Reports and Presentations

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

The report presents the work of the Ombudsman for Children and Youth in Foster Care for FY 2019.

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.

This second report describes HHSC Value-Based Care Strategy Background, Managed Care Value-Based Payments Programs, The 1115 Healthcare Transformation Waiver, specifically the Delivery System Reform Incentive Payment Program, The Directed-Payment Programs, Trends in Key Quality Measures, HIV Viral Suppression and the number of individuals who relocated to a community setting.

The Office of the State Long-term Care Ombudsman (Office) is independent within HHSC. Long-term care ombudsmen regularly visit assisted living facilities (ALFs) and advocate for residents. This report describes ombudsman services in ALFs in state fiscal year 2018, including recommendations to ensure the highest quality of life and care for residents.

The Office of the State Long-Term Care Ombudsman is independent within the Texas Health and Human Services Commission (HHSC). Long-term care ombudsmen regularly visit nursing and assisted living facilities to advocate for residents. This report describes ombudsman services in nursing and assisted living facilities in state fiscal years 2017-18, including recommendations to ensure the highest quality of life and care for residents.

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.

HHSC is committed to improving the quality of life for individuals with intellectual disabilities who reside at the SSLCs. This report highlights ongoing efforts as of August 2019 to achieve targeted improvements in services and supports provided to enhance compliance with the DOJ settlement agreement.

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.

This report identifies the unit cost of each service, other than services related to community service volunteering and subsidized employment services, provided by an area agency on aging, as required by the Human Resources Code, Section 101A.107.