Reports and Presentations

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

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.

 Provides an update on the 1115 Demonstration Waiver programs, including Uncompensated Care (UC) and Delivery System Reform Incentive Payment (DSRIP) program.

The report includes the prescription drug rebate outstanding principal and interest amounts, age of receivables, annual collection rates, billed amounts, dollar value of pricing and utilization adjustments, and dollars collected. This report includes a separate prescription drug rebate collection report for each managed care and fee-for-service rebate program.

This annual report to HHSC Executive Commissioner authored by the STAR Kids Advisory Committee outlines identified issues and recommendations for improvements to the STAR Kids Medicaid managed care program.

The Texas Women’s Health Programs Report Fiscal Year 2018 provides a summary of program enrollment, service utilization, and cost savings for the Healthy Texas Women and Family Planning programs. Click here for the report appendices.

The State of Texas settlement agreement with the Department of Justice regarding 12 state supported living centers (SSLCs) and the intermediate care facility (ICF) component of the Rio Grande State Center (collectively the “SSLCs”) requires, in Section II.T.1.g., that each SSLC gather and analyze information related to identified obstacles to the movement of individuals to more integrated settings that are consistent with their needs and preferences.

The 2018 Transition of Medically Dependent Children Program Waiver Recipients to STAR Kids report is submitted in compliance with Section 2.12 of Senate Bill 7, 83rd Legislature, Regular Session, 2013. S.B. 7 requires the Health and Human Services Commission to evaluate outcomes related to transitioning children and young adults enrolled in the Medically Dependent Children Program (MDCP) into the STAR Kids capitated managed care program.

Section 260.003 required the executive commissioner of the Health and Human Services Commission (HHSC) to develop and publish model standards for the operation of a boarding home facility and specifies that these standards must address elements such as construction, fire safety, sanitary conditions, reporting and investigation of injuries and incidents, staff education, and assessment of residents.