An official State of Texas website.
Reports and Presentations
Note: These files are in PDF format unless otherwise noted.
January 9, 2025
Annual Report on Quality Measures and Value Based Payments - Fiscal Year 2024
This report describes HHSC Value-based Care Strategy and Managed Care Value-Based Payment Programs, Quality Improvement Programs, Trends in Quality Measures, MCO Performance Indicator Dashboard, HIV Viral Suppression, Relocation to a Community-Based Setting and Statewide Initiatives to Improve Maternal Health Care. The report also includes information on the Quality Monitoring Early Warning System for Long-term Care Facilities.
This report describes HHSC Value-based Care Strategy and Managed Care Value-Based Payment Programs, Quality Improvement Programs, Trends in Quality Measures, MCO Performance Indicator Dashboard, HIV Viral Suppression, Relocation to a Community-Based Setting and Statewide Initiatives to Improve Maternal Health Care. The report also includes information on the Quality Monitoring Early Warning System for Long-term Care Facilities.
January 8, 2025
Interoperability for Texas: Powering Health FY 2024
This report describes HHS agencies interoperability progress towards the exchange of health information, care coordination, quality improvement, and cost savings.
This report describes HHS agencies interoperability progress towards the exchange of health information, care coordination, quality improvement, and cost savings.
January 7, 2025
State Hospital Bed-Day Allocation Methodology and Utilization Review Protocol - Fiscal Year 2024
The statute charges the JCAFS with making recommendations to the HHSC Executive Commissioner for updates to a bed-day allocation methodology and for implementation of a bed-day utilization protocol, including a peer review process.
The statute charges the JCAFS with making recommendations to the HHSC Executive Commissioner for updates to a bed-day allocation methodology and for implementation of a bed-day utilization protocol, including a peer review process.
January 6, 2025
Texas Medicaid and CHIP Reference Guide - Fifteenth Edition (Pink Book) - 2024
The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.
The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.
January 3, 2025
Medicaid Managed Care Provider Network Adequacy Report – December 2024
This report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.
This report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.
December 18, 2024
Delivery of Health and Human Services to Young Texans - 2024
The 2024 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 2022 edition, as required by Government Code, Section 531.02492(b).
The 2024 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 2022 edition, as required by Government Code, Section 531.02492(b).
December 3, 2024
Medicaid Behavioral Health in-lieu-of Services - Annual Report 2024
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 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.
Report on Mental Health Appropriations and Federal Matching Opportunities - 2024
Rider 43 requires HHSC to submit an annual report describing efforts by LMHAs and LBHAs to use general revenue funds appropriated for community mental health services, to the extent possible, to leverage and draw down additional federal funds through the 1115 Transformation Waiver or other federal matching opportunities.
Rider 43 requires HHSC to submit an annual report describing efforts by LMHAs and LBHAs to use general revenue funds appropriated for community mental health services, to the extent possible, to leverage and draw down additional federal funds through the 1115 Transformation Waiver or other federal matching opportunities.
Medicaid CHIP Data Analytics Unit Annual Report of Activities - SFY 2024
The quarterly report reflects activities and findings of the Data Analytics Unit.
The quarterly report reflects activities and findings of the Data Analytics Unit.
November 26, 2024
Utilization Review in STAR+PLUS Managed Care Report - Fiscal Year 2024
This report provides findings and recommendations from the 2024 Utilization Review in STAR+PLUS Managed Care Program.
This report provides findings and recommendations from the 2024 Utilization Review in STAR+PLUS Managed Care Program.