Reports and Presentations
November 14, 2022
This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.
November 10, 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.
October 4, 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.
September 28, 2022
The presentation covers HHSC’s Legislative Appropriations Request (LAR) for Fiscal Years 2024-2025. In includes an overview of the agency’s mission and vision, key functions, and organizational structure, as well as key budget drivers and Medicaid & CHIP caseloads. It also provides summaries of HHSC’s LAR and Exceptional Item Requests.
May 23, 2022
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).
March 4, 2022
State Medicaid Managed Care Advisory Committee Report to HHSC Executive Commissioner, December 2021
February 1, 2022
This quarterly report reflects activities and findings of the Data Analytics Unit.
December 27, 2018
This report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.
December 17, 2018
The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.
December 3, 2018
The 2018 version of the Telemedicine, Telehealth, and Home Telemonitoring Services in Texas Medicaid report provides client utilization and provider expenditure trends for these services for fiscal years (FY) 2016 and 2017.