1115 Transformation Waiver: Overview
• The 1115 waiver allows Texas to achieve innovative solutions to complex problems. ?
Texas Dual Eligible Integrated Care Pilot – March 1, 2015 ?
Community First Choice – June 1, 2015 ?
- Managed care for children’s dental services lowered costs by 20% per enrollee while exceeding national standards (above 90th percentile) for annual dental visits in FY 2013. ?
- STAR Kids, a comprehensive managed care program to better coordinate care for children and youth with disabilities, will start in FY 2017.
- • Five-year waiver through September 2016 with expected cost savings of $8.65 billion
Waiver goals: ?Expand Medicaid managed care statewide ?Develop and maintain a coordinated care delivery system ?Improve health outcomes while containing costs ?Protect and leverage federal match dollars to improve the healthcare infrastructure ?Transition to quality-based payment systems across managed care and hospitals
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