Dear RHP 2 1115 Waiver Stakeholders –
Yesterday, HHSC received the [attached] letter from CMS that formally removes the UC deferral issued in September 2014. As we anticipated, the letter notes that CMS plans to work with Texas to do further analysis related to its concerns around private hospital IGT financing arrangements. As outlined in the letter, if CMS determines that any of the financing arrangements violate federal law and/or any regulations, they expect that Texas would make necessary adjustments by December 2015.
My office will continue to keep you updated on this issue as we are apprised of new developments by HHSC or other sources.