Reports and Presentations

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

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.

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.

April 27, 2021

External Quality Review Organization Summary of Activities Report for Contract Year 2020

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

External Quality Review Organization Summary of Activities Report for Contract Year 2019

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.

December 11, 2020

Implementation of Acute Care Services and Long-term Services and Supports System Redesign for Individuals with an Intellectual or Developmental Disability - 2020

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.

December 9, 2020

Report on Delivery of Health and Human Services to Young Texans

The Delivery of Health and Human Services to Young Texans report discusses services for children under six years of age a critical time of early development which impacts children’s long-term outcomes. The report updates the 2018 edition by highlighting a unified and collaborative approach to delivering services and improving the health of Texas children, including the delivery of these services during the COVID-19 pandemic.

December 7, 2020

Utilization Review in STAR+PLUS Managed Care Report for Fiscal Year 2020

This report provides preliminary findings from the 2020 utilization review of the STAR+PLUS Managed Care program.

December 4, 2020

Utilization Review in STAR+PLUS Managed Care Supplemental Report for Fiscal Year 2019

This report provides findings and recommendations from the 2019 utilization review of the STAR+PLUS Managed Care program.