Reports and Presentations

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

Provides an update to the Senate Health and Humans Services Committee on The Texas Healthcare Transformation and Quality Improvement Program Section 1115 Demonstration Waiver, including the DSRIP Transition Plan, and the Healthy Texas Women Section 1115 Demonstration Waiver.

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.

The Aging Texas Well Strategic Plan for the 2020-2021 biennium is submitted in accordance with Executive Order RP-42 (Appendix A). The executive order established key mandates to direct the ATW initiative and state leaders on policy planning for older Texans. The executive order also instructs the Aging Texas Well Advisory Committee to guide and support state leadership on aging-related matters and requires Texas Health and Human Services Commission to develop a biennial working plan to identify and discuss aging policy issues, guide state government readiness, and promote increased community preparedness for the aging Texas population.

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.

Provides information on the State Opioid Response grant received from SAMHSA and the implementation and goals of these funds through the Texas Targeted Opioid Response program.

This annual report to HHSC Executive Commissioner authored by the STAR Kids Advisory Committee outlines identified issues and recommendations for improvements to the STAR Kids Medicaid managed care program.

This report examines the frequency of pregnancy-related depression among women with a Medicaid-paid delivery, the frequency of pregnancy-related depression screening by Medicaid and Women's Health providers, the utilization of services and onset of treatment for pregnancy-related depression, and Medicaid costs during fiscal year 2016.

The 2018 Transition of Medically Dependent Children Program Waiver Recipients to STAR Kids report is submitted in compliance with Section 2.12 of Senate Bill 7, 83rd Legislature, Regular Session, 2013. S.B. 7 requires the Health and Human Services Commission to evaluate 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 report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.