The Texas 1115 Medicaid Transformation Waiver is a five year waiver expiring 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 held stakeholder meetings around the state regarding the renewal request during July 2015. A summary of all comments from the public hearings (including the webinar) was posted on the HHSC Waiver Renewal webpage. Texas submitted the 1115 Transformation Waiver Extension Application to CMS. Please visit the Waiver Renewal page of HHSC Waiver website for more information.
Transformational Impact Summaries
HHSC requested that providers review their active DSRIP projects to determine which have evidence of early successes in transforming care delivery and improving patient outcomes. For those successful projects, additional information was requested about the project, beyond what was captured in the online reporting system, using the Transformational Impact Summary Template.
This information would be used to: describe best practices by project area, inform Waiver renewal negotiations with CMS (including the RHP Planning Protocol), develop content for the 2015 Statewide Learning Collaborative, and identify opportunities to better evaluate DSRIP projects in next phases of the Waiver. This information would NOT be used to: conduct a formal peer evaluation process or determine which projects are eligible for continuation in next phases of the Waiver.
Providers had the opportunity to complete one Transformational Impact Summary Template for each project that has evidence of early success and submit them to the Anchor Office at firstname.lastname@example.org by Friday, May 29th, 2015 by COB. Early successes could include positive data, cost savings, managed care alignment, improvements in Medicaid population outcomes, collaborations, and other indicators of success outside of or in concert with metric and milestone achievement. The RHP 2 Anchor Office hosted two (2) informational calls/webinars to answer questions regarding this HHSC request on Tuesday May 19th from 3:00-4:00 PM and Thursday May 21st from 9:00-10:00 AM. These impact assessments have been very important in the ongoing Waiver renewal/extension discussions.
The Anchor Office obtained templates from performing providers and submitted them to HHSC to be distributed to the Clinical Champions workgroup. This workgroup has been reviewing submitted projects to assess the impact of the project across several domains: impact to patients and target populations, transformation of care delivery, strength of project design, benefit to the safety net system and potential for project sustainability.
Based on the findings of this process, HHSC and the Clinical Champions shared with all providers best practices identified by project type. HHSC used this information to identify provider panel presenters and posters for the Statewide Learning Collaborative that was held on August 27th and 28th, 2015. Providers can use this information to guide program improvements.