Reports and Presentations

A review of restraints used in Home and Community-based Services (HCS), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), and State Supported Living Centers (SSLC) is provided for fiscal year 2017 and trends from 2013 through 2017 are examined.

The report provides an evaluation of Medicaid funding initiatives for rural inpatient and outpatient hospital services, including the percentage of estimated allowable hospital cost reimbursed by payments for services provided to managed care clients; the percentage of wrongful denials; the average wait time for final payment; and any remedies taken to improve compliance of vendors.

This annual report to HHSC Executive Commissioner authored by the STAR Kids Advisory Committee outlines identified issues and recommendations for improvements to the STAR Kids Medicaid managed care program.

This report summarizes EQRO activities for FY 2018, September 1, 2017, through August 31, 2018. EQRO activities include performance measurement, performance improvement project validation, encounter data validation, member and provider surveys, and focused studies.

HHSC is required to develop measurements of community integration outcomes, which may include measures of opportunity (objective and subjective), community participation, community, well-being, and recovery, for the STAR+PLUS and STAR Kids Programs.

This report examines the frequency of pregnancy-related depression among women with a Medicaid-paid delivery, the frequency of pregnancy-related depression screening by Medicaid and Women's Health providers, the utilization of services and onset of treatment for pregnancy-related depression, and Medicaid costs during fiscal year 2016.

This report provides the the estimated fair market rental value of housing supplied by the agency and the amount of revenue recovered during fiscal year 2018.

The Senate Finance Committee requested the SBHCC to coordinate BH exceptional Items for the 86th Legislature Regular Session 2019.

The 2018 Transition of Medically Dependent Children Program Waiver Recipients to STAR Kids report is submitted in compliance with Section 2.12 of Senate Bill 7, 83rd Legislature, Regular Session, 2013. S.B. 7 requires the Health and Human Services Commission to evaluate outcomes related to transitioning children and young adults enrolled in the Medically Dependent Children Program (MDCP) into the STAR Kids capitated managed care program.