Medicaid 1115 Waiver

HHSC has received federal approval of a waiver that allows the state to expand Medicaid managed care while preserving hospital funding, provides incentive payments for health care improvements and directs more funding to hospitals that serve large numbers of uninsured patients.

Recent Updates

• DSRIP April DY7 reporting companion documents and the IGT Entity Feedback Form have been posted on the Tools and Guidelines page. (4/3/18)
• On May 17, 2018, at 9am, the Medical Care Advisory Committee will meet at the Health and Human Services Commission, John H. Winters Human Services Complex, Public Hearing Room, 701 West 51st St. Austin, TX 78751.
  • At this meeting, updates on the Texas Healthcare Transformation and Quality Improvement Program 1115 waiver will be provided and the public will have an opportunity to provide comments.
    • The meeting will also be available via webcast at: https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings
    • The most recent 1115 annual report, Demonstration Year 5 (October 2015-September 2016), is located at the following link: https://hhs.texas.gov/laws-regulations/policies-rules/waivers/medicaid-1115-waiver/waiver-overview-background-resources
• The recording of the February 8, 2018 webinar on the RHP Plan Update has been posted on the Recorded Webinars page. (2/9/18)
• HHSC has posted the RHP Plan Update Templates for current and new DSRIP providers, along with the RHP Plan Update Companion document. Please see the Tools and Guidelines page for more information. (2/2/18)
• CMS has approved the DSRIP Protocols for DY7-8. Please see the Waiver Renewal page for more information. (1/19/18)
• CMS Approves $25 Billion in Medicaid Funding for Next Five Years (PDF) (12/21/17)
• HHSC Acceptance of CMS Extension (PDF) (12/21/2017)
• Medicaid 1115 Waiver Budget Neutrality Financial Summary (XSLX) (12/21/2017)