Reports and Presentations
November 14, 2022
This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.
November 2, 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
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 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
This presentation covers HHSC's implementation activities regarding SB 11 (85R) and SB 1896 (87R).
December 20, 2019
This report provides preliminary findings from the 2019 utilization review of the Managed Care STAR+PLUS review.
November 26, 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.
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
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.
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.