Reports and Presentations

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

December 30, 2022

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

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.

December 28, 2022

Report on Medicaid Managed Care Provider Network Adequacy FY 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)

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

December 27, 2022

Medicaid Waiver Interest List Feasibility Study Legislative Report FY 2022

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.

December 19, 2022

Delivery of Health and Human Services to Young Texans FY 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).

December 5, 2022

Telemedicine, Telehealth and Home Telemonitoring in Texas Medicaid FY 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.

November 30, 2022

Promoting Independence Plan 2022

The Promoting Independence Plan is Texas' comprehensive response to the Supreme Court's 1999 Olmstead decision, but also outlines a vision and guiding principle for the Health and Human Services Commission to provide a system of holistic services and supports that foster independence and self-determination for people with disabilities so that they may be able to live fully integrated into their chosen communities. The goals of the 2022 PIP reflect several key areas essential to achieving this vision.

November 21, 2022

Community Resource Coordination Groups of Texas Report

The report provides information about the experiences of CRCGs in their efforts to provide a coordinated approach to service delivery for children, youth, adults, and families with multi-agency needs. This report also includes recommendations for policy and statutory changes at agencies that are involved in the provision of systems of care services and recommendations for the statewide expansion of sites participating in the Texas System of Care.

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.