• Mailing Address
    Dept. of State Health Services
    Center for Health Statistics, MC 1898
    PO Box 149347
    Austin, Texas 78714-9347

    Moreton Building, M-660
    1100 West 49th Street
    Austin, TX 78756

    Phone: 512-776-7261
    Fax: 512-776-7740
    Email: thcichelp@dshs.texas.gov

Health Maintenance Organization (HMO) Data Reporting Requirements

Texas Health Care Information Collection
for Health Statistics

Who needs to report

Commercial Product Basic Service HMOs (PDF, 386 KB) are required to report Texas’ subset of HEDIS® 2021 (2020 data) by service area. The requirement for reporting is based on enrollment numbers as of December 31, 2019.

What measures to report

THCIC expects the Texas Subset of HEDIS® 2021 (PDF, 335 KB) HEIDIS to be reported for the 2020 data year and HEDIS® 2021 letter to physicians (PDF, 262 KB). 

When, where and how to report

  • Commercial

    THCIC has contract with NCQA to collect and process the required Texas subset of HEDIS® 2021 Data for the state and the submission guidelines.

    On or before June 15 HMOs must also provide copies of the completed NCQA Interactive Data Submission System (IDSS), the Audit Designation (Review) Table and the Final Audit Statement directly to THCIC.  Electronic copies are preferred. Email to bruce.burns@dshs.texas.gov.  Paper copies can be mailed to:


      Bruce M. Burns
      Manager, Texas Health Care Information Collection
      DSHS - Center for Health Statistics, Mail Code -1898
      PO Box 149347
      Austin, TX 78714-9909
      Phone: 512-776-7261
      Fax: 512-776-7740
    • Medicaid
      THCIC will not collect any data from Medicaid HMOs for HEDIS® 2021.
    • CHIP
      THCIC will not collect any data from CHIP HMOs for HEDIS®2021.
    • Medicare
      THCIC will not collect any data from Medicare HMOs for HEDIS® 2021.

    Exemption from HEDIS® Reporting

    • Criteria (PDF, 264 KB) for consideration of exemption from reporting


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    Last updated November 16, 2020