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 10, 2022
This report summarizes the transition of directed payment programs from the Delivery System Reform Incentive Payment (DSRIP) program. It also lists five recommendations for financial stability throughout the DSRIP transition.
November 3, 2022
The Statewide Behavioral Health Coordinating Council has developed a new five-year behavioral health
strategic plan for fiscal years 2022 - 2026. This plan also includes a statewide, strategic approach to prevent and reduce justice involvement for those with behavioral health needs.
October 4, 2022
The supplemental report builds on the information provided in the September 2022 Dually Eligible Individuals Enrolled in Medicaid Managed Care report and provides HHSC’s findings regarding the cost-effectiveness of transitioning Medicaid-only services for dually eligible people into Medicaid managed care and requiring cost-sharing for those services, considerations of the costs associated with the operational and systematic changes needed to implement the transition and a recommendation as to whether the transition and cost-sharing should be implemented.
September 28, 2022
The presentation covers HHSC’s Legislative Appropriations Request (LAR) for Fiscal Years 2024-2025. In includes an overview of the agency’s mission and vision, key functions, and organizational structure, as well as key budget drivers and Medicaid & CHIP caseloads. It also provides summaries of HHSC’s LAR and Exceptional Item Requests.
March 4, 2022
State Medicaid Managed Care Advisory Committee Report to HHSC Executive Commissioner, December 2021
February 1, 2022
This quarterly report reflects activities and findings of the Data Analytics Unit.
December 9, 2021
The twelfth report for December 2021 with analysis of selected data related to pediatric acute care therapy services including physical, occupational, and speech therapies) and assessment of impact on access to care.
December 7, 2021
This report provides findings and recommendations from the 2021 Utilization Review of the STAR+PLUS Managed Care program.
November 30, 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. 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.