Reports and Presentations

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

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.

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.

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.

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

HHSC is committed to improving the quality of life for individuals with intellectual disabilities who reside at the SSLCs. This report highlights ongoing efforts as of August 2019 to achieve targeted improvements in services and supports provided to enhance compliance with the DOJ settlement agreement.

The report includes the prescription drug rebate outstanding principal and interest amounts, age of receivables, annual collection rates, billed amounts, dollar value of pricing and utilization adjustments, and dollars collected. This report includes a separate prescription drug rebate collection report for each managed care and fee-for-service rebate program.

Texas Government Code Section 531.0999 added by Senate Bill (S.B.) 578, 85th Legislature, Regular Session, 2017, requires the Health and Human Services Commission (HHSC) to develop a comprehensive action plan to increase access to and availability of professional health services to prevent veteran suicides in Texas.

The 2019 Rider 207 report details the agency’s latest data on the direct care workforce and related topics, provides status updates on strategies that were mentioned in the 2018 report, and discusses additional potential strategies that were not mentioned in the 2018 report.

The report summarizes the exchange of information between agencies to support continuity of care services for individuals with mental illness involved in the criminal justice system; and supplement local post-booking jail diversion activities.