Texas Medicaid Managed HCBS Program Improved Quality Of Care For Disabled Members With Chronic Health Conditions

For adult Texas Medicaid beneficiaries with disabilities who were enrolled in Medicaid managed care programs that provided home-and- community-based services (HCBS), the quality of chronic disease care linked to acute events improved while that provided during routine encounters appeared unaffected. The beneficiaries had been enrolled in fee-for-service (FFS) or primary care case management (PCCM) before mandatory enrollment in the Texas Medicaid STAR+PLUS managed care plans. Compared to beneficiaries outside the 28 counties transitioned to STAR+PLUS, the STAR+Plus enrollees experienced large and sustained improvements in use of β-blockers after discharge for heart attack (49 . . .