Reports and Presentations

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 report provides updates on the improvement process for reducing the time it takes for nursing facility providers undergoing a change of ownership (CHOW) to receive payment for services to Medicaid clients.

The Delivery of Health and Human Services to Young Texans report outlines services for children under six years of age, a critical time of early development which impacts children’s long-term outcomes. This biennial report updates the 2020 edition, as required by Government Code, Section 531.02492(b).

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 is required biennially to discuss the effects of telemedicine, telehealth and home telemonitoring services on the Texas Medicaid program including number of providers using these services, geographic disposition of these providers, the number of patients treated, the types of services provided, and the cost of utilization.

All Texas Access is a legislatively directed initiative that focuses on increasing access to mental health services in rural Texas communities. HHSC is collaborating with the rural-serving local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs) to focus on diverting more Texans with mental illness away from the criminal justice system and into treatment.

This report discusses regional plans from groups of local LMHAs and LBHAs serving counties with a population of 250,000 or less. These plans are designed to increase the capacity of LMHAs and LBHAs in providing access to mental health services while reducing the cost associated with various metrics.

The Promoting Independence Plan is Texas' comprehensive response to the Supreme Court's 1999 Olmstead decision, but also outlines a vision and guiding principle for the Health and Human Services Commission to provide a system of holistic services and supports that foster independence and self-determination for people with disabilities so that they may be able to live fully integrated into their chosen communities. The goals of the 2022 PIP reflect several key areas essential to achieving this vision.