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.

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 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 5, 2021

Medically Dependent Children Program Monitoring Report - September 2021

Medically Dependent Children Program Monitoring Report is a legislatively required report containing, for the most recent state fiscal quarter, information and data related to access to care for Medicaid recipients receiving benefits under the Medically Dependent Children Program (MDCP) waiver program.

October 1, 2021

Unit Cost for Services Report

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

STAR Kids Managed Care Advisory Committee 2021 Annual Report

The STAR Kids Managed Care Advisory Committee sets forth annual recommendations regarding the operation of the STAR Kids managed care program.

Implementation of Acute Care Services and Long-Term Services and Supports System Redesign for Individuals with an Intellectual or Developmental Disability, 2021

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.