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


April DY10 Reporting Timeline

  • July 16, 2021, 11:59 pm – Due date for providers to submit responses to HHSC requests for additional information (NMI requests) on April reporting submissions.
  • July 20, 2021 – April reporting DY10 DSRIP payments processed for transferring hospitals.
  • July 30, 2021 – April reporting DY8, DY9, and DY10 DSRIP payments for all providers and DY8 and DY9 DSRIP payments processed for providers that were not paid on July 20, 2021. There are separate transactions for each payment for each DY.
  • August 24, 2021 – HHSC and CMS will approve or deny the additional information submitted in response to HHSC comments on April reported milestone/metric achievement. Approved reporting will be included for payment in the next DSRIP payment period, estimated for January 2022.


Category A: Cost & Savings

  • HHSC has notified providers that a draft version of the template for Cost and Savings DY10 reporting has been posted on the DSRIP online reporting system bulletin board for providers to download and explore.
  • Providers should review the template and refer back to the Cost and Savings guidance already posted to practice preparing their analysis.
  • Please send questions and feedback to TXHealthcareTransformation@hhs.texas.govas soon as possible so we can gauge what kinds of questions and level of detail to address in our user guide, or whether a Q and A type document would be more helpful.


Category A: Core Activities

  • HHSC will post a file of Core Activities that were approved during October DY9 reporting early next week.
  • The file will be posted on the bulletin board and providers will need to review it to make sure they know which Core Activities they will be reporting on in October DY10.


Survey of DSRIP providers from Texas A&M Evaluators

  • Providers will receive an email from the external evaluators of the DSRIP program at the Texas A&M School of Public Health regarding their experience with the DSRIP program and Alternative Payment Models.
  • This survey is distinct from regular DSRIP reporting to HHSC.
  • It is part of an evaluation required by the Centers for Medicare and Medicaid Services and builds on prior surveys and evaluation work done as part of the DSRIP social network analysis.
  • DSRIP team leads and/or their designees, will receive an email from aspiegelman@tamu.eduwith a link to the survey. Please complete the survey within three weeks of receipt of the survey.


Compliance Monitoring

  • MSLC continues to review Category 1, Category 2, Category 3 open measures, as well as Category 3 measures that were newly selected for round 3. Please continue to encourage timely submission of documentation and have providers inform MSLC and HHSC of any issues as soon as possible.
  • Compliance monitoring for Category C is expected to continue until Summer of 2023 to ensure that measures flagged during October DY11 (2022) can be audited, as necessary.
  • All compliance monitoring questions should be directed to the HHSC compliance mailbox and the MSLC mailbox.
DSRIP Transition

June 30th Deliverables Submitted to CMS

  • HHSC submitted three additional DSRIP Transition deliverables to CMS on 6/30/21.
  • All completed deliverables can be found on the HHSC DSRIP Transition webpage under the Transition Milestone Updates section.


DY11 Proposed Directed Payment Programs

  • The DSRIP Team is coordinating with our internal DPP partners on the development of the reporting timelines that we have discussed on previous anchor calls. We should be able to share a draft in the next week or two. Please note, this will only include the programs for which the HTW team has some operational responsibility.
  • Reminder: sign up/update Gov Delivery Notices for the applicable DPP here: https://service.govdelivery.com/accounts/TXHHSC/subscriber/new
  • Continue sending questions related to DPP measures, performance requirements, specifications, and reporting: DPPQuality@hhs.texas.gov.
  • If you have financial questions, including eligibility and estimated IGT, you can email the Provider Finance Department (PFD) at the following e-mail addresses:











Reminder: New DPP Webpages

  • HHSC has created a new webpage for Medicaid & CHIP Directed Payment Programs. Documents related to the proposed DY11 DPPs are no longer under the DSRIP Transition webpage but can be found on each program-specific site.  Links to each DPP program pages are found on the webpage.
DY10R1 Reporting Timeline:

DY10R1 Reporting Timeline:

  • June 14, 2021:  April Reporting Review Complete – Approval or Request for More information sent out.
  • June 16, 2021:  IGT Notification Request
  • July 6, 2021: IGT Due
  • July 16, 2021:  NMI Responses Due to HHSC
  • July 20, 2021: DY10 DSRIP payments to transferring hospitals
  • July 30, 2021:  April reporting payments for DY8, DY9, and DY10 DSRIP for all providers and DY8 and DY9 payments for those not paid on July 20.
  • August 24, 2021: HHSC & CMS Approve NMI Responses, payments in January 2022.
Upcoming Stakeholder Meeting:
DSRIP Transition:
  • Milestone 10 Deliverable for HHSC – Regional Healthcare Partnership Structure Post DSRIP
    • DY 11, DSRIP Anchor entities continue to support the participating providers in completing DY10 reporting (April & October 2022)
    • DY11 will be a transition year for the role.
    • HHSC has developed options for the scope of future regional coordinating entities focused on DY12 new program options.  Anticipate posting draft role information in July for comment.


  • HHSC DSRIP Team continues to coordinate with Internal DPP partners on the reporting timelines.  Still anticipate October & April reporting.
  • IGT calls for CHIRP, TIPPS, RAPPS, and DPP BHS are complete.  Final models based on actual IGT collection and MCO premium rates are in progress.