Reports and Presentations
December 20, 2019
This report provides preliminary findings from the 2019 utilization review of the Managed Care STAR+PLUS review.
November 26, 2019
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.
September 4, 2019
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.
August 28, 2019
Provides information on the State Opioid Response grant received from SAMHSA and the implementation and goals of these funds through the Texas Targeted Opioid Response program.
June 12, 2019
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.
April 29, 2019
This report summarizes EQRO activities for FY 2018, September 1, 2017, through August 31, 2018. EQRO activities include performance measurement, performance improvement project validation, encounter data validation, member and provider surveys, and focused studies.
February 4, 2019
This report examines the frequency of pregnancy-related depression among women with a Medicaid-paid delivery, the frequency of pregnancy-related depression screening by Medicaid and Women's Health providers, the utilization of services and onset of treatment for pregnancy-related depression, and Medicaid costs during fiscal year 2016.
January 7, 2019
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.
December 27, 2018
This report provides information about Medicaid managed care provider network contract requirements and HHSC efforts to monitor Medicaid managed care provider networks.
December 17, 2018
The Texas Medicaid and CHIP Reference Guide, also called the Pink Book, provides an overview of the Texas Medicaid and CHIP programs.