Welcome to RHP 9 – Transforming Healthcare Now

Waiver Information

 

  • Medicaid 1115 Waiver renewed October 1, 2017 – September 30, 2022. Click here to review  the updated RHP 9 Plan for demonstration years DY7-8.
  • 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
  • 23 providers participating in Delivery System Reform Incentive Payment (DSRIP) projects
  • Needs assessment: Gaps in access, behavioral health, and overall care coordination.

July 2018: Providers receive 20% of DY7 valuation 

 

Making a Difference

Measure Bundle Call Dates & Times

HHSC will be holding calls during the week of July 23 - 26 to answer measure specification questions.  Please see the schedule below for the calls being held for groups of Measure Bundles or provider categories. 

  • Measure bundle I1 is not included in a call due the small number of providers who chose that bundle, but providers may submit questions about I1 measures to be answered in writing.
  • Providers should submit their questions to their Anchor by Friday, July 13, and the Anchor will submit their region's questions to HHSC by COB Monday, July 16.  Providers may submit questions they have already submitted to the waiver mailbox that have not yet been answered. 
  • Before submitting questions, please review all available resources for answers first, including the Category C Specifications Introduction, the Category C Specifications FAQ, the Cat C Baseline Reporting Companion, etc.  HHSC cannot answer questions related to MSLC's Data Support Guide.
  • HHSC will follow-up after the calls with answers in writing.
  • HHSC will make every effort to answer submitted questions, but we may not be able to answer them all by July 26th prior to early baseline submission. 
  • Conference line details will be provided later today. 

 

Measure Bundles

Call Date

Call Time

D1, D3, D4, D5

July 23, 2018

2:00 - 2:45 PM

A1, A2

July 23, 2018

3:00 - 4:00 PM

H1, H2, H3, H4, G1

July 24, 2018

10:00 - 10:45 AM

B1, B2, E1, J1

July 24, 2018

11:00 AM - 12:00 PM

LHDs

July 25, 2018

2:00 - 2:45 PM

C1, C2, C3, F1, F2

July 25, 2018

3:00 - 4:00 PM

CMHCs

July 26, 2018

10:00 - 10:45 AM

K1, K2

July 26, 2018

11:00 AM - 12:00 PM


Recent Updates to the DSRIP Bulletin Board
  • Category C Baseline Reporting:  HHSC has posted the Category C Early Baseline Reporting Template and Companion to the bulletin board, as well as the Modification Request form.  Deadlines for the Modification Request form are included in the Category C Baseline Reporting Companion (documents sent last Friday in the Anchor Notes) 
  • Waiver Renewal
    • Additional MSLC Category C Data Support FAQ questions were posted this week, as well as an updated risk-adjusting template. Both can be found under the "MSLC Guidance for DY7 and DY8" section.
    • HHSC updated the Category C Goal Calculator to make minor changes that were impacting how some measures were displaying in the template. The updated calculator can be found under the "Category C Measure Specifications & FAQ" section.
HHSC Cat C Baseline Reporting webinar

Topic:             Category C Baseline Reporting

Date:              July 9, 2018

Time:             10:00AM-12:00PM, Central Daylight Time

 

To join the online meeting:

1) Go to Join WebEx meeting

2) Click on Attend Meeting (Meeting Number: 730 407 617)

4) Call 888-613-0404

April DY7 Reporting and Payment Timeline
  • Sunday, July 8, 2018, 11:59pm:  Due date for providers to submit responses to HHSC requests for additional information (NMI requests) on April reported Category 1-3 milestone/metric achievement and Semi-Annual Reporting requirements. Please include "NMI" in the file name when uploading documentation in response to NMI requests.
  • Tuesday, July 17, 2018:  April reporting DY6 DSRIP payments processed for transferring hospitals.
  • Tuesday, July 31, 2018:  April reporting DY5 and DY6 DSRIP payments processed for all providers that were not paid on July 17, 2018. Remaining DY6 Anchor payments and DY7 DSRIP payments for RHP Plan Update submissions will also be processed at this time. Note that there are separate transactions for each payment for each DY.
  • Friday, August 10, 2018:  HHSC and CMS will approve or deny the additional information submitted in response to HHSC comments on April reported milestone/metric achievement. Approved reports will be included for payment in the next DSRIP payment period, estimated for January 2019.
RHP Plan Update Timeline
  • July 2018:  Providers receive 20% of DY7 valuation