• Table of Contents
• Abstract
• Part 1: Systems Assessment and Gap Analysis
• Part 2: Demonstration design
• Introduction
• 1. Pre-implementation Phase
• 2. Implementation Phase
• 3. Anticipated Requests for Waivers
• 4. Methods to Increase HCBS Expenditures.
• 5. Proposed Benchmarks
• 6. Targeting and Recruitment of Participants
• 7. Cross Agency and Cross Services Delivery System Collaboration
• 8. Services Offered Post-grant Demonstration Period
• 9 and 10. Quality Assurance and Improvement
• 11. Barriers to Flexible Use of Medicaid Funds
• 12. Using IT Systems to Identify Participants
• Part 3: Organizational Structure, Staffing Plan, and Budget
• Part 4: Assurances
• Part 5: Attachments and Appendices
• Proposal in PDF format
• MFP Demonstration Proposal home

• Doing business with DADS home

• Help for Texans
• Learn about DADS
• Doing business with DADS
• Rules and statutes
• DADS home

Part 2: Demonstration Design

4. Methods to Increase HCBS Expenditures

Texas will use the enhanced match rates to provide the waiver and Medicaid State Plan services to the individuals targeted under this grant to enable them to transition. The enhanced match rate will help ensure financing is available for individuals who choose to transition. HHSC has requested a funding increase to reduce the interest lists for waiver programs for state fiscal years 2008 and 2009. Even if the Texas Legislature provides funding only for the current level of service, participants in the current Texas MFP and Promoting Independence initiatives will continue to have immediate access to the waiver services on a priority basis. The enhanced match rate will enable DADS to finance the higher cost of services for persons transitioned out of ICFs/MR that close.

The DSHS will identify the general revenue necessary for the behavioral health services for persons in this pilot. In addition, DSHS has requested a funding increase in the 2008-09 Legislative Appropriations Request to increase access to community-based crisis mental health services and to add adult community-based substance abuse counseling as a Medicaid State Plan benefit. If approved, these initiatives will greatly increase access to vital community behavioral health services. DSHS will use data derived from its care systems, Mental Health Transformation efforts, Crisis Mental Health Redesign and other efforts to inform future requests for funding.

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Updated: April 24, 2009