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Utilization Review in STAR+PLUS Managed Care

Description: This report details on HHSC’s HCBS review focused on members with the lowest acuity levels, as determined by the Resource Utilization Group (RUG) classification, including members with reduced physical function. Members who were reviewed in fiscal year 2020 were excluded from this review. HHSC modified the review process due to the novel coronavirus (COVID-19) public health emergency by conducting 100 percent telephone interviews and ensuring proper implementation of the COVID-19 flexibilities.
Date: December 2021
Creator: Texas Health and Human Services Commission
Partner: UNT Libraries Government Documents Department

Report on Mental Health Appropriations and Federal Matching Opportunities

Description: This report describes report describing the amount of general revenue used by local mental health authorities (LMHAs) in fiscal year 2021 to draw down additional federal funds through the 1115 Texas Medicaid Transformation Waiver. This report also explain the state to expand the managed care delivery system and created a funding pool for Delivery System Reform Incentive Payment (DSRIP) activities. The DSRIP activities under the 1115 Texas Medicaid Transformation Waiver are funded at the Medica… more
Date: December 2021
Creator: Texas Health and Human Services Commission
Partner: UNT Libraries Government Documents Department
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