PL-01_Activity Volumes Report.xlsx

XLSX spreadsheet 57 KB Posted

Attached to
Enrollment Broker
Solicitation number
HHS0016867
Issued by
Travis County, Austin City, Texas

About this file

This is an Activity Volumes Report documenting operational performance metrics for Texas health program administration, specifically tracking inbound call center operations, enrollment data processing, web chat interactions, outbound activities, community outreach efforts, provider line calls, and monthly correspondence mailings across three primary programs: Medicaid Managed Care (MMC), Texas Health Steps (THSteps), and Children's Health Insurance Program (CHIP). The report spans from October 2023 through January 2025, providing comprehensive monthly data on service delivery and program activities.

The report demonstrates substantial call center operations with MMC handling between 62,000 and 103,000 calls monthly, THSteps processing 2,600 to 12,100 monthly calls, and CHIP managing 4,400 to 11,700 calls per month. Enrollment form processing shows significant variation, with MMC forms received ranging from 4,000 to over 107,000 in individual months, while CHIP forms remained relatively consistent at 4,200 to 6,200 monthly. Web chat services tracked both English and Spanish interactions across multiple categories including enrollment help, general questions, case inquiries, and supervisor escalations. Outbound activities included MMC outbound attempts ranging from 32,000 to 51,000 monthly, THSteps attempts between 39,000 and 57,000, and CHIP attempts between 568 and 1,800. Community outreach encompassed home visit attempts, enrollment events, presentations, and community meetings. Monthly mailings volume was substantial, with THSteps checkup due letters exceeding 700,000 monthly and MMC STAR and dental mailings consistently exceeding 12,000 pieces per month, demonstrating ongoing member communication and outreach initiatives across all three programs.

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Inbound Calls MMC

Medicaid Managed Care (EB) Inbound Queue Production
MonthYearCalls OfferedCalls Handled
Oct*202377,81677,304
Nov*202372,60271,930
Dec*202364,32962,763
Jan 1-15**202435,73835,123
Jan 16-31**202449,08747,859
Feb***202481,16276,030
Mar***202494,17977,951
May202489,35587,873
Jun2024100,75687,098
Jul2024105,68696,786
Aug2024108,813102,418
Sep2024107,11693,939
Oct2024106,763103,015
Nov202483,31279,410
1-Dec202483,45981,135

Inbound Calls THSteps

Texas Health Steps Inbound Queue Production
MonthYearCalls OfferedCalls Handled
Oct*20236,206**6,132**
Nov*20235,126**5,053**
Dec*20234,5794,398
Jan 1-15***20242,6852,586
Jan 16-31***20244,9434,900
Feb****20247,9657,376
Mar***20248,4097,632
May20248,5848,467
Jun20249,0048,298
Jul202410,71310,104
Aug202411,46110,483
Sep202410,5369,664
Oct202412,11311,670
Nov20249,6009,119
1-Dec20248,4448,207

Inbound Calls CHIP

CHIP Inbound Queue Production
MonthYearCalls OfferedCalls Handled
Oct*202314,00813,937
Nov*202312,84012,760
Dec*202310,22510,057
Jan 1-15**20245,4095,344
Jan 16-31**20246,2036,150
Feb***20247,9777,894
Mar****20247,3526,743
May20248,3828,270
Jun20247,0866,752
Jul20248,4378,086
Aug20249,1288,537
Sep20249,1708,773
Oct202410,99210,691
Nov20249,6219,266
1-Dec202411,35811,115

Enrollment Forms Data Entry

Enrollment Data Entry
Task23-Oct23-Nov23-Dec24-Jan24-Feb24-Mar24-May24-Jun24-Jul24-Aug24-Sep24-Oct24-Nov24-Dec25-Jan
MMC Forms Received6,0324,0934,0044,3305,94116,042***75,754107,70497,26476,6937,9719,2437,8677,2095,480
MMC Forms Completed6,0324,0934,0044,3305,94116,0427,57510,7709,7267,6697,9719,2437,8677,2095,480
Medicaid Forms Rescanned000000000000000
Medicaid Forms Auto-Processed1 52,7601,7731,4512,1433,0452,4783,5102,9132,747000000
Medicaid Forms Manually Processed13,2722,3202,5532,1872,89613,564***4,0657,8576,9797,6697,9719,2437,8677,2095,480
Re-Procurement Forms Received and Manually Processed3 60000004,9104,3512,7350050000
CHIP Forms Received6,2354,9384,2874,0355,1844,3136,1124,2344,9574,9794,7765,0044,6314,4724,673
CHIP Forms Completed6,2354,9384,2874,0355,1844,3136,1124,2344,9574,9794,7765,0044,6314,4724,673
CHIP Forms Rescanned000000000000000
CHIP Forms Auto-Processed23,1382,2031,6881,7413,4372,8894,0183,1963,8153,7943,7423,8423,4973,5113,664
CHIP Forms Manually Processed23,0972,7352,5992,2941,7471,4242,0941,0381,1421,1851,0341,1621,1349611,009

Webchat by Topic - English

Webchat - Chats by Topic - English
MonthYearCategories1Enrollment HelpGeneral CHIP QuestionsGeneral Medicaid QuestionsGo PaperlessOther QuestionsQuestions About My CaseSupervisor EscalationWebsite QuestionsTotal by Category
Oct2023Total Chats1,138166502155929430493,405
Chats Handled1,098163482155779190463,300
Missed Chats**8230260122
Missed Opportunities***32117013180283
Nov2023Total Chats984169426124848360282,939
Chats Handled966165421124688140282,874
Missed Chats**4020550016
Missed Opportunities***1443011170049
Dec2023Total Chats83415533084056490332,414
Chats Handled81314931863936240312,334
Missed Chats**114815100039
Missed Opportunities***102417150241
Jan2024Total Chats1,105208467156529410473,435
Chats Handled1,077205456156359290453,362
Missed Chats**10220720023
Missed Opportunities***1819010100250
Feb2024Total Chats915157443155667470462,889
Chats Handled887151420155477310442,795
Missed Chats**6250450022
Missed Opportunities***22418015110272
Mar2024Total Chats1,036189449185997210423,054
Chats Handled996181426165756930412,928
Missed Chats**1140210110
Missed Opportunities***397192222700116
May2024Total Chats90419540475746500252,759
Chats Handled88818739775656350252,704
Missed Chats2401001006
Missed Opportunities3128609140049
Jun2024Total Chats949156382125966420382,775
Chats Handled932153365125816190362,698
Missed Chats2100001002
Missed Opportunities316317015220275
Jul2024Total Chats993174442106857230743,101
Chats Handled936166417106526880702,939
Missed Chats28130130016
Missed Opportunities3497220323204146
Aug2024Total Chats981209474196697250393,116
Chats Handled949205454196497030383,017
Missed Chats25030430015
Missed Opportunities327417016190184
Sep2024Total Chats943223460126616890443,032
Chats Handled907218447126426770442,947
Missed Chats28130310016
Missed Opportunities328410016110069
Oct2024Total Chats1,032227518127347800403,343
Chats Handled1,017225503127187580383,271
Missed Chats2002033008
Missed Opportunities315213013190264
Nov2024Total Chats828171326145346100342,517
Chats Handled812166320145205980332,463
Missed Chats2110042019
Missed Opportunities31546010100045
Dec2024Total Chats897165372105075630322,546
Chats Handled883164366105035540322,512
Missed Chats2102023008
Missed Opportunities313140260026

Webchat by Topic - Spanish

Webchat - Chats by Topic - Spanish
MonthYearCategories1Enrollment HelpGeneral CHIP QuestionsGeneral Medicaid QuestionsGo PaperlessOther QuestionsQuestions About My CaseSupervisor EscalationWebsite QuestionsTotal by Category
Oct2023Total Chats85295046011402344
Chats Handled72274324910102296
Missed Chats**000120003
Missed Opportunities***132719130045
Nov2023Total Chats3825472356803218
Chats Handled3524412325903196
Missed Chats**001020003
Missed Opportunities***3150190019
Dec2023Total Chats6429332218203234
Chats Handled5928302207403216
Missed Chats**000001001
Missed Opportunities***5130170017
Jan2024Total Chats8445550559104334
Chats Handled8242480558503315
Missed Chats**000000000
Missed Opportunities***2370060119
Feb2024Total Chats7066630399803339
Chats Handled6059510388703298
Missed Chats**002002004
Missed Opportunities***107100190037
Mar2024Total Chats102497526512104418
Chats Handled90396025610303353
Missed Chats**010001002
Missed Opportunities***1291509170163
May2024Total Chats52414517012503337
Chats Handled47384016511603310
Missed Chats2000000000
Missed Opportunities35350590027
Jun2024Total Chats64416114010302312
Chats Handled5638531359602281
Missed Chats2000000000
Missed Opportunities38380570031
Jul2024Total Chats6651532368300291
Chats Handled5641472317300250
Missed Chats2000000000
Missed Opportunities31010605100041
Aug2024Total Chats6946831439203337
Chats Handled5645711348203292
Missed Chats2001000001
Missed Opportunities31311109100044
Sep2024Total Chats6946573539702327
Chats Handled6744522488402299
Missed Chats2000000000
Missed Opportunities322515130028
Oct2024Total Chats91487515514203415
Chats Handled83416314812802366
Missed Chats2000012003
Missed Opportunities3871206120146
Nov2024Total Chats5943383417501260
Chats Handled5141333376801234
Missed Chats2000001001
Missed Opportunities38250460025
Dec2024Total Chats5434751378001282
Chats Handled4934691347401262
Missed Chats2000010001
Missed Opportunities35060260019
Jan2025Total Chats7755740609003359
Chats Handled6850620497802309
Missed Chats2010001002
Missed Opportunities39412011110148

Text Email performance

Text/Email Performance
23-Oct23-Nov23-Dec24-Jan24-Feb24-Mar24-May24-Jun24-Jul24-Aug24-Sep24-Oct24-Nov24-Dec25-Jan
Medicaid - Opt-In by Case129,97726,29320,95126,76327,31725,83527,86425,79828,80332,05228,04431,14825,29124,39228,643
Medicaid - Opt-In by Client129,98926,30220,95826,77527,32925,84627,87225,81428,81332,06428,04931,15625,29724,39728,651
Medicaid - Opt-Out by Case282111203417181818261729713
Medicaid - Opt-Out by Client282111203417181818261729713
CHIP - Opt-In by Case12,9062,7782,5952,9162,8652,4562,9152,3502,8912,8912,8903,2872,8222,7113,292
CHIP - Opt-In by Client14,1253,9743,7174,2343,9703,4254,1963,3174,2184,1854,0814,7024,1203,9354,940
CHIP - Opt-Out by Case2404114432233000
CHIP - Opt-Out by Client2606267545336000

Outbound Activity MMC

Outbound Activity – MMC
Program23-Oct23-Nov23-Dec24-Jan24-Feb24-Mar24-May24-Jun24-Jul24-Aug24-Sep24-Oct24-Nov24-Dec25-Jan
Medicaid Managed Care Outbound Attempts33,21533,48228,21136,67438,49244,22245,79344,94845,86351,87149,64047,53238,86440,83132,138

Outbound Activity THSteps

Outbound Activity – Texas Health Steps
Program23-Oct23-Nov23-Dec24-Jan24-Feb24-Mar24-May24-Jun24-Jul24-Aug24-Sep24-Oct24-Nov24-Dec25-Jan
Texas Health Steps Outbound Attempts48,63246,26939,69350,95744,14340,92848,64648,14857,47756,59248,43151,03543,14946,28453,422

Outbound Activity CHIP

Outbound Activity – CHIP
Program23-Oct23-Nov23-Dec24-Jan24-Feb24-Mar24-May24-Jun24-Jul24-Aug24-Sep24-Oct24-Nov24-Dec25-Jan
CHIP Outbound Attempts6616025688256641,808*715772728735629700595758817

Cmty Outreach Activities MMC

Community Outreach Activities – MMC
Task23-Oct23-Nov23-Dec24-Jan24-Feb24-Mar24-May24-Jun24-Jul24-Aug24-Sep24-Oct24-Nov24-Dec25-Jan
MMC Home Visit Attempts5,8456,4116,6837,1298,03210,632641521871585588395067
MMC Home Visit Requests5106151110587191512513225815
MMC Enrollment Events340162110101192177189130156282192387205142152
MMC Presentations (non-enrollment event)8757487011466737167596661684172
MMC Community Meetings (non-enrollment event)2,0352,1941,8072,2032,1122,0752,0661,6941,7331,8411,8212,2261,7331,7992,124
MMC Health Fairs (non-enrollment event)3319201529132012293011121274

CmtyOutreach Activities THSteps

Community Outreach Activities – Texas Health Steps
Task23-Oct23-Nov23-Dec24-Jan24-Feb24-Mar24-May24-Jun24-Jul24-Aug24-Sep24-Oct24-Nov24-Dec25-Jan
Texas Health Steps Home Visit Attempts4,3024,4566,0928,2015,0795,008863183819081669602663634697646
Texas Health Steps Home Visit Requests000001310101221
Texas Health Steps Presentations129100821101861021041009010111712413892146
Texas Health Steps Community and State Agency Contacts7,5175,9074,3605,4615,7034,8565,1954,0034,2906,1407,5388,0775,7274,4144,766

Provider Line Calls

Provider Line Calls
ProgramOct-23*Nov-23*Dec-23*Jan-24**Feb-24***Mar-24***24-May24-Jun24-JulAug-241Sep-24124-Oct24-NovDec 1-12 242Dec 13-31 24325-Jan
CHIP Provider Line3,4043,1272,7912,8952,7863,2703,8243,3813,5694,6583,8754,0983,1841,5711,4162,953
Medicaid Provider Queue3,1353,2612,6683,7322,9803,3173,4023,9254,0334,4774,5284,1763,0061,5571,2763,419

Outbound Correspondence

MMC, CHIP and MBIC Monthly Mailings
Mail Type23-Oct23-Nov23-Dec24-Jan24-Feb24-Mar24-May24-Jun24-Jul24-Aug24-Sep24-Oct24-Nov24-Dec25-Jan
STAR18,88018,12018,90121,07831,64423,64024,02622,13920,91127,59929,64827,33824,35421,55112,747
STAR Kids1,0587889531,1089259539749391,0061,1921,1941,2139539721,082
STAR+PLUS6,5515,3825,9507,0966,5626,2368,5236,6537,9648,5338,1049,5726,6636,9716,801
STAR Health11911512711910986108107891131121118291129
MMC Dental21,02321,19921,04723,67324,66320,08620,47016,53417,20116,44317,87318,78214,37513,7138,688
Combined STAR and Dental19,27315,25417,75220,27025,10826,78331,92830,24633,77441,40039,75448,55745,74530,77917,396
MMP10,7722,7875,7823,5892,3383,0192,1021,9082,5792,8831,7916,6892,5486,1893,684
CHIP71,03168,41154,10049,85781,189*48,46354,27446,74550,34253,68953,72772,06255,39656,37454,797
MBIC179190179177132185184166189211198202189187194
Provider Directory Requests03000002722111212003

THSteps Monthly Mailings

Texas Health Steps Monthly Mailings
Mail Type23-Oct23-Nov23-Dec24-Jan24-Feb24-Mar24-May24-Jun24-Jul24-Aug24-Sep24-Oct24-Nov24-Dec25-Jan
Pregnant Women Letters8739109271,0351,1701,2401,1461,1091,0099279231,111928838968
Four-Month Dental Letters17,43117,86018,33219,52818,73218,62018,27717,93416,13316,02415,48316,09114,81117,20117,526
Newly Certified (NC and HCO) Letters30,10340,72731,40635,76523,38339,65839,43126,43135,78731,49534,35450,93037,05730,98735,816
Checkup Due Letters832,833780,928795,519735,211752,493793,553727,928710,262734,777775,414768,633729,428731,108725,012728,372
Checkup Reminders140,187128,119117,360109,516118,629126,003121,372124,055110,687105,227110,63998,428100,819102,51299,471
COVID NCOVID Notification Letter*otification Letter*000000000000000

ILM Monthly Mailings

ILM Monthly Mailings
Mail Type23-Oct23-Nov23-Dec24-Jan24-Feb24-Mar24-May24-Jun24-Jul24-Aug24-Sep24-Oct24-Nov24-Dec25-Jan
H2441 - Packet1251,3601,5972,4223,0082,5232,1261,9387456581112,2752,2394,0042,358
PSU Packet9651,4161,6742,6922,7962,2331,796905370391,7743,0162,6792,0252,344
H2116 – Packet2,0971,9371,8032,9152,3511,5651,86251113,0563,1451,8892,6701,616

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