Texas providers worry they could face pay cuts if Texas Medicaid officials and CMS don’t promptly hash out an agreement on a state-directed payment proposal that CMS earlier said it wouldn’t approve. CMS’ notice that it wouldn’t okay the plan as proposed came after a judge ordered the agency to tell Texas it either planned or did not plan to approve the payment programs. Though the payment programs require CMS approval separate from the state’s 1115 waiver, Texas said CMS...