Reports and Presentations

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

Capitation Rate Setting Strategy Used to Cover Long-Term Services and Supports Provided to Recipients Under the STAR+PLUS Medicaid Managed Care Program Report - September 2022

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.

Medicaid Managed Care Provider Network Adequacy Report - December 2022

This report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.

Texas Medicaid and CHIP Reference Guide - Fourteenth Edition (Pink Book) - 2022

The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.

Feasibility of Creating an Online Portal for the Medicaid Waiver Interest List - January 2023

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.

Delivery of Health and Human Services to Young Texans - Fiscal Year 2022

The Delivery of Health and Human Services to Young Texans report outlines services for children under six years of age, a critical time of early development which impacts children’s long-term outcomes. This biennial report updates the 2020 edition, as required by Government Code, Section 531.02492(b).

Rural Texas Pediatric Tele-Connectivity Resource Program Report - Fiscal Year 2022

This third biennial submission of the Pediatric Tele-Connectivity Resource Program for Rural Texas (Pedi Tele-Conn Program) report includes updated and new information (since the December 2020 report) on grants awarded to nonurban healthcare facilities to implement telemedicine services that connect these facilities to pediatric specialists and pediatric subspecialists who provide telemedicine services.

Telemedicine, Telehealth and Home Telemonitoring in Texas Medicaid - Fiscal Year 2022

This report is required biennially to discuss the effects of telemedicine, telehealth and home telemonitoring services on the Texas Medicaid program including number of providers using these services, geographic disposition of these providers, the number of patients treated, the types of services provided, and the cost of utilization.

Report on the Mental Health First Aid Program for Fiscal Year 2022

MHFA is an evidence-based curriculum used to teach individuals how to help someone who may be developing a mental health problem or experiencing a mental health crisis.

Annual Report on Quality Measures and Value Based Payments - Fiscal Year 2022

This report describes HHSC Value-based Care Strategy and Managed Care Value-Based Payment Programs, Quality Improvement Programs, Trends in Quality Measures, MCO Performance Indicator Dashboard, HIV Viral Suppression, Relocation to a Community-Based Setting and Statewide Initiatives to Improve Maternal Health Care.

Pilot Program for Providing Medical Transportation to Pregnant Women and New Mothers - Pilot Results - 2022

HHSC must implement a pilot allowing a woman during and after pregnancy enrolled in STAR to bring another child with her when using nonemergency medical transportation (NEMT) services.