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

  • HHSC has reached out to providers with October DY9 Technical Assistant Flags. Provider responses are due to HHSC by 1/15/21.  HHSC Goal is to clear flags by the end of March in time for April DY10 Reporting. 
  • Proposed Telehealth Changes to CAT C Specs:  Guidance for PY3 reporting will be distributed in the next few weeks.
Compliance Monitoring Update:
  • If you have outstanding MSLC reviews that are not current requests and have not received responses, please let me know so we can follow-up with them.  You should have received a file from me in mid-December that had the MSLC regional update of measures under review. 
DSRIP Transition: - No New Updates
  • Milestone Updates
    • The Provider Performance in the Delivery System Reform Incentive Program Demonstration Years 7 & 8 Report was submitted to CMS as a DSRIP Transition Plan Milestone for analysis of DY 7-8 quality data on December 22.
    • DY 11 program options, as defined in our Stakeholder Update Meeting in December was submitted as Milestone 3 deliverable to CMS on December 29. Attached:  DSRIP Deliverable – Milestone 3_Final.pdf
DY 11 Directed Payment Program Rules
  • Comprehensive Hospital Increased Reimbursement Program (CHIRP)


  • Texas Incentives for Physicians and Professional Services (TIPPS)


  • Insights from HHSC & Anchor Meeting:
  • HHSC is working on the DRAFT of Measures Specs for two of the Directed Payment Program  (CHIRP & TIPPS) and anticipate public posting these very soon, possibly Monday, January 8, 2020.  Once posted there will be a 15 business day public comment period. 
  • Currently in DRAFT:  These first two Directed Payment Programs at this time will focus primarily on Managed Care Medicaid Population (Star, Star+, & StarKids for some measures).  Reporting for these measures will be reported at a provider level not through the MCOs.  More information to come soon.