CMS Withdraws April 2021 Recension of Ten Year 1115 Waiver Extension

 In case you have not heard, on Friday, April 22, 2022, CMS notified Texas HHSC that the were formally withdrawing their April 2021 rescinding of the January 15,  2021 waiver that was approved under the Trump administration.  The January 15, 2021 THTQIP Demonstration Project (1115 Waiver) is fully effective and no longer contested by CMS.  CMS determined that it is not the best use of federal government’s limited resources to continue to litigate this matter.  CMS also states in the attached letter that they will not re-issue any similar type rescinding or take any further rescinding actions on the January 15, 2021 approval of the THTQIP demonstration project. 

What this means for Texas:

• Budget neutrality is locked in at the negotiated (and good for Texas) levels
• UC continues and per the January STCs, pool size will be revised effective next fiscal year.
• It does not mean CMS will not pursue disallowances if it believes non-federal funds are impermissible

What this means for DSRIP Providers and DSRIP Transition steps:

• We are waiting on communication from the HHSC DSRIP team on next steps related to this announcement and DSRIP transition.
• Finish your April DY11 R1 DSRIP reporting: be sure to report as much as you can and complete all reporting you are eligible to report.
• Those participating in DPPs – prepare to report beginning April 28^th when the reporting period opens for CHIRP, TIPPS, & RAPPs
• Stay tuned for more communication
• Submit any questions/concerns you might have to the Anchor so that we can pass them on to HHSC DSRIP team.