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:
- Expand existing primary care capacity and Baylor Scott & White clinic capacity.
- Establish primary care clinics and open a new Baylor Community Care at Carrollton.
- Improve access to specialty care.
- Expand chronic care disease management and prevention programs.
- Develop a care management function to integrate patients' primary care and behavioral health needs, including behavioral health counseling, screening and treatment.
- Expand patient navigation through program Care Connect.
- Implement one or more pilot interventions in care transition targeting one or more patient care units or defined patient populations, such as the Vulnerable Patient Network (Home Visit Program).
- Ensure medication compliance and management through evidenced- based interventions, technology and processes.
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.