Reports and Presentations

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

Children with Special Health Care Needs Client Demographics Report - 2021

The 2021 annual Children with Special Health Care Needs Client Demographics Report provides a demographic description of both the population served by the Children with Special Health Care Needs (CSHCN) program and of the individuals on the program’s waiting list.

Utilization Review in STAR+PLUS Managed Care Report - Fiscal Year 2021

This report provides findings and recommendations from the 2021 Utilization Review of the STAR+PLUS Managed Care program.

Medicaid Behavioral Health in Lieu of Services Annual Report -2021

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. 

Internal Audit Annual Report - Fiscal Year 2021

The Internal Audit Annual Report provides a summary of its 2021 activities which complies with the guidelines set forth by the State Auditor’s Office.

Medicaid CHIP Data Analytics Unit Quarterly Report of Activities - State Fiscal Year 2021 Q4

This fourth quarterly report reflects activities and findings of the Data Analytics Unit for State Fiscal Year 2021.

STAR Kids Managed Care Advisory Committee Annual Report - State Calander Year 2020

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

Legislature directed HHSC to design and implement an acute care and long term services and supports system for individuals with an intellectual and developmental disability.

Medicaid CHIP Data Analytics Unit Quarterly Report of Activities - State Fiscal Year 2021 Q3

This third quarterly report reflects activities and findings of the Data Analytics Unit for State Fiscal Year 2021.

External Quality Review Organization Summary of Activities Report - State Fiscal 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.

External Quality Review Organization Summary of Activities Report - State Fiscal 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.