An official State of Texas website.
Reports and Presentations
Note: These files are in PDF format unless otherwise noted.
September 5, 2023
Biannual Report on Initiatives to Reduce Avoidable Emergency Room Utilization and Improve Health Outcomes in Medicaid - August 2023
Fourth biannual report to provide an overview of HHSC’s efforts to coordinate with providers to identify and implement initiatives designed to reduce Medicaid recipients’ use of emergency room services as a primary means of receiving health care benefits and HHSC’s efforts to encourage Medicaid providers to continue implementing effective interventions and best practices that were developed and achieved under the DSRIP program.
Fourth biannual report to provide an overview of HHSC’s efforts to coordinate with providers to identify and implement initiatives designed to reduce Medicaid recipients’ use of emergency room services as a primary means of receiving health care benefits and HHSC’s efforts to encourage Medicaid providers to continue implementing effective interventions and best practices that were developed and achieved under the DSRIP program.
July 14, 2023
End of Continuous Medicaid Coverage Monthly Enrollment Report to CMS - July 2023 (Excel)
The Centers for Medicare & Medicaid Services requires states to report on specific metrics designed to demonstrate states' progress towards restoring timely application processing and initiating and completing renewals of eligibility for all Medicaid and CHIP enrollees as Continuous Medicaid Coverage ends.
The Centers for Medicare & Medicaid Services requires states to report on specific metrics designed to demonstrate states' progress towards restoring timely application processing and initiating and completing renewals of eligibility for all Medicaid and CHIP enrollees as Continuous Medicaid Coverage ends.
June 9, 2023
End of Continuous Medicaid Coverage Monthly Enrollment Report to CMS - June 2023 (Excel)
The Centers for Medicare & Medicaid Services requires states to report on specific metrics designed to demonstrate states' progress towards restoring timely application processing and initiating and completing renewals of eligibility for all Medicaid and CHIP enrollees as Continuous Medicaid Coverage ends.
The Centers for Medicare & Medicaid Services requires states to report on specific metrics designed to demonstrate states' progress towards restoring timely application processing and initiating and completing renewals of eligibility for all Medicaid and CHIP enrollees as Continuous Medicaid Coverage ends.
May 9, 2023
End of Continuous Medicaid Coverage Monthly Enrollment Report to CMS - May 2023 (Excel)
The Centers for Medicare & Medicaid Services requires states to report on specific metrics designed to demonstrate states' progress towards restoring timely application processing and initiating and completing renewals of eligibility for all Medicaid and CHIP enrollees as Continuous Medicaid Coverage ends.
The Centers for Medicare & Medicaid Services requires states to report on specific metrics designed to demonstrate states' progress towards restoring timely application processing and initiating and completing renewals of eligibility for all Medicaid and CHIP enrollees as Continuous Medicaid Coverage ends.
April 11, 2023
Continuous Medicaid Coverage Baseline Report - 2023 (Excel)
The Centers for Medicare & Medicaid Services requires states to report on specific metrics designed to demonstrate states' progress towards restoring timely application processing and initiating and completing renewals of eligibility for all Medicaid and CHIP enrollees as Continuous Medicaid Coverage ends.
The Centers for Medicare & Medicaid Services requires states to report on specific metrics designed to demonstrate states' progress towards restoring timely application processing and initiating and completing renewals of eligibility for all Medicaid and CHIP enrollees as Continuous Medicaid Coverage ends.
State Report on Plans for Prioritizing and Distributing Renewals Following the End of the Medicaid Continuous Enrollment Provisions - 2023
All states must complete and submit to Centers for Medicare & Medicaid Services this reporting form summarizing state’s plans for initiating renewals for its total caseload within the state’s 12-month period of ending Continuous Medicaid Coverage. HHSC submitted this report to CMS on April 3, 2023.
All states must complete and submit to Centers for Medicare & Medicaid Services this reporting form summarizing state’s plans for initiating renewals for its total caseload within the state’s 12-month period of ending Continuous Medicaid Coverage. HHSC submitted this report to CMS on April 3, 2023.
April 4, 2023
Mandatory Managed Care Contracts - 2023
The HHSC presentation to the House Human Services Committee is regarding Mandatory Managed Care Contracting.
The HHSC presentation to the House Human Services Committee is regarding Mandatory Managed Care Contracting.
January 2, 2023
Interoperability for Texas: Powering Health - Fiscal Year 2022
The Interoperability for Texas: Powering Health 2022 report provides an in-depth overview of interoperability enhancements within the Texas Health and Human Services agencies.
The Interoperability for Texas: Powering Health 2022 report provides an in-depth overview of interoperability enhancements within the Texas Health and Human Services agencies.
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.