About the 1115 Waiver

This is the discussion blog for the 1115 Waiver for Region 2. It complements a related Region 2 web site.  

In December 2011, Texas received approval from the Centers for Medicare and Medicaid Services (CMS) for a waiver to upcoming changes in federal support for state Medicaid programs. Texas Health and Human Services Commisson (HHSC) applied for the waiver, at the direction of the Texas Legislature, to identify innovative, state-based solutions to Texas’ health care needs.

Under the waiver, communities and hospitals will form regional health partnerships that support more localized health care solutions. The partnerships will identify ways to improve health services that address the specific needs of their region in order to qualify for incentive payments. 

The 1115 Waiver application submitted to CMS outlines important goals to transform the health care delivery system.  Through the program, Texas plans to integrate systems of care to ensure patients receive the right care, at the right time, and in the right setting; deliver high-quality care that can serve as a model for ongoing improvement in quality, safety, and efficiency; provide prevention and primary care services for all patients through expansion of the primary care workforce; provide a positive health care experience for patients; offer medical home care from a multidisciplinary team that effectively manages chronic diseases; and provide equitable care that takes into account patient-specific health care needs and backgrounds. 

Specifically, this demonstration project envisions making this transformation through targeted delivery system reforms at the regional level so that the unique local needs of the population can be addressed. 

In October 2011, UTMB submitted a white paper proposal to Texas Health and Human Services Commission (HHSC) to be considered as an anchor for a 27 county region in the southeast area of Texas. 

Visit the main Region 2 1115 Waiver Web site. 

Permanent link to this article: https://blogs.utmb.edu/1115/sample-page-2/