Texas Health and Human Services

Notes Highlighted monthly caseloads are incomplete and will change Source: CHIP PPS Data HHSC Forecasting

Notes Highlighted caseloads are incomplete and will change. Healthy Texas Women began July 2016; Texas Women's Health Program began Jan. 2013; Medicaid Women's Health Program began Jan. 2007. Source: PPS HHSC Forecasting

Medicaid enrollment includes Breast and Cervical Cancer Program recipients, February 2019 figures above are estimated based on incomplete data and will change, Source: PPS Data, HHSC Forecasting

NOTES: Medicaid Fee-For-Service (FFS) paid and partially paid inpatient hospital delivery claims were selected using the following DRG codes. Deliveries that occurred in other settings, such as birthing centers or homes, were excluded. MS-DRG codes 765-768 and 774-775 were used to identify FFS deliveries with discharge dates in FY2009 - FY2012. APR-DRG codes 5401-5404, 5411-5414, 5421-5424, and 5601-5604 were used to identify deliveries for FY2013-FY2015. Managed Care deliveries were selected from the Delivery Supplemental Payment (DSP) database. MCO cost was calculated by multiplying the DSP contract rate by the number of deliveries for each MCO plan. The DSP program does not include deliveries to MCO clients enrolled in STAR Health, STAR+PLUS, or MMP. The MCO Program excludes clients enrolled in Type Program 30. Deliveries are reported as the total number of unduplicated delivery dates per patient. Patients with multiple delivery claims on the same date are counted as having one delivery on that date. Some patients had more than one delivery date per fiscal year. Teenage mothers were defined as delivery patients who were under age 20 on the delivery date. Non-teenage mothers were defined as mothers who were age 20 or older on the delivery date.

Notes: The statewide numbers reflect the unduplicated number of children served in comprehensive and follow along services. Therefore, the sum of the counts for children served across counties does not equal the statewide counts. The projected population data are based on the number of children age 0 to 1, 1 to 2, and 2 to 3 in 2015 and the number of births in 2016, which is the children age 0 to 1 in 2016. A child who received comprehensive services and follow along services is counted only once in the total for the county. This provides a total count for each county that is an unduplicated count of children. A child who received services in a program in a county and then transferred to another program in the same county is counted only once; a child who transferred to another program in a different county is counted once in each county.

NOTES: Undocumented aliens were identified as clients enrolled in Medicaid Type Program code 30 and Program code 100 (FFS Program). Fee-For-Service (FFS) paid and partially paid inpatient hospital delivery claims for Undocumented Aliens were selected using the following DRG codes. Total claims may include multiple claims per delivery date and multiple delivery dates per patient. Deliveries that occurred in other settings, such as birthing centers or homes, were excluded.   CMS-DRG codes 370-375 were used to identify deliveries with discharge dates before 10/1/2007.   MS-DRG codes 765-768 and 774-775 were used to identify deliveries with discharge dates on or after       10/1/2007.  APR-DRG codes 5401-5404, 5411-5414, 5421-5424, and 5601-5604 were used to identify deliveries with   admission dates on or after 9/1/2012. Deliveries are reported as the total number of unique delivery dates per patient. Patients with multiple delivery claims on the same date are counted as having one delivery on that date. Patients with multiple delivery dates are counted as having more than one delivery.

TANF Basic and State Program consist of cases which received a benefit in the reporting month, for the reporting month. One-Time and Grandparents consist of cases which received a benefit in the reporting month.   TANF Basic is the assistance program for qualifying child-only or single parent families funded with Federal dollars. TANF State Program assists qualified 2 parent families and is funded with State General Revenue dollars. Case = designated group of people certified to receive the benefit (can be more than one person). Recipients = the individuals receiving the benefit. Children = dependents under the age of 19 Average Payment Per Case = average dollar benefit available to the case (shared by the recipients on that case). Average Payment Per Recipient = average dollar benefit available to each recipient on a case.