Texas 1115 Healthcare Transformation & Quality Improvement Program Waiver

Waiver Overview


On December 2011, Texas Health and Human Services Commission (HHSC) received federal approval of an 1115 Healthcare Transformation waiver that gave Texas a methodology to improve its healthcare programs. The waiver created an
Uncompensated Care Pool (UC) and a Delivery System Reform Incentive Payment (DSRIP) pool to incentivize hospitals and others to transform their service delivery practices to improve quality, health status, patient experience, coordination and cost-effectiveness.

On December 21, 2017, CMS approved a five year renewal of the Texas 1115
Transformation Waiver from October 2017 to September 2022, demonstration Years 7 – 11. The renewal continues Medicaid managed care statewide along with the Uncompensated Care pool and the Delivery System Reform Incentive Payment program pool.

For more information please go to the HHSC website:  HHSC

RHP 5 Community Needs Assessment