Reports and Presentations

Note: These files are in PDF format unless otherwise noted.

May 11, 2023

End of Continuous Medicaid Coverage May 2023 Monthly Enrollment Report to CMS

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 (XLSX)

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

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

The HHSC presentation to the House Human Services Committee is regarding Mandatory Managed Care Contracting.

January 2, 2023

Interoperability for Texas: Powering Health FY 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 report notes federal and state changes affecting interoperability and builds upon plans previously discussed in the Interoperability for Texas: Powering Health 2020 report. Progress regarding interoperability of information technology systems continues to expand the exchange of electronic health information within Texas.

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

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

Report on Medicaid Managed Care Provider Network Adequacy FY 2022

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)

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

Medicaid Waiver Interest List Feasibility Study Legislative Report FY 2022

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. Through this study, HHSC determined the most cost-effective automated method for determining the level of need of an individual seeking services.

December 21, 2022

Nursing Facility Change of Ownership Committee Recommendation Update Report

This report provides updates on the improvement process for reducing the time it takes for nursing facility providers undergoing a change of ownership (CHOW) to receive payment for services to Medicaid clients.