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 18, 2022

Presentation to the House Human Services Committee

This presentation covers HHSC's Regulatory Authority with respect to Child-Placing Agencies and General Residential Operations. It also covers the licensure process, criminal background check requirements, regulatory oversight, complaint intake, and enforcement.

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.

February 16, 2022

Quarterly IJ Summary Report July 2021-September 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 third quarter of 2021 (07/01/2021 – 09/30/2021).

January 18, 2022

Quarterly IJ Summary Report, April 2021 – June 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 second quarter of 2021 (04/01/2021 – 06/31/2021).

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 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.

November 16, 2021

Quarterly Immediate Jeopardy Summary Report January 2021 - March 2021

This 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 first quarter of 2021 (01/01/2021 – 03/31/2021).