (Pedi Tele-Conn Program) report includes updated and new information (since the December 2020 report) on grants awarded to nonurban healthcare facilities to implement telemedicine services that connect these facilities to pediatric specialists and pediatric subspecialists who provide telemedicine services.
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.
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.
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.
November 2, 2022
Office of the State Long-term Care Ombudsman: Ombudsman Annual Report - State Fiscal Year 2021-2022
This report is issued to inform the public of the work of the State Long-Term Care Ombudsman Program on behalf of residents of nursing facilities and assisted living facilities.
This report is issued to inform the public of the work of the State Long-Term Care Ombudsman Program on behalf of residents of nursing facilities and assisted living facilities.
October 4, 2022
Dually Eligible Individuals Enrolled in Medicaid Managed Care Supplemental Report - 2022
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.
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.