In 2011, the Texas Legislature directed the Texas Health and Human Services Commission (HHSC) to expand managed care to achieve savings and to preserve hospital access to funding consistent with Upper Payment Limit (UPL) funding. In response, HHSC applied for an 1115 Medicaid Waiver. The 5 year Waiver was approved by the Centers for Medicare and Medicaid Services (CMS) in December of 2011. On May 1, 2016, CMS granted a 15-month extension for the 1115 Waiver through December 31, 2017. CMS and HHSC are negotiating a further extension of the 1115 Waiver and should release more information in mid – late 2017.
More information on the 1115 Waiver can be found here at the Texas Health and Human Services Commission Website.
This page was last modified on June 12, 2017