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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:

  • A file of DY2-4 payments to date for currently active projects has been posted on the Regional Healthcare Partnership (RHP) Plans page under RHP Summary Information.  (2/3/16)
  • HHSC has posted a Transition Year Proposal and a survey link for stakeholder feedback on the proposal on the Waiver Renewal page. (1/26/16)
  • HHSC has posted an updated Transformation Extension Menu with suggested best practice models for replacement projects during the waiver extension period, along with a survey for feedback, on the Waiver Renewal page. (1/26/16)
  • HHSC has posted proposed Regional Performance Bonus Pool measures on the Waiver Renewal page. (1/26/16)
  • A Category 3 Population Focused Priority Measure (PFPM) baseline template has been posted on the Tools and Guidelines for Regional Healthcare Partnership Participants page under Category 3 (near the middle of the page).  (1/26/16)
  • An Interim Cat 3 Correction Template and Cat 3 Project Specific Reporting Summary/Goal Calculator have been posted on the Tools and Guidelines for Regional Healthcare Partnership Participants page under Category 3 (near the middle of the page).  (1/15/16)

Waiver Overview and Background Resources

Waiver Renewal

Waiver Rules and Workgroups

Regional Healthcare Partnership (RHP) Plans

Tools and Guidelines for Regional Healthcare Partnership Participants

Dates and Deadlines

Recorded Webinars/Conference Calls

Comments and Questions