About Us

In 2011, Texas Health & Human Services Commission (HHSC) received legislative approval to apply for and accept a five-year project as allowed under Section 1115 of the Social Security Act. The “Transformation & Quality Improvement Program” (aka 1115 Waiver) allows Texas to expand the existing Medicaid managed care programs, and to establish two funding pools that will assist providers with uncompensated care costs, and promote health system transformation. The 1115 Waiver redirects the supplemental payments that historically existed under the Upper Payment Limit (UPL) program in order to improve care delivery systems and capacity, while emphasizing accountability and transparency, and requiring demonstrated improvements as the provider level for the receipt of funding. These two pools of funding are Uncompensated Care (UC) and Delivery System Reform Incentive Payment Program (DSRIP). To facilitate the implementation of the 1115 Waiver, HHSC established 20 regions throughout Texas. Region 3 consists of nine counties: Austin, Calhoun, Chambers, Colorado, Fort Bend, Harris, Matagorda, Waller, and Wharton and stands to realize approximately $2.3 billion in funding over the five years of the waiver. The Harris Health System, designated as the anchor entity for Region 3, coordinates all efforts between Intergovernmental Transfer (IGT) entities, private hospital & non hospital partners, community organizations & leaders, academic organizations and other stakeholders to create the Regional Healthcare Partnership Plan (RHP Plan) that demonstrates the community benefit in Region 3. The process consists of multiple layers of funding allocations and process to realize many benefits to this area of Texas. These benefits include:

  • Protects current Texas UPL funds, and the waiver as submitted makes available additional funding for system investment over five years. Final additional funds are contingent upon negotiation. 
  • Allows for legislatively directed managed care expansion while protecting vital hospital UPL funds.
  • Local and state funds would continue to provide the state match for the program.
  • Places decisions regarding healthcare delivery system improvements in the hands of local hospitals and hospital districts, rather than a top-down, one-size-fits-all approach.
  • Plan development, system improvement metrics and reporting will serve as the basis for accountable, effective investments in healthcare and related waiver payments.
  • Helps to drive down healthcare inflation by ensuring hospitals are paid based on actual uncompensated care costs, not charges. The current payments for charges drive healthcare inflation as those hospitals paid UPL based on charges increase charges to all payors, including Medicaid, Medicare and commercial plans.
  • Achieves accountability and transparency for billions of dollars in Texas UPL funding. Under the waiver, payments must be based on services and contributions provided, either uncompensated care or contributions to regional healthcare improvements that will better manage indigent and Medicaid cost trends and improve the delivery system.


While the region has many specific objectives and improvement targets based on stakeholder input and community needs assessments, the overarching goals that have guided many of our decisions include the following:

  • Develop a regional approach to healthcare delivery that leverages and improves on existing programs and infrastructure, is responsive to patient needs throughout the entire region and improves health care outcomes and patient satisfaction.
  • Increase access to primary and specialty care services, with a focus on underserved populations, to ensure patients receive the most appropriate care for their condition, regardless of where they live or their ability to pay.
  • Transform healthcare delivery from a disease-focused model of episodic care to a patient-centered, coordinated delivery model that improves patient satisfaction and health outcomes, reduces unnecessary or duplicative services and builds on the accomplishments of our existing healthcare system.
  • Develop a culture of ongoing transformation and innovation that maximizes the use of technology and best-practices, facilitates regional collaboration and sharing, and engages patients, providers, and other stakeholders in the planning, implementation and evaluation processes.

Contact Us
Harris Health System
Health System Strategy
2525 Holly Hall
Houston, TX 77054

RHP3 1115 Waiver - DSRIP Team

Amanda Callaway
Mission Advancement
Associate Administrator  

Jessica Granger
Health System Strategy


June Hanke
Health System Strategy
Analyst / Planner



Michelle Eunice
Health System Strategy
Regional Operations Liaison

Sonyia Sandhu
Health System Strategy
Regional Operations Liaison


Nina Kavarthapu
Health System Strategy




Giovanni Rueda-Anguiano
Health System Strategy
Operations Coordinator




  1. DSRIP – Recipients will receive information on DSRIP including HHSC dates, deadlines and guidance information related to DSRIP projects, as well as, Regional newsletters and success celebrations.
  2. Uncompensated Care (UC) – Recipients will receive information on UC including HHSC dates, deadlines and regulation information related to UC, as well as, Regional newsletters and success celebrations.
  3. Biannual Learning Collaborative Events – Recipients will receive information on upcoming biannual learning collaborative events usually held in June and December of each year. This will include registration information and follow up emails related to participation certificates and supporting documentation.
  4. Monthly Regional Status Call Information – Recipients will receive information on upcoming monthly regional status calls usually held on the third Wednesday of each month at 9am. This will include pre-call information; follow up emails related to supporting documentation or other relevant information discussed during the call.
  5. Learning Collaborative Cohorts – Recipients will receive cohort specific information including upcoming meetings, requests for information, follow up information, background information and supporting documentation notices.



© Harris Health | 713-634-1000