Texas Healthcare Transformation & Quality Improvement

Medicaid 1115 Waiver

The Texas Healthcare Transformation and Quality Improvement Program 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.

Two Funding Pools

The program will replace the current payment structure that equalizes Medicaid and Medicare payments with two funding pools:

Uncompensated Care Pool – Payments from this fund are designed to help offset the costs of uncompensated care provided by hospitals or other providers.

Delivery System Reform Incentive Payment (DSRIP) Pool – These are incentive payments to hospitals and other providers that develop programs or strategies to enhance access to health care, increase the quality of care, the cost-effectiveness of care provided and the health of the patients and families served.

Regional Healthcare Partnerships

In order to obtain funds from either of the pools, entities participate in a Regional Healthcare Partnership (RHP). Participants include governmental jurisdictions providing public funds known as Intergovernmental Transfers (IGT), Medicaid providers and other stakeholders. RHP #18 is a partnership between Collin, Grayson and Rockwall counties.

A regional plan was developed that identifies partners, community needs, proposed projects and funding distribution. In addition, each RHP must have one anchoring entity, which acts a primary point of contact for the region to the Texas Health and Human Services Commission (HHSC).

The anchor also is responsible for seeking regional stakeholder engagement and coordinating development of a regional plan. Collin County serves as the anchor for RHP #18.

Stakeholder and Public Engagement

RHP #18 is taking a multi-dimensional approach to gathering input from key stakeholders and others. One-on-one interviews were conducted with each county’s public health program directors and providers. Several workshops were conducted to bring stakeholders together to discuss community needs and potential projects. And, three public hearings were held in each county in August 2012, prior to finalizing the RHP plan.

Project Open House

Participating healthcare providers from throughout the RHP #18 region will participate in a public meeting/open house to distribute information regarding the projects. The open house will be held at the Collin County Courthouse, 2100 Bloomdale Road, McKinney, TX, 75071 from 5:30 to 7:30 p.m. on Tuesday, Sept. 10, 2013. The public is invited to attend and ask questions regarding provider projects. For additional information, view the Open House Flier.

More Information

More information about the waiver program is available in a presentation from a recent stakeholder workshop. Also, the Texas Health and Human Services Commission.

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