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)

2018: RHP 9 Rapid Cycle Improvement Cohort.  Register at https://rhp9rapidcycleimprovement.eventbrite.com
Wednesday, October 4, 2017: HHSC October DY6 webinar 


Making a Difference

October DY6 Reporting
  • Deadlines to submit October reporting questions to the HHSC box are October 20th for Cat 3 and October 25th for Cat 1, 2, and 4 issues. 
  • The October DY6 webinar and reporting documents are posted on the Online Reporting System Bulletin Board. 
  • If providers access to the reporting system, please complete and submit an RHP Contact Change Form, which can be found here: https://hhs.texas.gov/sites/default/files/documents/laws-regulations/policies-rules/1115-docs/RHP/Plans/Contact-Change.pdf.
  • For QPI: MSLC validated changes that were incorporated into the data seeding of the October DY6 template only include date changes for applicable carryforward metrics or changes to the pre-DSRIP baseline. These are the only elements that impact current reporting. Do not expect to see changes in the reported achievement numbers in the template.
  • For the Sustainability Template, the initial template had some sizing quirks that have been addressed in an updated version. If you find that you cannot see checkboxes or drop-down menus, please download the most recent version of the Sustainability Planning Template from the Online Reporting System bulletin board. The old version has been removed from the website in order to maintain version control.
  • There is an issue with the Category 3 October DY6 reporting template that affects the calculation of DY6 achievement for some projects. HHSC will be issuing a corrected template very soon. If a provider has not already completed the Category 3 reporting template, please wait until next week to download the template just to give us time to make sure the issue is resolved. HHSC will also send an email to providers we have identified that will be affected by this issue. If they discover an error in a template that has already been completed they will work with the provider to correct it.
  • Just a heads-up: HHSC plans to have a Cat 3 Template for the NMI period that will be different than the Cat 3 Template for the primary reporting period. Providers must submit the Cat 3 NMI Template during the NMI period. Providers cannot submit general reporting period template during the NMI period.
Category C
  • Attached is a MPT Calculator Tool and user instructions.The tool allows providers to model an array of measure bundles/measure selections in order to meet MPT. 
  • Reminder to complete the Cat C measure specification surveys.  The links were sent on in my 10/2/17 email.  HHSC is particularly interested in feedback on measure settings, the draft instructions for determining payer-type, sampling methodology, and currently included DSRIP specific modifications to measures.
Compliance Monitoring
  • Category 1 and 2 Round 2 MSLC review. Providers with projects for which HHSC recommended recoupment of the funds have received notifications from HHSC about recoupments. Those that received final notification will soon hear from the Rate Analysis team.
  • HHSC is finalizing the review of the providers’ feedback for preliminary notifications on recoupments (if any was submitted to HHSC).
  • Category 1 and 2 Round 3 MSLC review. HHSC is preparing notifications for projects that were included in Round 3 and for which HHSC finalized its review. For some projects where results were Not-Validated or Metric-Not-Achieved HHSC requested additional work from MSLC. Providers should respond to MSLC for questions about these projects.
  • HHSC has sent out the majority of notices regarding Category 3 Recoupments for MSLC Round 2 reviews. Providers will receive more direction from Rate Analysis in a formal letter which will include instructions and timeframes.
  • Next Round of Reviews: MSLC is getting ready for the next round of Categories 1 and 2, and Category 3 reviews. As stated earlier, providers will not need to respond during October.
Waiver Negotiations Update
  • Communications are still ongoing with CMS and updates will be provided as they are available, including timelines.
  • CMS is currently reviewing the PFM and Measure Bundle Protocols.  HHSC has also shared the draft Measure Specifications with CMS.
Hurricane Response
  • Applies to RHPs 2, 3, 4, 7, and 17 in the FEMA designated disaster counties.
  • See attached Anchor Notes for additional details.