Reports and Presentations

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

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.

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.

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.

Presentation to the Senate Special Committee on Child Protective Services (Panel 1) - 2022

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

State Medicaid Managed Care Advisory Committee - Annual Report 2021

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