Uncompensated Care Payments
Every private hospital that participates in the waiver must execute an affiliation agreement with the governmental entity that provides the Intergovernmental Transfer (IGT) for any type of payment (transition, Uncompensated Care (UC) or Delivery System Reform Incentive Payment (DSRIP)). Hospitals receiving transition payments already have the necessary affiliation agreements on file. Read more about overview(.pdf)
The Waiver Payments to Hospitals and Waiver Payments for Physician Services rules are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter J, Division 11.
The 1115 Waiver rules are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 354, SubChapter D.
1115 Transformation Waiver IGT Allocation Confirmation Sheet: The waiver payment team has developed a new allocation confirmation spreadsheet for governmental entities to complete as a step in the payment process. Read more about allocation form(.pdf)
View Hospital Affiliations (.pdf), a comprehensive listing of each affiliation between a hospital or provider and a government entity. This will provide all information needed to complete the allocation form, such as the unique affiliation number, TIN number, TPI, account number, and region associated with the affiliation.
UC Withheld Payments
The DY3-DY6 UC withheld payment amounts can be found here(.pdf). Please note that these amounts are subject to change when ineligible providers are removed and when HHSC caps providers at the final UCC calculated in the UC reconciliation for the applicable program year.
View the 2020 DY9 Uncompensated Care Expenditures (.pdf) (Updated 09/15/2020)
Providers that have a payment recoupment will be notified separately by HHSC regarding the process for recouping amounts owed.
UC Payment Protocol Attachment H (.pdf) (Updated 04/23/2020)
View the Final 2012 UC IGTs (.pdf)