Reports and Presentations

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

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.

October 4, 2022

Study on Dually Eligible Individuals Enrolled in Medicaid Managed Care Supplemental Legislative Report

The supplemental report builds on the information provided in the September 2022 Dually Eligible Individuals Enrolled in Medicaid Managed Care report and provides HHSC’s findings regarding the cost-effectiveness of transitioning Medicaid-only services for dually eligible people into Medicaid managed care and requiring cost-sharing for those services, considerations of the costs associated with the operational and systematic changes needed to implement the transition and a recommendation as to whether the transition and cost-sharing should be implemented.

May 23, 2022

Quarterly IJ Summary Report October 2021 – December 2021

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

March 4, 2022

State Medicaid Managed Care Advisory Committee Annual Report, 2021

State Medicaid Managed Care Advisory Committee Report to HHSC Executive Commissioner, December 2021

February 1, 2022

Medicaid CHIP Data Analytics Unit Quarterly Report of Activities SFY 2022, Q1

This quarterly report reflects activities and findings of the Data Analytics Unit.

December 27, 2018

Report on Medicaid Managed Care Provider Network Adequacy, 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

Texas Medicaid and CHIP Reference Guide, Twelfth 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 12, 2018

H.B. 216 Required Legislative Report on Boarding Homes, December 2018

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.

December 6, 2018

Rural Texas Pediatric Tele-Connectivity Resource Program 2018 Report

This report provides an overview of the collaborative efforts of HHSC and the stakeholder community in support of bridging the gap to pediatric specialty care through the use of telemedicine in rural Texas. It includes information on the establishment of a stakeholder workgroup, a pilot telemedicine project and the educational, technical and planning considerations involved with achieving positive outcomes and effecting meaningful knowledge transfer.