On December 21, 2017, the Centers for Medicare and Medicaid Services approved a five-year extension of the Texas Section 1115 Demonstration waiver. The extension preserves Uncompensated Care (UC) pool and Delivery System Reform Incentive Payment (DSRIP) pool funding at current levels for two years. The UC pool amount for the third and subsequent years will be determined during 2019. DSRIP will be phased out by the fifth year. The combined pools consist of at least $25 billion in All Funds for the extension period.
The waiver requires the state to make significant changes to UC and DSRIP reporting and operations in a short period of time. HHSC staff will be holding a meeting January 11 at 8:30 am in the Brown-Heatly public hearing room to review these changes with you and your colleagues. A conference call line will be available for those unable to attend in person.