DSRIP Transition:

Below are the current Proposed Programs – We expect the others to come out in the next few weeks.

DY11 Proposed Directed Payment Programs:

• HHSC conducted a public hearing on January 20, 2021 to review proposed measures and performance requirements for two directed payment programs for SFY 2022: The Comprehensive Hospital Increased Reimbursement Program (CHIRP) and the Texas Incentives for Physicians and Professional Services (TIPPS). A recording of the hearing is available at this link.

Comprehensive Hospital Increased Reimbursement Program (CHIRP)

• Proposed rules §353.1305 – 353.1307 posted in the January 1, 2021 issue of the Texas Register. Submit comments on rules to RAD_1115_Waiver_Finance@hhsc.state.tx.us by January 31, 2021, 5:00pm.
• CHIRP Requirements and Measure Specifications are posted on the DSRIP Transition webpage, under Transition Milestone Updates. Submit feedback through the CHIRP Survey by February 2, 2021, 5:00pm.

Texas Incentives for Physicians and Professional Services (TIPPS)

• Proposed rules §353.1309, §353.1311 posted in the December 25, 2021 issue of the Texas Register. Submit comments on rules to RAD_1115_Waiver_Finance@hhsc.state.tx.us by January 25, 2021, 5:00pm.
• TIPPS Requirements and Measure Specifications are posted on the DSRIP Transition webpage, under Transition Milestone Updates. Submit feedback through the TIPPS Survey by February 2, 2021, 5:00pm.
• Texas Incentives for Physician and Professional Services (TIPPS) Modeling Available (attached) or , click here.

Rural Access to Primary and Preventive Services Program (RAPPS)

• HHSC is proposing new §353.1315, concerning Rural Access to Primary and Preventive Services Program, and new §353.1317, concerning Quality Metrics for Rural Access to Primary and Preventive Services Program. The proposed rules are posted to the HHSC DSRIP Transition webpage and will be published in the January 29, 2021 issue of the Texas Register for public comment. Please note that the rules published in the Texas Register may differ slightly from those posted to the HHSC DSRIP Transition webpage.
• A public hearing is scheduled for February 5, 2021, at 9:30 a.m. (CST) to receive public comments on the proposal. Persons interested in attending may register for the public hearing here.
• Program Requirements and Proposed Measures and specifications are expected to be posted for public comment early next week. A webinar public hearing date and time on the program requirements and measure specifications will be included with the posting.

Directed Payment Program for Behavioral Health Services

• The Health and Human Services Commission (HHSC) is proposing new §353.1320, concerning Directed Payment Program for Behavioral Health Services; and new §353.1322, concerning Quality Metrics for the Directed Payment Program for Behavioral Health Services. The proposed rules are posted to the HHSC DSRIP Transition webpage and will be published in the January 29, 2021 issue of the Texas Register for public comment. Please note that the rules published in the Texas Register may differ slightly from those posted to the HHSC DSRIP Transition webpage.
• A public hearing is scheduled for February 5, 2021, at 11:00 a.m. (CST) to receive public comments on the proposal. Persons interested in attending may register for the public hearing here.
• Program Requirements and Proposed Measures and specifications are expected to be posted for public comment early next week. A webinar public hearing date and time on the program requirements and measure specifications will be included with the posting.

Contacting HHSC

Communication Resources

• Questions on CHIRP or TIPPS measures or performance requirements: TXHealthcareTransformation@hhsc.state.tx.us
• Questions on CHIRP or TIPPS rules, eligibility, classes, components, financial requirements (i.e. anything other than measures and performance requirements) which will likely be answered through the rules process: RAD_1115_Waiver_Finance@hhsc.state.tx.us
• Questions on RAPPS or BH DPP: TXHealthcareTransformation@hhsc.state.tx.us
• Questions on DSRIP Transition Plan and Milestones: TXHealthcareTransformation@hhsc.state.tx.us
• Questions on 1115 Waiver Extension: TX_Medicaid_Waivers@hhsc.state.tx.us