Reports and Presentations

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

STAR Kids Managed Care Advisory Committee - Annual Report 2021

The STAR Kids Managed Care Advisory Committee (SKMCAC) report includes a summary of the recommendations developed by the SKMCAC’s three subcommittees that are tasked with identifying ways to improve the STAR Kids program for children and families.

STAR Kids Managed Care Advisory Committee - Annual Report 2022

The STAR Kids Managed Care Advisory Committee (SKMCAC) report includes a summary of the recommendations developed by the SKMCAC’s three subcommittees that are tasked with identifying ways to improve the STAR Kids program for children and families.

Utilization Review in STAR+PLUS Managed Care Report - Fiscal Year 2023

This report provides findings and recommendations from the 2023 Utilization Review of the STAR+PLUS Managed Care Program.

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

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

Report from the HHS Ombudsman Managed Care Assistance Team- Fiscal Year 2022 Q2

This quarterly report provides statistical information on cases submitted to the HHS Ombudsman Managed Care Team regarding Medicaid managed care.

Report from the HHS Ombudsman Managed Care Assistance Team - Fiscal Year 2022 Q3

This quarterly report provides statistical information on cases submitted to the HHS Ombudsman Managed Care Team regarding Medicaid managed care.

Quarterly Immediate Jeopardy Summary Report (October 2021 – December 2021)

The following report presents information regarding all tags cited at the Immediate Jeopardy 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).

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

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

Medicaid Behavioral Health in Lieu of Services Annual Report -2021

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. 

STAR Kids Managed Care Advisory Committee Annual Report - State Calander Year 2020

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