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.

UPCOMING EVENT:

 

TO BE ANNOUNCED

 

 

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

 

 

 

 

 

Making a Difference

October DY9 NMI Reporting:
  • Distribution of October DY9 NMI reporting results will be delayed a few days. HHSC hopes to distribute NMI reporting results by the end of the week or early next week to providers who received NMI requests during the October DY9 reporting period.
Category B:
  • REMINDER: Plan modifications that impact April DY10 reporting are due March 2, 2021 and can be submitted by email to the waiver mailbox at TXHealthcareTransformation@hhsc.state.tx.us.
  • HHSC has posted a Category B Plan Modification Form on the DSRIP Online Reporting System’s bulletin board under Category B Resources. Please use this form to request changes if the provider has not yet submitted their request.
  • If the plan modification request is related to the impact of COVID-19 on the provider’s patient volume or system, then the provider should include the following information in their request.
    • Proposed DY9 PPP baselines/goals (i.e., Total PPP, MLIU PPP, Estimated Medicaid PPP, Estimated LIU PPP) and an explanation of how the proposed goal was calculated
    • Detailed explanation about why the provider wouldn’t meet their goal with 35% allowable variation for DY9
    • Which system components, services, and/or departments are being impacted
    • An estimated impact on patient volume and duration of impact
    • Details about any operational changes (e.g., if staff was reassigned, changes to hours of operation, etc.) and when these changes took place
DSRIP Reporting:
  • DY9R2 Update
    • February 24, 2021 – NMI from October 2020 Reporting - Approval or Denial by HHSC and CMS
  • Category B:
    • March 2, 2021 – Plan Modifications that impact April DY10 Reporting due – submit by email to the Waiver email box: TXHealthcareTransformation@hhsc.state.tx.us
    • If you submit a plan modification as a result of COVID-19 impact on provider’s patient volume or system, you must include the following:
      • Proposed DY9 PPP baseline/goals (i.e., Total PPP, MLIU PPP, Estimated Medicaid PPP, Estimated LIU PPP) and an explanation of how the proposed goal was calculated.
      • Detail explanation about why the provider wouldn’t meet their goal with the 35% allowable variation form DY9
      • Which system components, services, and/or departments are impacted
      • Estimated impact on patient volume and duration of impact
      • Details about any operational changes (e.g., if staff was reassigned, changes to hours, etc. . . .) and when they took place.
  • Category C:
    • Category C PY3 Optional Telehealth Measures:  Reminder HHSC updated the optional telehealth specifications on 1/29/2021 that may be used for PY3 (CY2020) reporting.
    • The Category C PY3 Telehealth Specifications Guidance document and the Category C Measure Specificaoitns Excel File (v2) are posted on the DSRIP Bulleting Board and sent to providers via email.
    • HHSC anticipates PY4 (CY2021) reporting to have same allowances, however, currently this is limited to PY3 reporting.  Stay tuned for more guidance for PY4 in the future pending CMS approvals of COVID-specific allowances for CY2021.
DSRIP Transition:

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


2

Reimbursement Program (CHIRP) and the Texas Incentives for Physicians and Professional Services (TIPPS). A recording of the hearing is available at this link.

 

Rural Access to Primary and Preventive Services Program (RAPPS)

 

Directed Payment Program for Behavioral Health Services (BHS)

 

Communication Resources

1115 Waiver Extension
  • CMS approved HHSC request for 1115 Wavier Extension
    • Ten Year Extension – January 15, 2021 -September 30, 2030
    • The new waiver STCs explicitly included the end date for DSRIP:  September 30, 2021.  HHSC does not expect that CMS will provide a separate response to the DSRIP Extension.
    • DSRIP transition Programs – Waiver STCs included:
      • DPP (Directed Payment Program) requirements
      • New Public Health Provider Charity Care Pool (PHP CCP) – will provide reimbursements for services meeting charity care policy definitions to LHDs, Public Health Districts, CMHCs, LMHAs, and LBHAs.