RHP 5 Updates

15 -Month 1115 Waiver Extension

HHSC and the Centers for Medicare and Medicaid Services (CMS) have agreed to a 15-month extension of the Texas 1115 Waiver. The agreement will take the program through December 2017 and will maintain its current funding. HHSC and CMS will continue negotiating a longer term extension. Please see below for the extension approval letter from CMS and the Standard Terms and Conditions (STCs) for the extension.

DY6A – November 1, 2016 – September 30, 2016
DY6B – October 1, 2016 – December 31, 2016
Longer term extension is in waiver negotiation status

1115 Waiver Negotiation Update

HHSC is now requesting an additional 21 months of level funding for the UC and DSRIP pools, and a continuation of the managed care provisions of the 1115 Waiver, through Sept. 30, 2019.

We believe this extension is necessary to allow the new administration and the 115th Congress to make changes to the nation’s health care system, and the Medicaid program specifically, during 2017. The 21 additional months also allows for the 86th Legislature to respond to any federal changes and sufficient time for Texas to develop a new 1115 Waiver proposal. This extension would provide financial and operational certainty for Texas providers to continue serving Medicaid and low-income uninsured populations that benefit from the waiver while the Trump administration determines its policies regarding Section 1115 Demonstration Waivers.

If you have any questions, please email your question to TXHealthcareTransformation@hhsc.state.tx.us.

Texas Waiver Extension Approval Letter
Texas 1115 Waiver Extension STC’s
DSRIP Program (PFM) Protcol DY6
DY6 Program Funding and Mechanics Protocol