An official State of Texas website.
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 - September 2022
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.
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
Medicaid Managed Care Provider Network Adequacy Report - December 2022
This report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.
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) - 2022
The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.
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
Feasibility of Creating an Online Portal for the Medicaid Waiver Interest List - January 2023
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.
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.
Summary of Significant Audit Findings for Local Mental Health Authorities for Fiscal Year 2021
Texas Health and Safety Code, Section 534.068(f) requires HHSC to submit a report to the legislature that includes a summary of the significant findings identified during a review of fiscal audit activities.
Texas Health and Safety Code, Section 534.068(f) requires HHSC to submit a report to the legislature that includes a summary of the significant findings identified during a review of fiscal audit activities.
December 16, 2022
Rural Texas Pediatric Tele-Connectivity Resource Program Report - Fiscal Year 2022
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.
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.
December 1, 2022
Report of the Ombudsman for Children and Youth Foster Care - Fiscal Year 2022
The report presents the work of the Ombudsman for Children and Youth in Foster Care for FY2022.
The report presents the work of the Ombudsman for Children and Youth in Foster Care for FY2022.
November 23, 2022
Internal Audit Plan - Fiscal Year 2023 Revisions
The Internal Audit Plan is a list of the scheduled audits to be conducted in FY23 based on a business risk assessment focused on identifying and evaluating risks related to each major HHS activity and input from management. This addendum summarizes revisions made to the Internal Audit Plan for fiscal year 2023.
The Internal Audit Plan is a list of the scheduled audits to be conducted in FY23 based on a business risk assessment focused on identifying and evaluating risks related to each major HHS activity and input from management. This addendum summarizes revisions made to the Internal Audit Plan for fiscal year 2023.
November 14, 2022
Utilization Review in STAR+PLUS Managed Care Report - Fiscal Year 2022
This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.
This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.
November 10, 2022
Funding Impacts of the Delivery System Reform Incentive Payment Program Transition - 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.
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.