Welcome to RHP 9 – Transforming Healthcare Now

Waiver Information

  • Five-year demonstration waiver that began on September 1, 2011
  • 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
  • 25 providers participating in Delivery System Reform Incentive Payment (DSRIP) projects
  • Needs assessment: Gaps in access, behavioral health, and overall care coordination.
  • 129 DSRIP projects
    • 46 Infrastructure Development projects (Category 1)
    • 83 Program Innovation and Redesign projects (Category 3)
    • 200 Plus Outcome Measures (Category 3)

Monday, January 30, 2017: DSRIP payment for October DY5 for remaining providers, April DY5 approved NMI, and DY4 CF. 
Tuesday, January 31, 2017: DSRIP payment for October DY5 for remaining providers and approved NMI from April DY5 for all providers
Wednesday, February 22 and Thursday, February 23, 2017: 

RHP 9 & 10 Collaborative Connections: Impacting Care Learning Collaborative.  Register at:  RHP 9 & 10 Learning Collaborative Event

Friday, February 24, 2017: HHSC and CMS will approve / deny NMI.  Metrics approved will be included in payment for the next DSRIP payment period (July 2017).  
November 2017: Regional Community Needs Assessment due.  


Making a Difference

  • Attached is a letter from CMS to Jami Snyder, State Medicaid Director, on the TX disallowance.
  • CMS is not changing its position on waiver financing disallowance.
  • HHSC has until February 27th to submit an appeal to the Board, which has 60 days to review and make a determination. At that time the disallowance would be reversed or payment (plus interest) requested.  HHSC has indicated that they intend to go to the Departmental Appeals Board.  
Waiver Renewal
  • HHSC will be requesting an additional 21 months of level funding for the UC and DSRIP pools, and a continuation of the managed care provisions of the 1115 Waiver, through September 30, 2019. 
  • A reminder to  review the questions on the draft Sustainability Tool (attached).  The template will be required to receive payment and will be submitted in October 2017 reporting.  It is not expected that each provider/project will engage in all of the sustainability activities, but HHSC does anticipate that the template will reflect that some consideration has gone into evaluating DSRIP project’s potential for sustainability. HHSC is requesting feedback on the template.  Please review and provide feedback to the anchor by Tuesday, January 24, 2017. 
  • The HHSC waiver team is currently working on a draft Program Funding and Mechanics (PFM) protocol for DY7, which begins 10/1/2017, and plans to have a draft to stakeholders at the end of January 2017, with program rules planned to be proposed in May to be effective in September 2017.
  • A webinar is planned for February (date TBD) for the PFM protocol draft plan.
  • The PFM will be specific to DY7 at this time, and the plan is to lay the groundwork for up to four additional DYs.
  • HHSC encourages stakeholder feedback on the draft proposal when released.
Learning Collaboratives
  • RHPs 9, 10, and 18 will be holding a 2-day LC event on February 22 and 23.  We will have the final agenda next week.  Register at:  RHP 9 & 10 Learning Collaborative Event
  • HHSC is not planning to hold a Statewide Learning Collaborative summit in 2017, and instead will have learning collaborative/stakeholder engagement opportunities on more targeted topics as needed during the year, although topics and timeframes have not been decided at this time.
  • HHSC will be notifying UC-only hospitals that they will need to engage at the regional level in learning collaboratives in order to fulfill their learning collaborative participation requirement.
  • In order for providers to receive payment for the non-QPI milestones, they must attend at least one learning collaborative, stakeholder forum or other stakeholder meeting during DY6A.
DY6 Monitoring IGT
  • Attached is the final DY6 Monitoring IGT for each participating IGT Entity (estimated was sent in mid-December).  These amounts will be collected in July 2017 with DY6 Round 1 payment processing. If the full DY6 Monitoring IGT amount is not submitted in July 2017, then it will be requested in January 2018 with DY6 Round 2 payment processing.
Category 3
  • There will be another interim correction period in February, with the template available by the end of January.  More information will be available soon.