Welcome to RHP 9 – Transforming Healthcare Now

Waiver Information


  • Medicaid 1115 Waiver renewed October 1, 2017 – September 30, 2022. information can be found at the Texas Health & Human Services Waiver Renewal. 
  • Click here to review the updated RHP 9 Plan for demonstration years DY7-8.
  • 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.

Upcoming Events:


To be Announced!

2019 Statewide Learning Collaborative: September 4 and 5 in Austin 
September 2019: 86th Texas Legislative Session Recap






Making a Difference

Category C
  • The updated version of the DY8R2 Interim Corrections (IC) Template, dated “20190805”, has been posted to the online reporting system bulletin board.
    • A few minor updates have been made to the to fix errors with the Template Status progress indicator and to display the baseline rate, DY7-8 Goal, PY1 rate, and AM-7.1 achievement calculations for baseline and PY1 corrections of multi-part measures.
    • Providers who have already submitted corrections using earlier versions do not need to resubmit a template if they did not receive any errors with the template.
  • HHSC has sent initial emails to providers that received a TA flag during the DY8R1 NMI reporting review period. Providers should respond to those TA flags as soon as possible.
Statewide Learning Collaborative
  • There are currently 412 registrants for the SLC event.
  •  HHSC plans to send out an agenda by the end of next week.
  • Information on live streaming of the event and where recorded sessions will be posted is still pending. HHSC will share this information with DSRIP providers, anchors and UC-only hospitals once available.
Measure Bundle Protocol
  • The draft DSRIP Measure Bundle Protocol (MBP) for DY7-10 incorporating changes based on stakeholder feedback has been submitted to CMS.
  • This version of the MBP and the document summarizing stakeholder feedback and HHSC’s responses are attached.   


Providers may be interested in attending the North Texas State of Reform Health Policy Conference on September 12. 

  • The 2019 North Texas State of Reform Health Policy Conference convenes stakeholders from across Texas’ health care ecosystem.  From the left and right, public and private sectors, State of Reform is a non-partisan, policy agnostic forum where about 300 of Texas’ most senior health care executives and health policy leaders gather in a one-day conference.
  • This multi-silo event convenes leaders from across twelve different distinct silos:  health plans, hospitals, provider groups, state agency leaders, elected officials, mental health, pharma, health IT, professional services, HR/employee benefits, public health, and local government.
  • The idea is to bring together perspectives and opinions from across the broadest scope of Texas’ health care sector.
  • With approximately 60 speakers, State of Reform is a broad, crowd-sourced approach to elevating the most important conversations in Texas health policy in 2019.  It is sure to be one of the most diverse statewide gatherings of senior health care leaders, and one of the most important events in Texas health care.
  • More information can be found at https://stateofreform.com/conference/2019-north-texas-state-of-reform/
Draft DSRIP Transition Plan
  • The draft DSRIP Transition Plan was emailed on August 1st
  • Reminder – HHSC DSRIP Transition Plan webinar is tomorrow, Monday, August 5th from 10am to 11:30am. 
  • Please register to attend at the following link: https://attendee.gotowebinar.com/register/6221759569614114829. The webinar will be recorded if you are unable to attend.
Category C
  • A minor update has been made to the DY8R2 Interim Corrections (IC) Template to fix an error with the Template Status completion for the “Reporting Correction” and “Qualitative Questions” sections of the template. The updated version dated “20190801” is available on the online reporting system bulletin board.
    • Providers who have already submitted corrections using the “20190726” version do not need to resubmit a template if they did not receive any errors with the Template Status.
  • Template submissions are due to the TXHealthcareTransformation@hhsc.state.tx.us mailbox by 11:59 PM by August 14, 2019.