Medicaid Transformation Waiver Extension Request Due Sept. 30

Texas's five-year 1115 Medicaid Transformation Waiver will expire Sept. 30, 2016. To extend or renew the waiver, the Texas Health and Human Services Commission (HHSC) has to submit a request to the Centers for Medicaid and Medicare Services (CMS) by Sept. 30, 2015. 

Texas received a waiver in 2011 to allow it to expand Medicaid managed care statewide, establish a new uncompensated care pool for safety net hospitals and providers, and to establish and fund innovative projects to improve availability and quality of services to Medicaid and uninsured Texans. The waiver is funded via federal and state funds, with the state share provided primarily by large hospital districts.

Visit the HHSC website to view the 1115 Waiver Extension Application Draft, attachments, and public notice. HHSC will take comments on the draft during July at statewide public meetings. If you're unable to attend a public meeting, you can complete an online survey about the 1115 Waiver Extension Application Draft, specifically the Delivery System Reform Incentive Payment program and Uncompensated Care requests for the extension period. Physicians can also ask questions or submit comments via email by Aug. 5. 

Within the coming week, TMA will be submitting comments in favor of renewing or extending the waiver, the funding from which is critical to Texas' health care safety net. At the same time, TMA believes the transformation envisioned by the waiver remains elusive because of the lack of meaningful and ongoing input from community-based physicians. CMS and HHSC must undertake changes to the waiver to rectify lack of true collaboration among facilities and physicians. Texas also must increase Medicaid payments to physicians to sustain any delivery system changes achieved by the waiver.

For more information about the 1115 Medicaid Transformation Waiver online.

Action, July 15, 2015

Last Updated On

May 13, 2016