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On December 12, 2011, the federal Centers for Medicare & Medicaid Services approved the Texas request for a new Medicaid demonstration waiver entitled “Texas Healthcare Transformation and Quality Improvement Program” in accordance with Section 1115 of the Social Security Act (Texas 1115 Waiver). The Texas 1115 Waiver was approved through September 30, 2016.

The Texas 1115 Waiver is organized by the Texas Health & Human Services Commission (HHSC) and is based on Regional Healthcare Partnerships (RHP). RHP 4 includes the following counties: Aransas, Bee, Brooks, DeWitt, Duval, Goliad, Gonzales, Jackson, Jim Wells, Karnes, Kenedy, Kleberg, Lavaca, Live Oak, Nueces, Refugio, San Patricio, and Victoria. The Nueces County Hospital District is the HHSC-designated Anchor Entity for RHP 4 and it coordinates development of and gathers stakeholder and public input on the RHP Plan.

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 related projects fall into four categories: infrastructure development, program innovation and redesign, quality improvements, and population-focused improvements.

See the Resources webpage for links to additional details about the Texas 1115 Waiver.

RHP 4 Contact Information:

Jonny F. Hipp, ScD, FACHE, Administrator
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
Tel: (361) 808-3300
Fax: (361) 808-3274
E-Mail: jonny.hipp@nchdcc.org