HHSC: 1115 Texas Healthcare Transformation Quality Improvement Program (THTQIP) Waiver Extension Application
1. Welcome and introductions HHSC convened the meeting.
2. Overview of application
Texas has implemented initiatives to improve managed care organization’s accountability for quality of care
Medical Pay-for-Quality program
Dental Pay-for-Quality program
Performance Indicator Dashboards
MCO Report Cards
“Secret shopper” monitoring of provider access and availability
Supplemental Payments
Delivery System Reform Incentive Payments
• Ends Sept. 30, 2021
• DSRIP transition continues to advance value-based care and other effective delivery system reforms
Uncompensated Care Payments
• Transitioned to charity care on October 1, 2019
Budget Neutrality
Initial Evaluation
Renewal Evaluation
Extension
Maintain Continuity
Texas Medicaid has a mature 1115 waiver inclusive of:
17 Medicaid Managed Care Organizations
288 Performing providers in Delivery System Reform Incentive Program (DSRIP)
864 Nur
