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HTW Medicaid 1115 Demonstration Waiver Extended Through June 30, 2030

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On June 27, 2025, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of Texas Health and Human Services Commission (HHSC) Healthy Texas Women (HTW) Section 1115 Medicaid demonstration. The demonstration is effective July 1, 2025, through June 30, 2030.

Note: There are no changes to HTW covered services, the service delivery model, eligibility criteria, or provider enrollment processes under the extension at this time. The demonstration extension allows HHSC to prepare and implement the transition of HTW to a managed care delivery model, as required in H.B. 133 passed during the 88th legislative session. HHSC will provide updates on the HTW transition to managed care during the course of the implementation.

Providers and administrative staff who have questions about HTW can email HHSC HTW at HealthyTexasWomen@hhsc.state.tx.us.

Providers and administrative staff who have questions about HTW provider enrollment and billing can call the TMHP Contact Center at 800-925-9126 Monday–Friday, 7 a.m.–7 p.m., Central time.