Item Coversheet

BRAZOS COUNTY
BRYAN, TEXAS


DEPARTMENT:
Budget Office
NUMBER:

DATE OF COURT MEETING:
4/21/2026

ITEM:
Approval requested for authorization to wire transfer up to $7,000,000 to Health and Human Services Commission for the Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS) Intergovernmental Transfer for the benefit of participating hospitals using funding from Brazos County Local Provider Participating Fund.
TO:Commissioners Court
FROM:Nina Payne
DATE:04/13/2026
FISCAL IMPACT:False
BUDGETED:False
DOLLAR AMOUNT:$0.00
SOURCE OF FUNDS:Brazos County Local Provider Participating Fund (LPPF) - Fund 16000
REQUIREMENTS:HHSC requires this IGT to be entered into TexNet no later than close of business Thursday, April 30, 2026, with a settlement date of Friday, May 1, 2026.
NOTES/EXCEPTIONS:The Medicaid Managed Care Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS Program) launched in September 2024.  Under the authority of Title 42 Code of Federal Regulations Section 438.6(b)(2), this program offers incentive payments to MCO's that achieve milestones related to interoperability.  These milestones, which begin with an assessment of current interoperability status and connectivity to Health Information Exchange (HIE), including data sourcing to Emergency Department Encounter Notification (EDEN), are expected to build over a five-year period.  Milestones, traced on a semi-annual basis, focus on participating Managed Care Organizations (MCO's) success in implementing structures, processes, and use of client data electronically exchanged with their network providers.  The goal of this increased interoperability is to improve client outcomes and implement, evaluate, improve, and mature alternative payment for Medicaid beneficiaries. 
ACTION REQUESTED OR ALTERNATIVES:

Request approval.


ATTACHMENTS:
File NameDescriptionType
ATLIS_PGY2_IGT_Amount_-_Brazos_County_LPPF.pdfATLIS Notification Cover Memo
PGY2_ATLIS_IGT_Allocation_Form_-_Brazos_County.pdfATLIS IGT BackupBackup Material
Interoperability_for_Texas_-_ATLIS_Program.pdfATLIS OverviewBackup Material