Medicaid 1115 Waiver | Texas Health and Human Services

HHSC has received federal approval of a waiver that 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.

Recent Updates

On June 8, 2023, at 9 a.m., HHSC will hold a hybrid public forum with both virtual and in person options, to present updates on the Texas Healthcare Transformation and Quality Improvement Program 1115 demonstration. The public forum will be held in conjunction with the quarterly Medical Care Advisory Committee (MCAC) meeting and will be held at the Texas Health and Human Services Commission, John H. Winters Building, Public Hearing Room 125, First Floor, 701 West 51st Street, Austin, Texas 78751.
- Read the most recent 1115 annual report, Demonstration year 11 (Oct. 2021-Sept. 2022) (PDF)
- Members of the public must pre-register to provide oral comments virtually during the meeting and written comments by completing a Public Comment Registration form no later than 5 p.m. Tuesday., June 6, 2023.
- Agenda and instructions for attending in person and virtually.
On June 8, 2022, CMS issued technical corrections to the Special Terms and Conditions to Texas’ section 1115 Texas Healthcare Transformation and Quality Improvement Program (THTQIP) waiver. Read the STC Technical Corrections.
On Aug. 2, 2022, CMS approved the Interim Evaluation Report for the 1115 Evaluation Design Plan associated with the demonstration approval period between Jan. 1, 2018 and Sept. 30, 2022. Read the approved Interim Evaluation Report.
On May 26, 2022, CMS approved the 1115 Evaluation Design Plan for the demonstration extension authorized through September 2030. Read the approved 1115 Evaluation Design Plan.
On June 9, 2022, at 10 a.m., HHSC will hold a hybrid public forum with both virtual and in person options, to present updates on the Texas Healthcare Transformation and Quality Improvement Program 1115 demonstration.
- Read the 1115 annual report, Demonstration Year 10 (Oct. 2020-Sept. 2021) (PDF)
- Members of the public must pre-register to provide oral comments virtually during the meeting by completing a Public Comment Registration form no later than 5 p.m. Tuesday, June 7, 2022.
- Agenda and instructions for attending in person and virtually.
On July 14, 2021, at 9:30 a.m. HHSC will hold a virtual-only public forum to present updates on the Texas Healthcare Transformation and Quality Improvement Program 1115 waiver extension that was approved on Jan. 15, 2021.
- Read the 1115 annual report, Demonstration Year 9 (Oct. 2019-Sept. 2020) (PDF).
- Register for the public hearing
On June 21, 2021, at 1 p.m. HHSC will hold a virtual-only public forum to present updates on the Texas Healthcare Transformation and Quality Improvement Program 1115 waiver and receive public comments.
- Read the 1115 annual report, Demonstration Year 9 (Oct. 2019-Sept. 2020) (PDF).
- Register for the public hearing.
On Jan. 15, 2021, HHSC received Federal approval for the Texas Healthcare Transformation and Quality Improvement 1115 Demonstration Waiver.
HHSC has posted the 1115 waiver Special Terms and Conditions, “Fast Track” application template, and Extension Appendices for public comment on the 1115 Waiver Renewal page.