An official State of Texas website.
Reports and Presentations
Note: These files are in PDF format unless otherwise noted.
January 6, 2025
Texas Medicaid and CHIP Reference Guide - Fifteenth Edition (Pink Book) - 2024
The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.
The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.
January 3, 2025
Medicaid Managed Care Provider Network Adequacy Report – December 2024
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.
December 3, 2024
Medicaid Behavioral Health in-lieu-of Services - Annual Report 2024
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 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.
Report on Mental Health Appropriations and Federal Matching Opportunities - 2024
Rider 43 requires HHSC to submit an annual report describing efforts by LMHAs and LBHAs to use general revenue funds appropriated for community mental health services, to the extent possible, to leverage and draw down additional federal funds through the 1115 Transformation Waiver or other federal matching opportunities.
Rider 43 requires HHSC to submit an annual report describing efforts by LMHAs and LBHAs to use general revenue funds appropriated for community mental health services, to the extent possible, to leverage and draw down additional federal funds through the 1115 Transformation Waiver or other federal matching opportunities.
Medicaid CHIP Data Analytics Unit Annual Report of Activities - SFY 2024
The quarterly report reflects activities and findings of the Data Analytics Unit.
The quarterly report reflects activities and findings of the Data Analytics Unit.
November 26, 2024
Utilization Review in STAR+PLUS Managed Care Report - Fiscal Year 2024
This report provides findings and recommendations from the 2024 Utilization Review in STAR+PLUS Managed Care Program.
This report provides findings and recommendations from the 2024 Utilization Review in STAR+PLUS Managed Care Program.
November 19, 2024
Primary Health Care Program Report - Fiscal Year 2023
As required by Section 31.015(d) of the Health and Safety Code, this report contains the number of clients receiving care in the Primary Health Care program, the total cost of the program, the average cost per client, the number of clients served per public health region, and any further information required by the Executive Commissioner.
As required by Section 31.015(d) of the Health and Safety Code, this report contains the number of clients receiving care in the Primary Health Care program, the total cost of the program, the average cost per client, the number of clients served per public health region, and any further information required by the Executive Commissioner.
October 7, 2024
Evaluation of Rate Enhancement Programs - 2024
HHSC evaluated the rate enhancement programs paid in the Medicaid program to providers to increase reimbursements for direct care and attendant care services.
HHSC evaluated the rate enhancement programs paid in the Medicaid program to providers to increase reimbursements for direct care and attendant care services.
September 24, 2024
Presentation to the House Appropriations Committee: School Health and Related Services (SHARS) Program - 2024
The presentation provides an update on the School Health and Related Services (SHARS) Program.
The presentation provides an update on the School Health and Related Services (SHARS) Program.
September 5, 2024
Internal Audit Plan FY 2025
The Internal Audit Plan is a list of the scheduled audits to be conducted in FY25 based on a business risk assessment focused on identifying and evaluating risks related to each major HHS activity and input from management.
The Internal Audit Plan is a list of the scheduled audits to be conducted in FY25 based on a business risk assessment focused on identifying and evaluating risks related to each major HHS activity and input from management.