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1115 Waiver

Texas 1115 Medicaid Transformation Waiver

In December 2011, the Centers for Medicare and Medicaid Services approved the State of Texas Medicaid Transformation Waiver under Section 1115 of the Social Security Act. This five-year demonstration waiver is designed to build on existing reforms to health care and improve upon the delivery of health care throughout the state. The 1115 Medicaid Transformation Waiver program will enable Texas to expand Medicaid managed-care programs across the state, preserve hospital funding by assisting providers with health care costs that are currently uncompensated, and provide an incentive payment pool for the redesign and implementation of performance improvements in health care delivery systems.

The benefits of this program to the citizens of the State of Texas include improved access to quality health care throughout the state, greater transparency and improved accountability with contained cost increase for better service, as well as more directed funding to areas serving greater uninsured and/or underinsured populations.

Coordination and implementation of the waiver initiatives is done through the creation of Regional Health Partnerships (RHPs) across the state. Each RHP covers a multi-county region with one participating entity named as anchor. The anchor serves as the primary point of contact for the Texas Health and Human Services Commission (HHSC) and coordinates the activities of the regional stakeholders.

The Texas A&M Health Science Center (TAMHSC) has been designated as the anchor entity for RHP 8 and RHP 17. TAMHSC has embraced the legacy of Texas A&M’s designation as a land grant institution and is committed to the health and well-being of communities. TAMHSC has a long history of working to ensure exceptional education, superior science, and compassionate care through training the next generation of health professionals, the practical application of our research efforts, impacting health policy, offering community educational programs, and providing care where there is little or no access. It is this ongoing commitment to community, infrastructure, academic and practical expertise, and our experience in the implementation of federal and state policy-driven health initiatives, that makes TAMHSC uniquely qualified to serve as the anchor for RHP 8 and RHP 17 and drives us to provide the best service to the communities and ensure the greatest benefit to all stakeholders and patients in the region.


General inquiries from regional stakeholders can be directed to Ms. Jennifer Bienski (bienski@tamhsc.edu; 512.341.4962) for assistance in RHP 8 and to Ms. Shayna Spurlin (spurlin@tamhsc.edu; 979.436.9140) for assistance in RHP 17.

All media inquiries related to the 1115 Medicaid Waiver or other TAMHSC activities should be directed to:
Blair Williamson, via email at bmwilliamson@tamhsc.edu or by phone at 979.436.0617