Reports and Presentations

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. 

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. 

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.

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

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.

This report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.

The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.

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. Through this study, HHSC determined the most cost-effective automated method for determining the level of need of an individual seeking 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. The report discusses the outcome of 2020-21 biennium grants program projects, responses to the 2022-23 biennium grants program request for applications (RFA), and program implementation challenges and lessons learned.

This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.