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Home   1115 Waiver Information
1115 Waiver

The Nueces County Hospital District 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. A brief overview of the Texas 1115 Waiver is available from HHSC at 1115 Waiver Overview.  Other information about the Texas 1115 Waiver is available from the HHSC at 1115 Waiver Information.

Under the Texas 1115 Waiver, the Nueces County Hospital District 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 1115 Waiver 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 1115 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 intiatives is available from HHSC at 1115 Waiver Project Options.

HHSC maintains a list of frequently-asked questions about the Texas 1115 Waiver at 1115 Waiver FAQs.  Any comments and additional questions about the 1115 Waiver can be emailed directly to HHSC at 1115 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 Registerand lasts usually for 30 days.  Once effective, rules become part of the Texas Administrative Code.  A list of HHSC Rules in Progress, including any related to the 1115 Waiver, is maintained online; follow the links shown there for information on submitting comments.

This website offers information about the Texas 1115 Waiver and Regional Healthcare Partnership, Region 4; click RHP 4 Plan for information about the Region 4 Plan, project categories, and individual Provider's plans. 

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 Street, Suite 950
Corpus Christi, TX 78401-0835
Telephone: (361) 808-3300
Facsimile: (361) 808-3274
E-mail: RHP 4 Anchor Entity 


Last updated: 11/17/2014

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