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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: 09/30/2022

Supporting Documents

Approved Application(s) and Related Documents

Date Title
Date 09/08/2020 Title Demonstration Approval - Texas Amendment 16 (PDF, 679.27 KB)
Date 09/08/2020 Title Demonstration Approval - Texas COVID-19 Amendment (PDF, 646.4 KB)
Date 01/01/2018 Title Fact Sheet (PDF, 65.48 KB)

Administrative Record

Date Title
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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