Reports and Presentations

This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.

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.

The annual Children with Special Health Care Needs Client Services Data Report provides caseload data, prescription drug data, and forecast projections for the Children with Special Health Care Needs (CSHCN) program.

The annual Children with Special Health Care Needs Client Demographics Report provides a demographic description of both the population served by the Children with Special Health Care Needs (CSHCN) program and of the individuals on the program’s waiting list.

The update provides measures taken by HHSC to identify key strategies to further the goal of ensuring access to hospital services.

HHSC studied the impact of rate increases for physicians on utilization of emergency room and emergency department (ED) visits, hospital admission volume, and neonatal intensive care unit (NICU) stay length. HHSC found significant limitations and did not identify a direct or singular causal or correlated impact to support a rate increase as effective in a cost neutral manner or for producing savings within a biennial period.

Monthly report on the total hours the state EVV systems were unavailable, malfunctioning, or not accessible.

The Internal Audit Annual Report provides a summary of its 2022 activities which complies with the guidelines set forth by the State Auditor’s Office.

The Statewide Behavioral Health Coordinating Council has developed a new five-year behavioral health
strategic plan for fiscal years 2022 - 2026. This plan also includes a statewide, strategic approach to prevent and reduce justice involvement for those with behavioral health needs.

Annual evaluation and report on the Prescription Drug Rebate Program for health benefit programs administered by the Health and Human Services System: Texas Medicaid Program, Children's Health Insurance Program (CHIP), Kidney Health Care (KHC) Program, Children with Special Health Care Needs (CSHCN) Services Program, and the Healthy Texas Women (HTW) Program. The report summarizes the rebate outstanding principal and interest, age of receivables, and annual collection rates for the Prescription Drug Rebate program.