Next Steps and Timelines

The Texas Health and Human Services Commission submitted a draft concept paper in December 2007 to the U.S. Department of Health and Human Services, Center for Medicare & Medicaid Services (CMS).  HHSC submitted a waiver request to CMS on April 16, 2008.

Preliminary planning timelines (subject to direction by the Medicaid Reform Legislative Oversight Committee):

• April 16, 2008: Submitted waiver request to the Center for Medicare & Medicaid Services

• Spring  2008: Submitted financing and benefit components of waiver request to the Center for Medicare & Medicaid Services

• December  2007: Submitted draft concept paper to the Center for Medicare & Medicaid Services

• August 2007 – March  2008

  • Draft program components
  • Develop initial financing modeling
  • Develop benefit model and cost sharing

• June - August 2007: Research and analysis for program components, including:

  • Identifying the target population
  • Defining the benefit packages and any cost-sharing
  • Designing the delivery system
  • Coordinating with other programs and coverage options
  • Optimizing hospital and health care financing
  • Identifying and reviewing sources of state financing