Reports and Presentations

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

November 14, 2022

Utilization Review in STAR+PLUS Managed Care Report for Fiscal Year 2022

This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.

November 2, 2022

Office of the State Long-term Care Ombudsman: Ombudsman Annual Report SFY 2021-2022

This report is issued to inform the public of the work of the State Long-Term Care Ombudsman Program on behalf of residents of nursing facilities and assisted living facilities. The report includes information and findings relating to the problems and concerns of residents and recommendations to solve the problems, resolve the concerns, and improve the quality of the residents’ care and lives.

July 11, 2022

Presentation to the House Appropriations Committee - Medicaid Information Technology

This presentation covers HHSC's Information Technology (IT) Modernization plan, an overview of the Medicaid program, the Medicaid Management Information Systems (MMIS) modernization project, and compliance with state regulations related to IT projects.

July 8, 2022

Medically Dependent Children Program Monitoring Report - June 2022

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.

May 3, 2022

Presentation to the Senate Special Committee on Child Protective Services – Panel 1

This presentation covers HHSC's implementation activities regarding SB 11 (85R) and SB 1896 (87R).

December 20, 2019

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

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

November 26, 2019

Transition of Medically Dependent Children Program Waiver Recipients to STAR Kids, 2019

This annual report builds on the previous annual report, submitted in January 2019, which provided outcomes related to transitioning children and young adults enrolled in the Medically Dependent Children Program (MDCP) into the STAR Kids capitated managed care program.

Annual Report on Quality Measures and Value Based Payments 2019

This second report describes HHSC Value-Based Care Strategy Background, Managed Care Value-Based Payments Programs, The 1115 Healthcare Transformation Waiver, specifically the Delivery System Reform Incentive Payment Program, The Directed-Payment Programs, Trends in Key Quality Measures, HIV Viral Suppression and the number of individuals who relocated to a community setting.

September 4, 2019

Health and Human Services Commission and Department of Justice State Supported Living Center Settlement Agreement, 2019

HHSC is committed to improving the quality of life for individuals with intellectual disabilities who reside at the SSLCs. This report highlights ongoing efforts as of August 2019 to achieve targeted improvements in services and supports provided to enhance compliance with the DOJ settlement agreement.

Rider 159 Annual Performance Report for the Prescription Drug Rebate Program, 2019

The report includes the prescription drug rebate outstanding principal and interest amounts, age of receivables, annual collection rates, billed amounts, dollar value of pricing and utilization adjustments, and dollars collected. This report includes a separate prescription drug rebate collection report for each managed care and fee-for-service rebate program.