Some local governments in Texas currently opt to use Local Provider Participation Funds (LPPFs) from private hospitals to finance the required non-federal share of various hospital 1115 waiver related supplemental and directed payment programs, specifically ncompensated Care (UC), Uniform Hospital Rate Increase Program (UHRIP), and in some cases, Delivery System Reform Incentive Payments (DSRIP). 1 In the absence of additional general revenue to fund Medicaid and uninsured care costs, and because only public funds can be used to finance Medicaid, LPPFs let private hospitals join public hospitals in supporting critical Medicaid financing.