Texas NorthStar FY2014 Medicaid Rate Setting Methodology – Revised

On April 7, 2014, the Texas Department of State Health Services (DSHS) released its methodology for fiscal year 2014 (FY 2014) Medicaid capitated rates for the NorthSTAR behavioral health carve-out program. The program serves eligible children and adults needing Medicaid and non-Medicaid public behavioral health services within a specific catchment area. The document presents the per member per month rates and rate-setting calculations for the five Medicaid risk groups: SSI child, SSI aged, SSI adult, TANF adult, and TANF child . . .