Reports and Presentations

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

Continuous Medicaid Coverage Baseline Report - 2023 (Excel)

The Centers for Medicare & Medicaid Services requires states to report on specific metrics designed to demonstrate states' progress towards restoring timely application processing and initiating and completing renewals of eligibility for all Medicaid and CHIP enrollees as Continuous Medicaid Coverage ends. 

State Report on Plans for Prioritizing and Distributing Renewals Following the End of the Medicaid Continuous Enrollment Provisions - 2023

All states must complete and submit to Centers for Medicare & Medicaid Services this reporting form summarizing state’s plans for initiating renewals for its total caseload within the state’s 12-month period of ending Continuous Medicaid Coverage. HHSC submitted this report to CMS on April 3, 2023.

Mandatory Managed Care Contracts - 2023

The HHSC presentation to the House Human Services Committee is regarding Mandatory Managed Care Contracting.

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.

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.

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.

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.

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.

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.