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.



 POSTPONED – Check back for new dates.


2020 RHP 9, 10, & 18 Collaborative Connections – Impacting Care

Hurst Conference Center, 1601 Campus Drive Hurst, TX 7605


There are currently no upcoming events. Please check back later.






Making a Difference

COVID-19 Updates:
  • April DY9R1 Reporting Flexibilities – Pending approval. We will let you know as soon as we have more information.
  • We are quickly developing and routing for leadership and CMS approval all proposals for flexibility for DY9 measurement and reporting that will be impacted by COVID-19. We will communicate any changes as soon as confirmed.
  • The Medicaid and CHIP Services Division at HHSC is keeping a COVID-19 website updated with any direction specifically for providers. Please find it here: https://hhs.texas.gov/services/health/coronavirus-covid-19
  • There will be a Medicaid COVID-19 phone call tomorrow afternoon for providers. This call is not specific to DSRIP – it is for Medicaid providers generally. It is a webinar, too, but capacity is limited. We recommend calling in with the info below.

·         When: Wednesday, March 25, 2020, from 3-4pm

·         Where: Dial in: United States: +1 (872) 240-3412

o   Access Code: 843-362-893

DY9R1 (April) Reporting
  • The DY9R1 Reporting Webinar will take place on Monday, April 6th from 10 am to 12 pm. To register for the webinar, go to https://attendee.gotowebinar.com/register/6925835143326532875.
  • April DY9 reporting materials will start being posted on the DSRIP Online Reporting System around the end of March and will be available as they are ready.
  • The Category C Summary Workbook has been updated under the “Category C Resources” section of the bulletin board and reflects all provider reporting through the DY8R2 Period as well as changes following the DY9/10 RHP Plan Update. Providers should review recorded reporting data and measure selections for accuracy. This file reflects the data that will be used to populate the DY9R1 Category C Reporting Template.


DSRIP Online Reporting System
  • DY9-10 updates to the reporting system are tentatively scheduled for the end of the week. During this time, users will not be able to access the reporting system, including the DSRIP Bulletin Board. The reporting system should be back up once these updates have completed. HHSC will notify Anchors when we have a firmer date.
Category A: Costs and Savings
  • HHSC is drafting a document highlighting common issues identified during Costs and Savings reviews and their resolutions to prepare providers for questions surrounding their analyses. The finalization of this document has been delayed, and HHSC expects this document to be available on the DSRIP Online System Bulletin Board this week, 3/23-27/2020. HHSC will notify providers once this document is available.
  • HHSC is still working toward completing the Costs and Savings technical assistance and revision process around April-May 2020. The analysis is a component of HHSC’s transition work and a key element of a legislative report due in the fall. HHSC is evaluating potential due date delays and will keep you updated should timelines change.
  • Providers will be given 5 days to respond to any initial questions regarding provider’s Costs and Savings analyses and a reasonable amount of time to respond to any subsequent questions. HHSC staff reviewing the Costs and Savings analyses will continue emailing providers with initial and any subsequent questions and/or requests for conference calls, including providing deadlines for provider’s responses. However, providers may request additional time to respond to HHSC’s feedback by replying to HHSC’s email.
Regional Learning Collaboratives
  • HHSC will continue to monitor COVID-19’s impact on providers’ participation in a learning collaborative in DY9. At this time, HHSC is encouraging anchors and providers to follow CDC and state guidelines on gatherings.
  • Previously scheduled meetings should be postponed or held via webinar. Webinars and telephone calls meet the requirement for learning collaboratives; in-person meetings are not required.
  • In general, the collaborative activity should include parties to the meeting that are outside of provider’s organization.
  • As a reminder, providers are not reporting on Learning Collaborative activities in April, this reporting will take place in October. Collaboration can occur via conference calls and webinars. Collaborative activities can include discussions of changing community needs and providers’ responses to the needs.