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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:

  • The 1115 Transformation Waiver Extension Application has been submitted to the Centers for Medicaid and Medicare Services.  Please see the Waiver Renewal page for details. (9/30/15)
  • HHSC has begun posting October DY4 reporting templates and instructions on the Tools and Guidelines for Regional Healthcare Partnership Participants page. Pending documents will be posted as soon as they are available, so please check back frequently.  (9/30/15) 
  • HHSC has scheduled a technical assistance webinar on October DY4 Reporting for October 8, 2015 from 10:00 - 11:30 am, Central Daylight Time. Please see the Dates and Deadlines page for webinar log-in information. (9/25/15)
  • HHSC would appreciate getting feedback from Statewide Learning Collaborative participants (in-person and via webstream) to help us improve the event for future years.   Please visit the Statewide Learning Collaborative evaluation survey at the following link: The survey will be open until 5:00 p.m. Friday, October 2, 2015.

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