Reports and Presentations

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

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.

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 9, 2021

Biannual Therapy Access Monitoring Report - December 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

Utilization Review in STAR+PLUS Managed Care Report for Fiscal Year 2021

This report provides findings and recommendations from the 2021 Utilization Review of the STAR+PLUS Managed Care program.

November 30, 2021

Medicaid Behavioral Health in Lieu of Services Annual Report

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.

October 20, 2021

Medicaid CHIP Data Analytics Unit Quarterly Report of Activities SFY 2021, Q4

This fourth quarterly report reflects activities and findings of the Data Analytics Unit for State Fiscal Year 2021.

September 23, 2021

STAR Kids Managed Care Advisory Committee Annual Report (CY 2020)

The STAR Kids Managed Care Advisory Committee sets forth annual recommendations regarding the operation of the STAR Kids managed care program.

Implementation of Acute Care Services and Long-Term Services and Supports System Redesign for Individuals with an Intellectual or Developmental Disability, 2021

Annual report to provide an update to the Legislature on the implementation of the system redesign for individuals with an intellectual or developmental disability, as required by Texas Government Code, Chapter 534.

July 23, 2021

Medicaid CHIP Data Analytics Unit Quarterly Report of Activities SFY 2021, Q3

This third quarterly report reflects activities and findings of the Data Analytics Unit for State Fiscal Year 2021.