Reports and Presentations

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

May 23, 2022

Quarterly IJ Summary Report October 2021 – December 2021

The following report presents information regarding all tags cited at the Immediate Jeopardy (IJ) level during licensing and certification surveys and complaint or incident investigations performed in nursing facilities during the fourth quarter of 2021 (10/01/2021 – 12/31/2021).

May 13, 2022

HHS Ombudsman Managed Care Assistance Team Second Quarter FY 2022

This quarterly report provides statistical information on cases submitted to the HHS Ombudsman Managed Care Team regarding Medicaid managed care.

March 14, 2022

HHS Ombudsman Managed Care Assistance Team Fourth Quarter FY 2021

This quarterly report provides statistical information on cases submitted to the HHS Ombudsman Managed Care Team regarding Medicaid managed care.

March 4, 2022

State Medicaid Managed Care Advisory Committee Annual Report, 2021

State Medicaid Managed Care Advisory Committee Report to HHSC Executive Commissioner, December 2021

February 1, 2022

Medicaid CHIP Data Analytics Unit Quarterly Report of Activities SFY 2022, Q1

This quarterly report reflects activities and findings of the Data Analytics Unit.

January 18, 2022

HHS Ombudsman Managed Care Assistance Team Third Quarter FY 2021

This quarterly report provides statistical information on cases submitted to the HHS Ombudsman Managed Care Team regarding Medicaid managed care.

December 9, 2021

Biannual Therapy Access Monitoring Report - December 2021

The twelfth report for December 2021 with analysis of selected data related to pediatric acute care therapy services including physical, occupational, and speech therapies) and assessment of impact on access to care.

December 7, 2021

Utilization Review in STAR+PLUS Managed Care Report for Fiscal Year 2021

This report provides findings and recommendations from the 2021 Utilization Review of the STAR+PLUS Managed Care program.

November 30, 2021

Medicaid Behavioral Health in Lieu of Services Annual Report

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 20, 2021

Medicaid CHIP Data Analytics Unit Quarterly Report of Activities SFY 2021, Q4

This fourth quarterly report reflects activities and findings of the Data Analytics Unit for State Fiscal Year 2021.