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Federal judge defends her efforts to clean up Texas' foster care system amid complaints from providers


Federal judge defends her efforts to clean up Texas’ foster care system amid complaints from providers
Hearing comes as the number of children sleeping in CPS offices spikes and providers feel stung by a triple whammy of the pandemic, low state reimbursements and tougher enforcement.
A federal judge said Thursday her efforts to root out slipshod foster care operations in Texas was necessary, and she dismissed providers suggestions that her edicts are responsible for a current bed shortage. 2017 File Photo of art by foster children at Austin s Helping Hand Home.(Rose Baca / Staff Photographer)
6:10 PM on May 6, 2021 CDT
AUSTIN A federal judge is defending her efforts to root out slipshod foster care operations in Texas, saying providers who blame her edicts for a current bed shortage are mistaken. ....

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CMS Rescinds Texas Medicaid Waiver


CMS Rescinds Texas Medicaid Waiver
The waiver would have secured and extended charity care at hospitals for another decade, but the federal government says the request wasn t properly handled.
By
Will Maddox
Published in
Healthcare Business
April 26, 2021
10:00 am
The Centers for Medicaid and Medicare Services has rescinded Texas’ 1115 waiver extension that would have provided needed funding to hospitals, physicians, rural health clinics, and community health centers which serve the uninsured and indigent. The state has a chance to reapply, but the decision reverses a move made in the final weeks of the Trump administration. 
In January, CMS approved a waiver that would have allowed the state to provide care to millions of Texans, securing $11 billion in supplemental or direct payments each year for Medicaid safety net funding, taking care of the poorest of the poor. According to a statement from the state health department, the funds would ....

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CMS rescinds Texas's 1115 waiver - State of Reform


Today, the Centers for Medicaid Services (CMS) rescinded its approval of Texas’ Medicaid 1115 waiver. The waiver provides funding for “uncompensated care” in the absence of an expanded Medicaid program. 
The waiver was approved by the Trump Administration on Jan. 15, 2021 through 2030, even longer than the extension requested by the Abbott administration of 2027.
The current waiver is set to expire on September 30th, 2022.
 
 
CMS made the decision on the grounds that Texas didn’t have adequate reasoning to request that it be exempt from the public notice and comment requirements.
From the CMS’s letter to the Abbott administration. 
Texas’s rationale for seeking exemption from the normal public notice process was premised on the state’s conclusory assertion that healthcare providers in the state must have the financial stability they need to prepare for and respond to the COVID-19 public health emergency, and without an emergency appro ....

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DeKalb Central moving forward with proposed facilities upgrade


WATERLOO — The DeKalb Central school district will take the next step in a proposed facilities upgrade at its April school board meeting.
The district hosted a community meeting to discuss facilities upgrades Monday evening at DeKalb Middle School. Superintendent Steve Teders reviewed steps already taken by the district to identify facilities needs, including a facilities assessment, district tour and facilities master plan, which all are available on the district’s website.
The facilities master plan lists projects totaling $12.5 million that are considered to be “high priority.” Some of those projects already are ongoing. The plan lists “high-priority” projects totaling $11.1 million that could be potential 2021 bond projects and almost $876,000 of high-priority projects that could be financed through the district’s operations fund. ....

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