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 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.
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.
May 3, 2022
This presentation covers HHSC's implementation activities regarding SB 11 (85R) and SB 1896 (87R).
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 31, 2020
The eighth quarterly report 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 16, 2020
This 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.
The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.