Managed Care Contract Management

Contracts

STAR Health (Operational Start Date 09/01/2023)

STAR+PLUS (Operational Start Date 09/01/2024)

Dental Service (Operational Start Date 09/01/2020)

Manuals and Handbooks

Reporting

Medicaid and CHIP Financial Statistical Report Agreed Upon Procedures Results

Per Federal requirement, (42 CFR §438.602(e) and (g); May 6, 2016, Federal Register (81 FR 27497); OMB No. 0938-0920), HHSC is posting the result of each agreed upon procedures review of all Managed Care Organizations' and Dental Maintenance Organizations' Financial Statistical Reports by year.

The files below are in Excel format. All totals stated are based on current figures and subject to change.

Managed Care Program Annual Report

The Center for Medicaid and Medicaid Services (CMS) regulations at 42 CFR 438.66(e) require HHSC to submit a Managed Care Program Annual Report (MCPAR) for each Medicaid managed care program administered by the state. Additionally, 42 CFR 438.66(e)(3)(i) requires HHSC to post the completed MCPARs each year.

Resources

Persons with disabilities that require an accessible version of any document should email Patricia Hastings.