Region 2: Texas Medicaid 1115 Waiver

Kudos to the work regional performing providers have done to meet DSRIP project metrics and milestones which were designed to transform healthcare delivery in Texas as well as optimize health system performance through three dimensions, which we call the “Triple Aim:” 1) improving the patient experience of care, including quality and satisfaction; 2) improving the health of populations; and, 3) reducing the per capita cost of health care. Please take a few minutes to stop and celebrate your accomplishments, and use these significant results to motivate you and your colleagues to push forward to make even more substantial impact during the remainder of the current waiver period.

Important Dates

July 2, 2015, 11:59pm–Responses to NMI due

July 8, 2015–IGT due for April reporting

July 13, 2015–Statewide Public Meeting: Waiver Renewal, Houston, TX. Meeting will be held at The Texas Department of Transportation Building located at 7600 Washington, Houston, TX 77007 from 10:00 AM-12:00 PM

July 17, 2015–Region 2 Meetings: Readmissions and Category 3. Both meetings will be held on UTMB’s Main Campus (Caduceus Room, 301 University Blvd., Galveston, TX, Administration Building, 6th Floor, 6.300)

July 21, 2015–April reporting DY4 DSRIP payments for transferring hospitals and top 14 IGT Entities

July 23, 2015–A web-based public meeting from 9:30 AM - 11:30 AM for those unable to attend in person. Meeting information is available on HHSC Waiver Renewal webpage

July 31, 2015–April reporting DY2 and DY3 DSRIP payments processed for all providers and DY4 DSRIP payments for remaining providers that were not paid on July 21, 2015. *Note: there are separate transactions for each payment for each DY

August 7, 2015–HHSC and CMS will approve or deny the additional information submitted for NMI requests

August 27-28, 2015–HHSC Statewide Learning Collaborative Summit, Austin, TX. The deadline to register is August 5, 2015. HHSC will broadcast the conference online for those who cannot attend in-person

Important Announcements

Waiver Renewal Planning

The Clinical Champions workgroup, in coordination with HHSC leadership and staff, is developing a process for DSRIP performing providers to demonstrate the benefits and early successes of some of the strongest DSRIP projects through peer assessment reviews.

HHSC has posted the 1115 Waiver Extension Application Draft, attachments and Public Notice on the Waiver Renewal page of HHSC Waiver website. HHSC will be taking comments on this draft during July at the statewide public meetings. HHSC will also post a survey link for stakeholders to provide feedback and comments on the waiver extension draft.

HHSC staff from DSRIP, Program Operations (managed care) and Rate Analysis will be present at the public hearings to give a brief presentation of the key components of the waiver renewal packet, and HHSC's role at the hearings will be to take public comments on the waiver renewal. HHSC does not plan to answer questions beyond those requesting basic clarification at the public hearings. Instead, HHSC will record substantive questions about the renewal proposal at each hearing and post answers to these questions on the HHSC website.

To obtain copies of the renewal application, submit comments or receive other information about the renewal, interested parties may also contact Mike Erwin by mail at Texas Health and Human Services Commission, PO Box 13247, Mail Code H-600, Austin, Texas 78711-3247, phone (512) 424-6549, fax (512) 730-7472, or by email at TX_Medicaid_Waivers@hhsc.state.tx.us.


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