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Medicaid Transformation 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:

  • Companion Document: HHSC has released a DRAFT version of a companion document that can be used to help providers understand the next steps they should take to revise projects in response to CMS Initial Review Findings about RHP Plans (updated 5/3/13). This document will be finalized after receiving CMS and stakeholder input.
  • Technical Assistance Webinar:  A webinar focusing on Program Funding and Mechanics (PFM) Protocol changes and how Regional Healthcare Partnership (RHP) anchors and providers should address CMS Initial Review Findings for RHP Plans will be held Tuesday, May 7, 2013, from 2:00 to 4:00 p.m. Access information is available on the Dates and Deadlines page.
  • RHP Plans: The Full RHP Plans for all 20 Regions have been sent to CMS for review. The RHP Plans and their corresponding data are available on the Regional Healthcare Partnership (RHP) Plans page. Please note these documents are subject to change.

Regional Healthcare Partnership (RHP) Plans

Waiver Overview

Dates and Deadlines

Comments and Questions

Background Resources

Tools and Guidelines for Regional Healthcare Partnership Participants

Recorded Webinars/Conference Calls

Rules

Transformation Waiver Workgroups