Reports and Presentations
December 7, 2021
This report provides findings and recommendations from the 2021 Utilization Review of the STAR+PLUS Managed Care program.
November 30, 2021
HHSC must implement contract provisions allowing an MCO to offer their members certain medically appropriate, cost-effective, evidence-based services in lieu of mental health or substance use disorder services specified in the Medicaid State Plan. HHSC is also required to prepare and submit an annual report on the number of times during the preceding year a service from the list included in the contract is used.
October 1, 2021
The report clearly 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.
September 23, 2021
The STAR Kids Managed Care Advisory Committee sets forth annual recommendations regarding the operation of the STAR Kids managed care program.
Annual report to provide an update to the Legislature on the implementation of the system redesign for individuals with an intellectual or developmental disability, as required by Texas Government Code, Chapter 534.
April 27, 2021
This executive brief is an overview of the activities and findings from the state fiscal year (SFY) 2020 Summary of Activities (SOA) report meant to highlight the key findings from prior year EQRO activities.
April 26, 2021
This executive brief is an overview of the activities and findings from the state fiscal year (SFY) 2019 Summary of Activities (SOA) report meant to highlight the key findings from prior year EQRO activities.
February 2, 2021
The Ernst & Young Phase IV Evaluation Report outlines the continuous improvement initiatives that have been implemented since 2018 in response to a significant increase in the number and complexity of procurements and contracts. The report also highlights a portfolio of 29 projects in which 22 were successfully completed, two are in progress and five that will require additional resources.
January 29, 2021
The Promoting Independence Plan reports on the status of the implementation of a plan to ensure appropriate care settings for persons with disabilities, and the provision of a system of services and supports that foster independence and productivity, including meaningful opportunities for a person with a disability to live in the most appropriate care setting.
January 4, 2021
The report provides data on member access to providers in Medicaid managed care networks, and MCO compliance with contractual obligations related to provider access standards.