The Health and Human Services Commission (HHSC) has recently taken additional steps towards establishing guidelines for the 1115 Medicaid Waiver by discussing a draft copy of the long anticipated Intergovernmental Guidelines, General Principles & Selected Examples for the 1115 Medicaid Waiver with the Executive Waiver Committee.
This unreleased draft provides a high level guidance to entities seeking to generate a state match for funding the 1115 Medicaid Waiver.
HHSC stated the principles and examples listed in the draft are not exhaustive nor do they illustrate all the possible IGT scenarios that could be realized through existing sources of local government funds.
These guidelines may allow counties to realize a federal match for dollars being spent on indigent health care. However, the details of how this process could work and the requirements and obligations counties would have to meet are yet to be determined.
HHSC has stated that any local governmental entity, including counties and local mental health authorities, can offer intergovernmental transfers for the purpose of receiving a federal match as long as those funds are public and not statutorily or constitutionally designated for another purpose.
TAC will continue to provide information as it becomes available. For questions, please contact Rick Thompson at (800) 456-5974 or .