Driscoll Children'S Health Plan

“The filing organization does not determine compensation for officers or key employees. The processes is that of driscoll children's hospital, a related tax-exempt organization. The organization uses mgma and sullivan cotter percentiles to set base compensation and skill levels. If compensation levels exceed certain percentiles, a third outside consulting firm is used to value the market value for services rendered and for group coverage agreements. For certain coverage agreements, a fourth consulting firm assists in determining market value. Compensation is approved by the organization's governing body with the deliberation and decision documented contemporaneously. The compensation review process was last completed in 2024.”

“Driscoll children's hospital is the sole member of driscoll children's health plan.”

“The member shall elect and appoint a candidate to fill any vacancy occurring on the board of directors.”

“The following matters are reserved to the member and shall require the affirmative action of the member to effective: (a) annual operating & capital budgets of the corporation, (b) merger, acquisition or consolidation of the corporation, (c) borrowing or lending of money or the creation of indebtedness through the guarantee of another debt or similar action and, (d) appointment & removal of directors in accordance with the by-laws.”

“The organization engages an outside accounting firm to prepare form 990. Once prepared, the form is reviewed by the organization's internal accountants and distributed to the governing body prior to filing”

“Annually, all directors, officers and key personnel fill out a conflict of interest form. The compliance officer makes sure all conflict of interest forms are turned in and reviewed annually.”

“The organization does not make its governing documents, policies, and financial statements available to the public.”

“Driscoll health plan, inc. (dhp) is contracted for the children's health insurance program (chip) in a fourteen county area comprised of aransas, bee, brooks, calhoun, duval, goliad, jim wells, karnes, kenedy, kleberg, live oak, nueces, refugio, san patricio and victoria counties. Dhp also is contracted for star (medicaid managed care) beginning september 1, 2006 for a nine county area, which are aransas, bee, calhoun, jim wells, kleberg, nueces, refugio, san patricio and victoria. Beginning september 1, 2011, star expanded to include five additional rural contiguous counties so that both chip and star medicaid would encompass the same fourteen (14) counties called the nueces service delivery area (sda). Additionally, dhp contracted for star in the hidalgo sda (medicaid managed care) effective march 1, 2012, in a ten county area comprised of cameron, duval, hidalgo, jim hogg, maverick, mcmullen, starr, webb, willacy and zapata. On march 1, 2012, dhp also started managing all pharmaceuticals administered to its members as this benefit was carved into the services provided to its members in the new texas statewide managed care contracts. In facilitating the administration of pharmaceuticals, dhp contracted with an experienced pharmacy benefit manager (pbm) offering a robust pharmacy network to ensure the services were administered in a compliant, effective and efficient manner. Effective november 1, 2016, dhp contracted for star kids in both the nueces and hidalgo sda for both the medical services and pharmaceuticals administered to children enrolled in star kids which is a texas medicaid managed care program that provides medicaid benefits to children and adults 20 and younger who have disabilities. Dhp is a health maintenance organization (hmo) committed to providing high quality accessible health care to the medicaid and chip populations of south texas. Its affiliation with driscoll children's hospital (dch), a regional tertiary care referral center for all south texas, lends to its success by offering its members driscoll's distinguished, extensive network of providers and services. Dhp has also expanded its network to include physicians, hospitals and services in its total expanded service delivery areas, thus offering dhp members a full continuum of high quality health care services tailored to meet the needs of the population.”

“Other STAT to GAAP adjustment - 5000; Total - 5000;”