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Home   1115 Waiver Information
Medicaid 1115 Waiver: Home Page

The Nueces County Hospital District (NCHD) serves as the designated Anchor Entity for the Regional Healthcare Partnership, Region 4; the Partnership is sponsored by the Texas Health & Human Services Commission (HHSC) in accordance with a federal Waiver granted by the U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services (CMS) under Section 1115 of the Social Security Act (Texas 1115 Waiver). CMS approved the Texas 1115 Waiver through September 30, 2016; thereafter, HHSC anticipates extending the Waiver for up to five additional years.  General information about the Texas 1115 Waiver is available from the HHSC at Waiver Information.  A brief overview of the Texas 1115 Waiver is available from HHSC at Waiver Overview

Under the Texas 1115 Waiver, NCHD is responsible for coordinating development of and gathering stakeholder and public input on the Region 4 Plan. The currently filed Region 4 Plan is available from HHSC at RHP Plans.  Region 4 includes the Texas counties of Aransas, Bee, Brooks, DeWitt, Duval, Goliad, Gonzales, Jackson, Jim Wells, Karnes, Kenedy, Kleberg, Lavaca, Live Oak, Nueces, Refugio, San Patricio, and Victoria. A map showing the counties in RHP 4 and all of the Texas 1115 Waiver Regional Healthcare Partnership Regions established under the Waiver is available from HHSC at Waiver Regions.

Certain initiatives under the Texas 1115 Waiver are designed to provide incentive payments to hospitals, local mental health authorities, public health departments, and certain physician group providers for investments in delivery system reforms that increase access to health care, improve the quality of care, and enhance the health of patients and families they serve. The initiative-related projects fall into four categories: infrastructure development, program innovation and redesign, quality improvements, and population-focused improvements. A menu of the available Texas 1115 Waiver project options for providers to pursue selected initiatives is available from HHSC at DSRIP Project Options.

HHSC maintains a list of frequently-asked questions about the Texas 1115 Waiver at Waiver FAQs.  Any comments and additional questions about the 1115 Waiver can be emailed directly to HHSC at Waiver Comments or Questions.  Administrative rules regarding the Texas 1115 Waiver are published in the Texas Register to give the public notice of a state agency's proposed rulemaking action and to provide citizens with the opportunity to review and comment on the proposed rule. The public comment period begins on the day after the notice of a proposed rule is published in the Texas Register and lasts usually for 30 days.  Once effective, rules become part of the Texas Administrative Code.  A listing of HHSC Administrative Rules in Progress, including any related to the 1115 Waiver, is maintained online; follow the links shown there for information on submitting comments.

In the Medicaid 1115 Waiver-related pages of this website, all linked document files are in Portable Document Format (PDF); PDF is a universal file format that preserves the look and layout of a printed document. The linked document files can be viewed online by using the free viewer Acrobat Reader published by Adobe®.  All linked workbook files are in Microsoft® Excel format (.xls or .xlsm).  To open, view, and print Excel workbooks, Microsoft's free Excel Viewer is useful. 

Please note that NCHD provides information via this webpage as a public service.  NCHD does not endorse any of the products, vendors, consultants, or documentation referenced. Any mention of vendors, products, or services is for informational purposes only.  NCHD is not responsible for the privacy practices or the content of related websites. 

We hope you find this 1115 Waiver webpage and links informative; please email us any comments or questions about the Waiver or the RHP 4 Plan. 


RHP 4 Anchor Entity Contact Information:

Jonny F. Hipp, ScD, FACHE
Administrator/Chief Executive Officer
Nueces County Hospital District
Texas Health & Human Services Commission
Regional Healthcare Partnership-Region 4 Anchor Entity
555 N. Carancahua St., Suite 950
Corpus Christi, TX 78401-0835
Telephone: (361) 808-3300
Facsimile: (361) 808-3274
E-mail: RHP 4 Anchor Entity 


Last updated: 05/20/2015

555 North Carancahua St, Suite #950, Corpus Christi, TX 78401-0835
Phone 361.808.3300 • Fax 361.808.3274 •
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