• 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 Maintence Organization (HMO) Data Reporting Requirements

Texas Health Care Information Collection
for Health Statistics

Who needs to report

Commercial Product Basic Service HMOs (PDF, 164 KB) are required to report Texas’ subset of HEDIS® 2019 (2018 data) by service area. The requirement for reporting is based on enrollment numbers as of December 31, 2017.

What measures to report

THCIC expects the Texas Subset of HEDIS® 2019 (PDF, 32 KB) to be reported for the 2017 data year and HEDIS® 2019 letter to physicians (PDF, 114 KB). 


When, where and how to report

  • Commercial

    THCIC has contract with NCQA to collect and process the required Texas subset of HEDIS® 2019 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® 2019.
  • CHIP
    THCIC will not collect any data from CHIP HMOs for HEDIS®2019.
  • Medicare
    THCIC will not collect any data from Medicare HMOs for HEDIS® 2019.

Exemption from HEDIS® Reporting

  • Criteria (PDF, 180 KB) for consideration of exemption from reporting


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External links to other sites are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. These sites may also not be accessible to people with disabilities.
Last updated October 11, 2018