Reports and Presentations

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

December 30, 2022

Capitation Rate Setting Strategy Used to Cover Long-Term Services and Supports Provided to Recipients Under the STAR+PLUS Medicaid Managed Care Program Report

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.

December 28, 2022

Report on Medicaid Managed Care Provider Network Adequacy FY 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)

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

December 27, 2022

Medicaid Waiver Interest List Feasibility Study Legislative Report FY 2022

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.

December 2, 2022

Report on the Mental Health First Aid Program for FY 2022

MHFA is an evidence-based curriculum used to teach individuals how to help someone who may be developing a mental health problem or experiencing a mental health crisis. Health and Safety Code, Section 1001.205(b) requires HHSC to report data on the number of persons trained in MHFA and a detailed accounting of expenditures.

Annual Report on Quality Measures and Value Based Payments FY 2022

This report describes HHSC Value-based Care Strategy and Managed Care Value-Based Payment Programs, Quality Improvement Programs, Trends in Quality Measures, MCO Performance Indicator Dashboard, HIV Viral Suppression, Relocation to a Community-Based Setting and Statewide Initiatives to Improve Maternal Health Care.

November 30, 2022

Pilot Program for Providing Medical Transportation to Pregnant Women and New Mothers - Pilot Results

HHSC must implement a pilot allowing a woman during and after pregnancy enrolled in STAR to bring another child with her when using nonemergency medical transportation (NEMT) services. The intent of the bill is to increase access to prenatal and postpartum health care services; reduce pregnancy-related complications; and decrease the rate of missed appointments by this population.

November 28, 2022

State Efforts to Address Maternal Depression, Mortality and Morbidity in Texas

This report provides a comprehensive overview of the Texas Health and Human Services (HHS) system’s strategies, programs, and initiatives to reduce maternal depression, mortality and morbidity.

STAR Kids Alternative Model Feasibility Report

This report includes research findings and stakeholder feedback regarding the provision of Medicaid benefits to children enrolled in the STAR Kids managed care program under an accountable care organization or alternative payment model.

November 21, 2022

Community Resource Coordination Groups of Texas Report

The report provides information about the experiences of CRCGs in their efforts to provide a coordinated approach to service delivery for children, youth, adults, and families with multi-agency needs. This report also includes recommendations for policy and statutory changes at agencies that are involved in the provision of systems of care services and recommendations for the statewide expansion of sites participating in the Texas System of Care.