The new regional health care partnerships are taking shape in Texas and beginning to help transform an outdated federal Medicaid payment system with one built around local solutions.
HHSC will host two webinars – one regarding the program funding protocol on July 10 and one on the incentive payment planning protocol on July 11 – to provide updates on developments related to the protocols and go over next steps. Both webinars will begin at 10 a.m.
HHSC will host a Regional Healthcare Partnership Planning Summit Aug. 7-8 at the Hilton in downtown Austin. Details for all of these events are available on the Medicaid Transformation Waiver page of the HHSC website.
HHSC has announced the final map reflecting geographic boundaries of the 20 partnerships that will coordinate projects designed to address the needs of their region. The projects will be eligible for Medicaid incentive payments. HHSC also announced each partnership’s anchoring entity, which serves as liaison between the regional partnership and HHSC. The anchor entity coordinates planning, activities and reporting among the partnership’s participants.
Meanwhile, negotiations continue between HHSC and the federal Centers for Medicare and Medicaid Services (CMS) on the protocols that will guide the partnerships as they develop waiver-related implementation plans for their area. On June 29, HHSC sent drafts of the protocols for program funding and incentive payment planning to CMS for review.
The program funding protocol provides the operational requirements for the plans, including how funds are allocated among the regions, how incentive projects are valued and minimum requirements by region. The incentive payment planning protocol provides the menu, metrics and milestones partnerships can use in developing their plans for projects.
HHSC is taking public comment on the program funding protocol through July 13. To download a comment form and see a copy of both draft protocols, visit the Medicaid Transformation Waiver page of the HHSC website. There, you also can access recent webinars explaining both protocols.