Reports and Presentations
A study to assess the impact of revising the capitation rate setting strategy used to cover long-term care services and supports provided to members enrolled in the STAR+PLUS Medicaid managed care program, from a strategy based on the setting in which services are provided to a strategy based on a blended rate across settings.
This report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.
The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.
The Texas Health and Human Services Commission (HHSC) assessed the feasibility of creating an online portal for individuals to both request and check placement on a Medicaid waiver program interest list. Through this study, HHSC determined the most cost-effective automated method for determining the level of need of an individual seeking services.
Value-Based Payment and Quality Improvement Advisory Committee Recommendations to the 88th legislature.
This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.
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.
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.
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.
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.