About 1115 Waiver

The 1115 Waiver application submitted to CMS outlines important goals to transform the health care delivery system. Through the program, Texas plans to integrate systems of care to ensure patients receive the right care, at the right time, and in the right setting; deliver high-quality care that can serve as a model for ongoing improvement in quality, safety, and efficiency; provide prevention and primary care services for all patients through expansion of the primary care workforce; provide a positive health care experience for patients; offer medical home care from a multidisciplinary team that effectively manages chronic diseases; and provide equitable care that takes into account patient-specific health care needs and backgrounds.

Specifically, this demonstration project envisions making this transformation through targeted delivery system reforms at the regional level so that the unique local needs of the population can be addressed.

Waiver Renewal

The Texas 1115 Medicaid Transformation Waiver will expire on September 30, 2016. The waiver's terms and conditions require HHSC to submit a renewal request to the Centers for Medicaid and Medicare Services (CMS) no later than September 30, 2015 to request to extend/renew the waiver.

HHSC will hold stakeholder meetings around the state regarding the renewal request during summer 2015 and will post meeting dates and locations as they are scheduled. HHSC will also have a mechanism for online stakeholder feedback. Additional information on Waiver Renewal can be found on RHP 2 Resources – Waiver Renewal page.

Transition Plan for Funding Pools

Per the Texas waiver terms, HHSC must submit a transition plan to CMS by March 31, 2015 based on the experience with the DSRIP pools, actual uncompensated care trends in the state, and investment in value based purchasing or other reform options. HHSC formally submitted the Transition Plan below to CMS on March 24, 2015.

Additional Resources

In 2010, the federal government approved an 1115 waiver in California creating DSRIP on a smaller scale than as approved in Texas.  The resources below are intended to only be informational.

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