Reports and Presentations

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

November 14, 2022

Utilization Review in STAR+PLUS Managed Care Report for Fiscal Year 2022

This report provides findings and recommendations from the 2022 Utilization Review of the STAR+PLUS Managed Care program.

November 10, 2022

Funding Impacts of the Delivery System Reform Incentive Payment Program Transition

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.

October 4, 2022

Study on Dually Eligible Individuals Enrolled in Medicaid Managed Care Supplemental Legislative Report

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 23, 2022

Quarterly IJ Summary Report October 2021 – December 2021

The following report presents information regarding all tags cited at the Immediate Jeopardy (IJ) level during licensing and certification surveys and complaint or incident investigations performed in nursing facilities during the fourth quarter of 2021 (10/01/2021 – 12/31/2021).

March 4, 2022

State Medicaid Managed Care Advisory Committee Annual Report, 2021

State Medicaid Managed Care Advisory Committee Report to HHSC Executive Commissioner, December 2021

February 1, 2022

Medicaid CHIP Data Analytics Unit Quarterly Report of Activities SFY 2022, Q1

This quarterly report reflects activities and findings of the Data Analytics Unit.

December 20, 2019

Utilization Review in STAR+PLUS Managed Care Report for Fiscal Year 2019

This report provides preliminary findings from the 2019 utilization review of the Managed Care STAR+PLUS review.

November 26, 2019

Transition of Medically Dependent Children Program Waiver Recipients to STAR Kids, 2019

This annual report builds on the previous annual report, submitted in January 2019, which provided outcomes related to transitioning children and young adults enrolled in the Medically Dependent Children Program (MDCP) into the STAR Kids capitated managed care program.

October 24, 2019

Ombudsmen in Assisted Living Facilities SFY 2018

The Office of the State Long-term Care Ombudsman (Office) is independent within HHSC. Long-term care ombudsmen regularly visit assisted living facilities (ALFs) and advocate for residents. This report describes ombudsman services in ALFs in state fiscal year 2018, including recommendations to ensure the highest quality of life and care for residents.

October 17, 2019

Office of the State Long-Term Care Ombudsman Report State Fiscal Years 2017-2018

The Office of the State Long-Term Care Ombudsman is independent within the Texas Health and Human Services Commission (HHSC). Long-term care ombudsmen regularly visit nursing and assisted living facilities to advocate for residents. This report describes ombudsman services in nursing and assisted living facilities in state fiscal years 2017-18, including recommendations to ensure the highest quality of life and care for residents.