Welcome to RHP 9 – Transforming Healthcare Now 

Waiver Information

  • Medicaid 1115 Waiver renewed October 1, 2017 – September 30, 2022. Information on the existing waiver details and transition plans can be found at the Texas Health & Human Services Waiver Renewal.
  •  Click here to reivew the updated RHP 9 Plan for demonstration years DY9-10. 
  • Aligns with the Triple Aim of the Centers for Medicare and Medicaid Services (CMS): Improve the experience of care, Improve the health of populations, and Reduce the per capita costs of healthcare without compromising quality.
  • Creation of Regional Healthcare Partnerships (RHP) that support coordinated, efficient delivery of quality care, and a plan for system transformation that is driven by the needs of the community.
  • Provides incentive payments for quality improvement and healthcare delivery system reform

Quick Facts on RHP 9:      

  • 3 Counties: Dallas, Denton, & Kaufman
  • 2,530 square miles
  • Population of 3.1 million
  • 40% are low income
  • 22 providers participating in Delivery System Reform Incentive Payment (DSRIP) projects
  • Needs assessment: Gaps in access, behavioral health, and overall care coordination.






There are currently no upcoming events. Please check back later.






Making a Difference

October Reporting – DY9R2
  • Tuesday, October 6, 10:00 am – 12:00 pm DY9 October Reporting Webinar.  Click here to register.
  • DY9 October reporting materials will posted starting the end of September to the DSRIP Online System as they are finalized.
Category C Summary Workbook:
  • 9/21/2020, Today, Updated versions of CAT C Summary Workbook posted to the DSRIP Online Reporting Site
    • Review workbook and confirm updates are as expected
    • 9/28/29, Monday, EOD - Report data discrepancies to HHSC – Include TPI and Measure ID in all communications about specific measures.
  • TA flags from April – Most have been resolved by 9/17/2020 and will be included in the updates. 
    • DSRIP team is continuing to work with those few outstanding TA Flags
  • Providers should expect to see results from Myers & Stauffer Round 1a in the updated Workbook1b results will not be in the Summary workbook as they are still in progress
DSRIP Transition:
  • DY11 Options:
    • HHSC is working with Provider Finance (formerly Rate Analysis/RAD) on changes to the UHRIP and NAIP to incorporate DSRIP Transition for hospitals and Pysician Practices for DY11
      • These are exploratory workgroups to develop concepts for DPPS that include quality components
      • If the workgroups come to consensus on how to move forward – additional stakeholder feedback opportunities will be available
        • UHRIP workgroups made up of representatives from hospitals associations (THA, THOT, CHAT, TAVH, TORCH, TEHP) and each UHRIP hospital class (children’s, non-urban public, rural private, rural public, state-owned, urban public, IMD, other).
        • Physician workgroup includes representatives from each DSRIP physician practices affiliated with academeic health science center; system-wide representation from UT, Texas A&M, and Texas Tech; THA & THOT, and clinical representatives from TMA
    • HHSC continues to work on other DY11 options and broader proposals for DY12 transition


  • Best Practices Workgroup:
    • Completed Survey 3: Stratifying MLIU Population Data and Exploring Organizational Factors
    • 62% reponse rate
    • Analysis and results tentatively completed by end of September


  • Provider Survey: HHSC M-7 Survey of DSRIP Providers on Alternative Payment Models
    • Extended through September 28
    • Provider feedback on the opportunities and challenges regarding contracting with Medicaid MCOs using APM models
State Medicaid Letter from CMS:
  • Also attached is a letter from CMS to the State Mediciad Directors sent last week:
    • It's 33 pages - but the message is that CMS is pushing for states to adopt more value-based care (VBC)  models (paying for quality outcomes rather than volume) in the Medicaid population.
    • The future plans are focused on the Medicaid population and quality payments – though there is still a lot of discussion on how we will care for the low-income, uninsured population.  
Provider Contacts:
  • Next week HHSC will distribute to Anchor’s a Provider Contact List
  • Anchors will reach out to their Regions to confirm the contacts and make any updates as needed
  • Look for more information next week.