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Texas Healthcare Transformation and Quality Improvement Program

State: Texas
Waiver Authority:
1115
Status: Approved

Waiver Dates

Approval: 12/12/2011
Effective: 12/12/2011
Expiration: 09/30/2030

Supporting Documents

Pending Application(s) and Related Documents

Date Title
Date   05/25/2022 Title   Postpartum Coverage Amendment (PDF, 704.48 KB) View/Submit Comments
Date   05/04/2022 Title   Pending Application - Case Management Amendment (PDF, 492.4 KB) View/Submit Comments
Date   11/05/2021 Title   Pending Application - STAR Kids Preferred Drug List Amendment (PDF, 707.15 KB) View/Submit Comments
Date   02/22/2021 Title   Pending Application - Medically Fragile Amendment (PDF, 464.93 KB) View/Submit Comments

Approved Application(s) and Related Documents

Date Title
Date   01/26/2023 Title   Demonstration Approval (PDF, 7.99 MB)
Date   01/01/2018 Title   Fact Sheet (PDF, 65.48 KB)

Administrative Record

Date Title
Date   06/09/2022 Title   CMS Complete Letter (PDF, 326.04 KB)
Date   06/08/2022 Title   CMS Approved Technical Corrections (PDF, 8.32 MB)
Date   05/26/2022 Title   CMS Approved Evaluation Design (PDF, 2.91 MB)
Date   05/13/2022 Title   CMS Complete Letter (PDF, 288.08 KB)
Date   04/22/2022 Title   CMS Letter to State (PDF, 178.52 KB)
Date   03/16/2022 Title   CMS Approved Evaluation Design (PDF, 2.34 MB)
Date   02/03/2022 Title   State Withdrawal of Applied Behavioral Analysis Amendment (PDF, 297.78 KB)
Date   12/22/2021 Title   CMS Approval – PHP-CCP Payment Protocol (PDF, 916 KB)
Date   11/29/2021 Title   State Letter to CMS (PDF, 191.9 KB)
Date   11/18/2021 Title   CMS Complete Letter (PDF, 281.66 KB)
Date   11/15/2021 Title   CMS Letter to State (PDF, 260.44 KB)
Date   10/14/2021 Title   CMS Complete Letter (PDF, 287.47 KB)
Date   10/01/2021 Title   Applied Behavioral Analysis Amendment (PDF, 605.54 KB) View Comments
Date   09/14/2021 Title   CMS Approved Interim Evaluation Report (PDF, 4.87 MB)
Date   09/07/2021 Title   Letter from the State (PDF, 305.45 KB)
Date   08/25/2021 Title   Quarterly Budget Neutrality Report – April 2021 - June 2021 (XLSM, 453.23 KB)
Date   08/16/2021 Title   Letter from State (PDF, 129.15 KB)
Date   08/13/2021 Title   CMS Letter to State (PDF, 228.98 KB)
Date   07/28/2021 Title   CMS Complete Letter (PDF, 301.41 KB)
Date   07/14/2021 Title   State Extension Application (ZIP, 14.98 MB) View Comments
Date   07/08/2021 Title   Semi-Annual Monitoring Report – July 2021 (PDF, 22.71 MB)
Date   07/06/2021 Title   State Acceptance Letter - Amendment 17 (PDF, 144.31 KB)
Date   06/08/2021 Title   CMS Amendment Approval (PDF, 6.32 MB)
Date   05/27/2021 Title   Quarterly Budget Neutrality Report – January 2021 - March 2021 (XLSM, 453.69 KB)
Date   04/19/2021 Title   CMS Attachment K Approval (PDF, 448.07 KB)
Date   04/16/2021 Title   CMS Letter to State (PDF, 5.77 MB)
Date   03/24/2021 Title   CMS Complete Letter (PDF, 195.57 KB)
Date   03/24/2021 Title   CMS Complete Letter (PDF, 195.53 KB)
Date   03/01/2021 Title   Annual Monitoring Report – March 2021 (PDF, 5.86 MB)
Date   02/12/2021 Title   CMS Letter to State (PDF, 39.08 KB)
Date   01/20/2021 Title   NEMT Amendment 17 (PDF, 401.28 KB) View Comments
Date   01/15/2021 Title   CMS Approval (PDF, 4.74 MB)
Date   01/15/2021 Title   State Acceptance Letter (PDF, 195.22 KB)
Date   12/15/2020 Title   CMS Complete Letter and State PHE Application (PDF, 3.54 MB)
Date   10/13/2020 Title   CMS Technical Corrections (PDF, 630.99 KB)
Date   10/08/2020 Title   Annual Budget Neutrality Monitoring Report - October 2019 - September 2020 (XLSM, 124.78 KB)
Date   09/16/2020 Title   Medically Fragile Amendment Incomplete Letter (PDF, 195.44 KB)
Date   09/08/2020 Title   CMS Approval - Texas Amendment 16 (PDF, 679.27 KB)
Date   09/08/2020 Title   CMS Approval - Texas COVID-19 Amendment (PDF, 646.4 KB)
Date   09/02/2020 Title   CMS Approved DSRIP Transition Plan (PDF, 665.04 KB)
Date   08/14/2020 Title   Annual Report October 2019 - September 2020 (PDF, 528.41 KB)
Date   08/07/2020 Title   CMS STC Update Approval (PDF, 605.62 KB)
Date   06/08/2020 Title   CMS Complete Letter (PDF, 66.08 KB)
Date   06/02/2020 Title   State Amendment 16 Application (PDF, 779.18 KB) View Comments
Date   05/19/2020 Title   CMS Technical Corrections (PDF, 5.11 MB)
Date   05/11/2020 Title   CMS Approved Health Information Technology Strategic Plan (PDF, 540.05 KB)
Date   05/05/2020 Title   CMS Approved Program Funding and Mechanics Protocol (PDF, 607.29 KB)
Date   03/31/2020 Title   Annual Report September 2018 – October 2019 (PDF, 561.13 KB)
Date   03/31/2020 Title   Texas-submitted Health Information Technology Plan (PDF, 508.47 KB)
Date   03/26/2020 Title   DSRIP Payments September 2018 – October 2019 (XLSX, 2.17 MB)
Date   09/30/2019 Title   Draft DSRIP Transition Plan (PDF, 691.47 KB)
Date   09/26/2019 Title   CMS Approval of Texas Uncompensated Care Pool Resizing (PDF, 1.42 MB)
Date   09/17/2019 Title   CMS Approved Texas Measure Bundle and Program Funding and Mechanics Protocols (PDF, 1.65 MB)
Date   09/16/2019 Title   Semi-Annual Demonstration Report 2019 (PDF, 344.78 KB)
Date   06/13/2019 Title   CMS Approved UC Application Tools (PDF, 1.61 MB)
Date   05/31/2019 Title   Waiver Payments and State Share Source January-March 2019 (XLSX, 20.01 MB)
Date   05/17/2019 Title   DSRIP Payments October-September 2018 (XLSX, 1.52 MB)
Date   05/17/2019 Title   Quarterly Caseload Reporting January-March 2019 (XLSX, 14.72 KB)
Date   05/17/2019 Title   Quarterly Cost Reporting January-March 2019 (XLSX, 94.1 KB)
Date   04/09/2019 Title   Amendment 4 Application and Decision Letter (PDF, 686.37 KB)
Date   03/29/2019 Title   Draft Texas-Submitted DY9-10 Program Funding and Mechanics (PFM) Protocol (PDF, 775.88 KB)
Date   03/14/2019 Title   Annual Report October-September 2018 (PDF, 2.85 MB)
Date   02/26/2019 Title   2019 DY8 Q1 1115 Waiver Quarterly Payments with State Share Source (XLSX, 960.8 KB)
Date   12/31/2018 Title   DY7 Estimated UC Payments (XLSX, 12.11 MB)
Date   12/29/2018 Title   DY7 Actual UC Payments (XLSX, 12.1 MB)
Date   11/30/2018 Title   2018 DY7 Q4 1115 Waiver Quarterly Payments with State Share Source (XLSX, 22.55 MB)
Date   11/29/2018 Title   2018 Q4 Quarterly Caseload Report (XLSX, 13.42 KB)
Date   11/29/2018 Title   2018 Q4 Quarterly Cost Report (XLSX, 135.66 KB)
Date   10/01/2018 Title   Texas 2018 Budget Neutrality Assurance (PDF, 302.96 KB)
Date   08/30/2018 Title   Quarterly Budget Neutrality Report – DY7 Q3 (PDF, 309.67 KB)
Date   08/28/2018 Title   2018 Q3 Quarterly Caseload Report (XLSX, 15.26 KB)
Date   08/28/2018 Title   2018 Q3 Quarterly Cost Report (XLSX, 88.45 KB)
Date   08/02/2018 Title   CMS Approved Texas Section 1115 Demonstration Evaluation Design (PDF, 1.83 MB)
Date   07/26/2018 Title   Texas Attachment H Approval Letter (PDF, 744.54 KB)
Date   05/31/2018 Title   Quarterly Budget Neutrality Report – DY7 Q2 (PDF, 146.64 KB)
Date   05/30/2018 Title   Combined DY6 Annual, DY6 Q4, and DY7 Q1 Report (PDF, 3.73 MB)
Date   05/30/2018 Title   DSRIP Project Summary October DY6 (XLSX, 1.53 MB)
Date   05/30/2018 Title   DSRIP Reporting Data DY6 (XLSX, 156.93 KB)
Date   05/29/2018 Title   2018 Q2 Quarterly Caseload Report (PDF, 113.6 KB)
Date   05/25/2018 Title   2018 Q2 Quarterly Cost Report (PDF, 66.73 KB)
Date   05/24/2018 Title   CMS approved Protocols J and R technical corrections (PDF, 2.01 MB)
Date   05/18/2018 Title   Amendment 10 – State Withdrawal Request (PDF, 49.62 KB)
Date   05/18/2018 Title   Amendment 5 – State Withdrawal Request (PDF, 53.25 KB)
Date   03/29/2018 Title   Quarterly Budget Neutrality Report – DY7 Q1 (PDF, 65.41 KB)
Date   02/14/2018 Title   CMS Approval of Attachments J and R (PDF, 4.23 MB)
Date   12/21/2017 Title   CMS Demonstration Extension – December 2017 (PDF, 3.15 MB)
Date   12/21/2017 Title   State Acceptance Letter (12/21/17) (PDF, 55.76 KB)
Date   12/20/2017 Title   October 2017 Enrollment Broker Report (PDF, 406.18 KB)
Date   11/20/2017 Title   September 2017 Enrollment Broker Report (PDF, 367.78 KB)
Date   10/20/2017 Title   August 2017 Enrollment Broker Report (PDF, 368.31 KB)
Date   10/13/2017 Title   Managed Care Report DY6 Q3 (PDF, 1.91 MB)
Date   08/24/2017 Title   Special Terms and Conditions (08/24/17) (PDF, 3.75 MB)
Date   08/20/2017 Title   June 2017 Enrollment Broker Report (PDF, 368.53 KB)
Date   08/14/2017 Title   Managed Care Report DY6 Q2 (PDF, 2.55 MB)
Date   05/30/2017 Title   CMS Approved Final Evaluation of the 1115(a) Texas Demonstration (5/30/2017) (PDF, 8.03 MB)
Date   05/20/2017 Title   April 2017 Enrollment Broker Report (PDF, 368.28 KB)
Date   05/20/2017 Title   March 2017 Enrollment Broker Report (PDF, 368.26 KB)
Date   05/15/2017 Title   Amendment 13 Spell of Illness Request Withdrawal By Texas (5/15/2017) (PDF, 43.38 KB)
Date   04/20/2017 Title   February 2017 Enrollment Broker Report (PDF, 368.26 KB)
Date   04/12/2017 Title   Managed Care Report DY6 Q1 (PDF, 3.91 MB)
Date   03/20/2017 Title   January 2017 Enrollment Broker Report (PDF, 367.88 KB)
Date   03/16/2017 Title   CMS Completeness Determination (3/16/2017) (PDF, 73.37 KB)
Date   03/06/2017 Title   Texas Amendment 14 Application (PDF, 20.71 MB) View Comments
Date   02/28/2017 Title   Managed Care Report DY5 Q3 (PDF, 3.36 MB)
Date   02/17/2017 Title   Managed Care Report DY5 Combined Annual/Q4 (PDF, 526.3 KB)
Date   02/15/2017 Title   December 2016 Enrollment Broker Report (PDF, 367.79 KB)
Date   01/26/2017 Title   Texas Request for 21-month Temp Extension (1/26/2017) (PDF, 71.71 KB)
Date   01/15/2017 Title   November 2016 Enrollment Broker Report (PDF, 368.69 KB)
Date   12/31/2016 Title   Estimated UC Payments 2016 (PDF, 203.83 KB)
Date   12/29/2016 Title   Actual UC Payments and any Reconciliation 2016 (PDF, 276.08 KB)
Date   12/22/2016 Title   Amendment 12 – State Withdrawal Request (12/22/2016) (PDF, 580.17 KB)
Date   12/22/2016 Title   CMS Approval - Texas Amendment 13 (PDF, 2.31 MB)
Date   12/22/2016 Title   State Application - Amendment 13 (12/22/2016) (PDF, 5.2 MB)
Date   12/15/2016 Title   October 2016 Enrollment Broker Report (PDF, 372.46 KB)
Date   11/29/2016 Title   DY6 Q4 Payment Report (PDF, 526.3 KB)
Date   11/15/2016 Title   September 2016 Enrollment Broker Report (PDF, 365.3 KB)
Date   10/15/2016 Title   August 2016 Enrollment Broker Report (PDF, 363.23 KB)
Date   10/11/2016 Title   Non-Managed Care Items Report DY5 Q3 (PDF, 349.88 KB)
Date   10/11/2016 Title   Texas DY5 Q3 DSRIP Payment Summary (XLSX, 40.37 KB)
Date   10/11/2016 Title   Texas DY5 Q3 DSRIP Project Summary (XLSX, 1.35 MB)
Date   10/11/2016 Title   Texas DY5 Q3 Demonstration Expenditures (XLSX, 63.47 KB)
Date   09/27/2016 Title   Managed Care Report DY5 Q2 (PDF, 4.36 MB)
Date   09/16/2016 Title   Uncompensated Care Evaluation Report – September 2016 Update (09/16/2016) (PDF, 3.12 MB)
Date   09/15/2016 Title   July 2016 Enrollment Broker Report (PDF, 362.83 KB)
Date   08/31/2016 Title   Uncompensated Care Evaluation Report (08/31/2016) (PDF, 2.71 MB)
Date   08/29/2016 Title   DY6 Q3 Payment Report (PDF, 348.14 KB)
Date   08/15/2016 Title   June 2016 Enrollment Broker Report (PDF, 362.23 KB)
Date   06/15/2016 Title   April 2016 Enrollment Broker Report (PDF, 363.05 KB)
Date   06/13/2016 Title   Non-Managed Care Items Report DY5 Q2 (PDF, 426.52 KB)
Date   05/15/2016 Title   March 2016 Enrollment Broker Report (PDF, 398.17 KB)
Date   05/13/2016 Title   State Acceptance Letter (05/13/2016) (PDF, 45.8 KB)
Date   05/02/2016 Title   CMS Temporary Extension Approval - May 2016 (PDF, 2.86 MB)
Date   04/07/2016 Title   State 15-month Extension Request (04/07/16) (PDF, 64.88 KB)
Date   12/08/2015 Title   CMS Completeness Letter (12/08/2015) (PDF, 67.11 KB)
Date   11/20/2015 Title   CMS Uncompensated Care Pool Letter (11/20/15) (PDF, 57.19 KB)
Date   10/14/2015 Title   CMS Application Complete Letter (10/14/2015) (PDF, 70.68 KB)
Date   10/01/2015 Title   CMS Amendment Approval-October 2015 (10/01/2015) (PDF, 2.04 MB)
Date   09/30/2015 Title   TX Interim Evaluation Report (09/30/2015) (PDF, 15.33 MB)
Date   09/29/2015 Title   Extension Application THTQIP (09/29/15) (PDF, 3 MB) View Comments
Date   06/16/2015 Title   Amendment 11 - Spell of Illness (06/16/2015) (PDF, 125.43 KB) View Comments
Date   06/11/2015 Title   CMS Completeness Letter (06/11/2015) (PDF, 91.31 KB)
Date   05/29/2015 Title   HTQIP Quarterly Report Jan-Mar 2015 (05/29/205) (PDF, 358.36 KB)
Date   05/27/2015 Title   TX DSRIP Midpoint Assessment (05/27/2015) (PDF, 2.68 MB)
Date   02/27/2015 Title   HTQIP Quarterly Report Oct-Dec 2015 (02/27/2015) (PDF, 337.73 KB)
Date   02/26/2015 Title   Current Approval - TX Dual Eligibles Integrated Care Amendment Approval (02/26/2015) (PDF, 1.65 MB)
Date   01/28/2015 Title   HTQIP Annual Report 2014 (01/28/2015) (PDF, 788.78 KB)
Date   12/10/2014 Title   Amendment Ten (PDF, 154.73 KB) View Comments
Date   12/10/2014 Title   Preliminary Review Letter (12/10/2014) (PDF, 90.95 KB)
Date   12/04/2014 Title   HCBS Compliance Letter (12/04/2014) (PDF, 74.61 KB)
Date   11/19/2014 Title   Pending Application - Amendment Eight (11/19/14) (PDF, 24.38 KB) View Comments
Date   11/19/2014 Title   Texas Amendment 9 – Withdrawn by State (PDF, 125.77 KB) View Comments
Date   11/05/2014 Title   Amendment Eight Completeness Letter 11/05/2014 (PDF, 91.13 KB)
Date   11/05/2014 Title   Amendment Nine Completeness Letter 11/05/2014 (PDF, 91.01 KB)
Date   10/24/2014 Title   Approval Letter (10/24/2014) (PDF, 100.51 KB)
Date   05/21/2014 Title   Revisions Approval (05/21/2014) (PDF, 190.7 KB)
Date   04/30/2014 Title   TX DSRIP Midpoint Assessment (04/30/2014) (PDF, 2.68 MB)
Date   10/21/2013 Title   Concept Paper (PDF, 110.04 KB)
Date   10/15/2013 Title   Letter of Receival (10/15/13) (PDF, 747.59 KB)
Date   09/06/2013 Title   Amendment Proposal (12/12/2011-09/30/2016) (PDF, 7.1 MB)
Date   09/06/2013 Title   Approval to Amend Letter (09/06/13) (PDF, 731.02 KB)
Date   06/21/2013 Title   Amendment Request Letter (PDF, 125.76 KB)
Date   06/21/2013 Title   Amendment – DSRIP DY 2 Funding Reallocation (PDF, 115.43 KB)
Date   06/21/2013 Title   Amendment – UC/DSRIP Pool Funding Reallocation (PDF, 133.23 KB)
Date   06/19/2013 Title   Amendment Request Letter (PDF, 142.84 KB)
Date   02/07/2013 Title   Approval of Technical Corrections Letter (02/07/13) (PDF, 748.57 KB)
Date   08/31/2012 Title   Acceptance of Approval Letter (08/31/12) (PDF, 674.93 KB)
Date   08/31/2012 Title   Thank You Letter (08/31/12) (PDF, 673.31 KB)
Date   08/30/2012 Title   Texas DSRIP Program Funding and Mechanics Protocol (08/30/12) (PDF, 963.87 KB)
Date   05/03/2012 Title   Amendment Request Letter (05/03/12) (PDF, 671.39 KB)
Date   01/10/2012 Title   Texas Demonstration Approval Acceptance Letter (PDF, 174.24 KB)
Date   12/12/2011 Title   Approval to Amend Letter (12/12/11) (PDF, 675.63 KB)
Date   12/12/2011 Title   Expenditure Authority (12/12/11-09/30/16) (PDF, 678.07 KB)
Date   12/12/2011 Title   Special Terms and Conditions (12/12/11-09/30/16) (PDF, 1.22 MB)
Date   12/12/2011 Title   Special Terms and Conditions (12/12/11-09/30/16) (PDF, 1.28 MB)
Date   12/12/2011 Title   Waiver List (12/12/11-09/30/16) (PDF, 663.72 KB)
Date   12/11/2011 Title   Special Terms and Conditions (12/11/11-09/30/16) (PDF, 4 MB)
Date   Title   Texas 2014 Transition Plan (PDF, 772.2 KB)
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