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)

Sunday, April 30, 2017, 11:59 PM: Due date for April DY6 reporting, including required semi-annual progress reporting due to HHSC
Monday, May 1, 2017: HHSC begins review of April DY6 reporting 
Thursday, May 18, 2017: HHSC will post the estimated IGT for April DY6 reporting
Friday, May 19, 2017, 5:00 PM: Due date for IGT Entities to notify HHSC of any issues with their affiliated providers’ April DY6 reports
Thursday, June 1, 2017, 5:00 PM: Deadline for changes in IGT Entities or proportion of IGT among entities
Friday, June 9, 2017: HHSC and CMS will complete their review and approval of April DY6 reports or request NMI
Monday, July 3, 2017: IGT due for April DY6 reporting DSRIP payments and Monitoring IGT
Friday, July 7, 2017, 11:59 PM: Due date for NMI responses and incomplete semi-annual progress reports 
Friday, July 14, 2017: April reporting DY6 DSRIP payments processed for transferring hospital and top 14 IGT entities
Monday, July 31, 2017: April reporting DY5 DSRIP payments processed for all providers and DY6 DSRIP payments processed for remaining providers
Wednesday, August 9, 2017: HHSC and CMS will approve or deny the NMI responses and semi-annual progress reports. Metrics approved will be paid in the next DSRIP payment period (January 2018)
November 2017: Regional Community Needs Assessment due.  


Making a Difference

April DY6 Reporting
Compliance Monitoring
  • Cat 1 and 2 - Round 3 reviews continue as planned. For the most part providers should not have a lot of new requests during April, unless they previously requested extensions and pushed the deadlines to April.  HHSC is finalizing messages to the providers to Round 2, and still working with MSLC on findings for some of the projects. Some providers will get additional notifications from MSLC with changes in previous findings/results.
  • Category 3 - MSLC continues to review Category 3 measures.
Reporting Materials

April DY6 Reporting

  1. April DY6 Reporting Companion Document (sent 4/4/17)
  2. Updated User Guide for the DSRIP Online Reporting System (sent 4/4/17)
  3. DY6-8 Reporting Coversheet (sent 4/4/17)
  4. LC Participation Template (sent 4/4/17)



  1. April DY6 QPI Reporting Companion (attached)
  2. April DY6 QPI Template (attached)


Category 3

  1. Category 3 April Dy6 Reporting Template (sent 4/4/17)
  2. SA3 Reporting Coversheet (attached)


Category 4

  1. April DY6 Category 4 Template (sent 4/4/17)


Webinar Presentations

  1. April DY6 DSRIP General Reporting (pending)
  2. April DY6 DSRIP QPI Reporting (pending)
  3. April DY6 DSRIP Cat 3 Reporting (pending) 
Online Reporting
  • Reminder, on Wednesday, April 5th from 10:30am to 12pm, HHSC will be holding a webinar for April DY6 Reporting.  The April DY6 Reporting webinar will focus on QPI and Category 3. Outlook invite (with log-in information) was sent to providers this week.
  • The DSRIP Online reporting system will open for providers to begin their April DY6 reporting tomorrow, Saturday, April 1st.
  • Wil send reporting materials (e.g., companion documents, templates, etc.) when they become available.
  • Category 4 PPE reports will be sent to hospital providers next week.