The Texas Health and Human Services Commission posts financial statistical reports (FSRs) for managed care organizations (MCOs) contracting with the state to provide benefits under its Medicaid and Children’s Health Insurance Program (CHIP). Milliman has compiled the FSRs for state fiscal year (SFY) 2019, SFY 2020, SFY 2021, and the first three quarters of SFY 2022. In this report, we have summarized quarterly financial results by program, presented in the following sections: 

• Membership and revenue
• Expense ratios and underwriting margin
• Medical incurred-but-not-reported accrual
• Appendices covering service delivery areas and aggregate costs for all programs