Reports and Presentations

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

October 4, 2022

Study on Dually Eligible Individuals Enrolled in Medicaid Managed Care Supplemental Legislative Report

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.

May 23, 2022

Quarterly IJ Summary Report October 2021 – December 2021

The following report presents information regarding all tags cited at the Immediate Jeopardy (IJ) level during licensing and certification surveys and complaint or incident investigations performed in nursing facilities during the fourth quarter of 2021 (10/01/2021 – 12/31/2021).

May 3, 2022

Presentation to the Senate Special Committee on Child Protective Services – Panel 1

This presentation covers HHSC's implementation activities regarding SB 11 (85R) and SB 1896 (87R).

March 4, 2022

State Medicaid Managed Care Advisory Committee Annual Report, 2021

State Medicaid Managed Care Advisory Committee Report to HHSC Executive Commissioner, December 2021

February 1, 2022

Medicaid CHIP Data Analytics Unit Quarterly Report of Activities SFY 2022, Q1

This quarterly report reflects activities and findings of the Data Analytics Unit.

December 20, 2019

Utilization Review in STAR+PLUS Managed Care Report for Fiscal Year 2019

This report provides preliminary findings from the 2019 utilization review of the Managed Care STAR+PLUS review.

November 26, 2019

Transition of Medically Dependent Children Program Waiver Recipients to STAR Kids, 2019

This annual report builds on the previous annual report, submitted in January 2019, which provided outcomes related to transitioning children and young adults enrolled in the Medically Dependent Children Program (MDCP) into the STAR Kids capitated managed care program.

Annual Report on Quality Measures and Value Based Payments 2019

This second report describes HHSC Value-Based Care Strategy Background, Managed Care Value-Based Payments Programs, The 1115 Healthcare Transformation Waiver, specifically the Delivery System Reform Incentive Payment Program, The Directed-Payment Programs, Trends in Key Quality Measures, HIV Viral Suppression and the number of individuals who relocated to a community setting.

November 21, 2019

Implementation of Acute Care Services and Long-term Services and Supports System Redesign for Individuals with an Intellectual or Developmental Disability - 2019

The Legislature directed HHSC to design and implement an acute care and long tern services and supports system for individuals with an intellectual and developmental disability (IDD). The 2019 annual report on the implementation of the IDD system redesign was coordinated between HHSC and the IDD System Redesign Advisory Committee.

November 6, 2019

Presentation to House Committee on Human Services - Update on 1115 Demonstration Waiver

 Provides an update on the 1115 Demonstration Waiver programs, including Uncompensated Care (UC) and Delivery System Reform Incentive Payment (DSRIP) program.