Waivers

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Waivers

DSRIPS and Related Programs

At Eyman Associates, we monitor developments in the use of 1115 waiver demonstrations to support delivery system transformation on an ongoing basis and strive to provide the most current and thorough information possible for our clients.

California

Current Program: Public Hospital Redesign and Incentives in Medi-cal (PRIME)

  • Medi-Cal 2020 Approval Documents
  • Department of Health Care Services: Concepts for California’s Next Waiver Renewal, July 2014
  • California DSRIP website (contains each participating hospital’s DSRIP plan and annual and semi-annual reports)

Previous Program: Delivery System Reform Incentive Payments (DSRIP)

  • California Bridge to Reform Waiver Resources

 

Kansas

 

Delivery System Reform Incentive Payment (DSRIP) Pool

 

Massachusetts

Current: Delivery System Reform Incentive Payment (DSRIP) Program

Previous Program: Delivery System Transformation Initiatives (DSTI) Program

  • MassHealth Waiver Approval Documents through November 3, 2016
  • MassHealth Waiver Approval Documents through October 29, 2014
  • Eyman Associates Policy Watch: What You Need to Know About the Massachusetts Waiver Renewal

 

New Jersey

 

Current: Delivery System Reform Incentive Payment (DSRIP) Program

  • New Jersey Comprehensive Waiver Approval Documents
  • New Jersey Department of Health DSRIP Program Website

 

New Mexico

 

Hospital Quality Improvement Incentive Pool

  • New Mexico Centennial Care Approval Documents (includes the Hospital Quality Improvement Incentive Pool)

 

New York

 

Delivery System Reform Incentive Payment (DSRIP) Program

  • New York Partnership Plan Approval Documents
  • New York Department of Health DSRIP Website

 

Oregon

 

Hospital Transformation Performance Program (HTPP)

 

Texas

 

Delivery System Reform Incentive Payments (DSRIP)

 

 

DSRIP Timeline

DSRIP timeline graph
Uncompensated Care Pools

A number of states have received approval under section 1115 demonstration authority for funding pools that provide support for uncompensated costs incurred by providers. Eyman Associates continues to track these programs closely. The resource below provides CMS approval documents for all current and expired uncompensated care (UC) pools and related programs, including independent evaluation reports required by CMS.

Arizona
  • SNCP Waiver Documents
  • Independent Report: Arizona Health Care Cost Containment System, PCG, August 2014
  • Expired December 2017
California
  • Global Payment Program Waiver Documents
  • Independent Report: Evaluation of Uncompensated Care Financing for California Designated Public Hospitals, Navigant, May 2016
Florida
  • Low Income Pool Waiver Documents
  • Independent Report: Study of Hospital Funding and Payment Methodologies for Florida Medicaid, Navigant, February 2015
Hawaii
  • UC Pool Waiver Documents
  • Expired June 2016
Kansas
  • UC Pool Waiver Documents
  • Independent Report: Evaluation of Uncompensated Care Pool and Delivery System Reform Incentive Payment Program Funding for Kansas Medicaid 1115 Waiver, Navigant, September 2017
Massachusetts
New Mexico
Tennessee
  • UC Pool Waiver Documents
  • Independent Report: PCG Review of Medicaid and Uncompensated Care Costs and Supplemental Payment Methodologies in TennCare, PCG, March 2016
Texas
  • UC Pool Waiver Documents
  • Independent Report: Evaluation of Uncompensated Care and Medicaid Payments in Texas Hospitals and the Role of Texas’ Uncompensated Care Pool, HMA, August 2016