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With the 1115 Medicaid Waiver, the placement of Upper Payment Limit monies previously available to hospitals to fund charity care initiatives changed significantly. This new five-year plan will be accomplished in two parts: funding through Uncompensated Care (UC) and Delivery System Reform Incentive Payment Projects (DSRIP). The UC dollars are a fixed amount determined by multiple factors. The DSRIP dollars are "at risk," and projects must be completed to receive payment from the State of Texas. The following plan accomplishes the accrual of DSRIP funds to expand access to care for Texas' uninsured and underserved populations. The projects will:
These projects will be accomplished at the following hospitals: Baylor University Medical Center, part of Baylor Scott & White Health, Baylor Scott & White Medical Center – Irving and Baylor Scott & White All Saints Medical Center – Fort Worth. Also under consideration for participation in the DSRIP projects are Baylor Scott & White Medical Center – Carrollton and Baylor Scott & White Medical Center – Waxahachie.