April 29, 2022 – DSRIP Extension Request
HHSC has formally decided not to request a DSRIP extension into DY11.
April 22, 2022 – CMS Withdrawal of April 16, 2021 Letter
CMS issued a letter on April 22, 2022 regarding the 1115 Waiver Extension. The letter is available at the following link:
DEPARTMENT OF HEALTH & HUMAN SERVICES (medicaid.gov)
Fiscal Year 2023
- HHSC submitted the Year 2 (SFY 2023) preprints for CHIRP, TIPPS, RAPPS, and DPP BHS to CMS on March 1, 2022. The preprints are posted on the PFD Communications page: https://pfd.hhs.texas.gov/provider-finance-communications
- Reminder: sign up/update GovDelivery Notices for the applicable DPP here: https://service.govdelivery.com/accounts/TXHHSC/subscriber/new
HHSC Contacts
- Continue sending questions related to DPP measures, performance requirements, specifications, and reporting:
- Additional information can be found at the Directed Payment Programs webpage Directed Payment Programs | Texas Health and Human Services
- If you have financial questions, such as questions about eligibility or estimated IGT, you can email the Provider Finance Department (PFD) at the following e-mail addresses:
| CHIRP | ||
| TIPPS | ||
| RAPPS | ||
| DPP BHS |
August 18, 2021
Materials from the RHP-1 Learning Collaborative – August 17, 2021
- Attendance
- Slide Presentation
- Directed Payment Program Court Order
- THOT Summary of 1115 Court Order and CMS Final Response
- CMS Response to DPP (August 13, 2021)
June 3, 2021
1115 Waiver Public Hearing – June 2, 2021
Materials from the meeting can be downloaded using these links.
March 30, 2021
Materials from the RHP -1 Learning Collaborative – March 30, 2021
October 1, 2020
Materials from RHP 1 Learning Collaborative – September 8, 2020
Materials from the meeting can be downloaded using these links.
- Agenda
- Slide Presentation
- Attendance Record
- Question & Answer Log
- Alternative Payment Models – UnitedHealthcare Community Plan of Texas
August 27, 2020
Materials from RHP 1 Learning Collaborative – April 22, 2020
Materials from the meeting can be downloaded using these links.
November 22, 2019
RHP 1 Plan Update
RHP 1 has compiled the first DRAFT of the RHP Plan Update for DY9-10. Stakeholders are invited to review the draft and provide input via email to the Anchor or at the RHP 1 Regional and Public Stakeholder meeting on November 22nd. This draft version of the RHP Plan Update is expected to change as providers receive input from stakeholders and ongoing guidance from HHSC. The final plan is due to HHSC no later than November 30, 2019.
April 23, 2018
Materials from RHP 1 Regional Meeting – March 27, 2018
Materials from the meeting can be downloaded using the links below.
- Agenda
- Slide Presentation
- Sign-in Sheets
March 23, 2018
RHP 1 Plan Update
RHP 1 has compiled the first DRAFT of the RHP Plan Update for DY7-8. Stakeholders are invited to review the draft and provide input via email to the Anchor or at the RHP 1 Regional and Public Stakeholder meeting on March 27th. This draft version of the RHP Plan Update is expected to change as providers receive input from stakeholders and ongoing guidance from HHSC. The final plan is due to HHSC no later than April 30, 2018.
Draft RHP 1 Plan Update_3.23.18
RHP 1 Community Needs Assessment UPDATE_03.23.18
September 29, 2017
Materials from RHP 1 Regional Meeting – September 27, 2017
Materials from the meeting can be downloaded using the links below.
- Agenda
- Slide Presentation
- Sign-in Sheets
September 6, 2017
Public Stakeholder Forum scheduled for September 27, 2017
Registration is now available for our upcoming RHP 1 Regional Meeting and Stakeholder Forum on September 27th in Tyler, TX. To register, contact the RHP 1 Anchor team.
The meeting will be held in the Ornelas Academic Amphitheater on the 3rd floor of the Academic Center of UT Health Science Center. Registration starts at 9:00 and the meeting will begin at 9:30. The meeting will conclude by 3:00pm.
Confirmed topics and speakers include:
– 1115 Waiver Updates – John Scott, DSRIP Director of Operations, Texas HHSC
– Meadows Mental Health Policy Institute – Andy Keller, President and Chief Executive Officer
– Northeast Texas Public Health District – Community Outreach Updates
– RHP 1 Community Health Needs Assessment Update
– RHP Plan Update and Demonstration Years 7-8 Planning
As part of the DY7-8 Plan update process for RHP 1, we will also outline the process for allocating the additional DY7-8 DSRIP funds among Performing Providers (new or existing) based on the Community Needs Assessment Update and IGT availability. Additional details on the remaining DY7-8 DSRIP funds available to RHP 1 and the guidelines for eligibility can be found in the DRAFT Program Funding and Mechanics Protocol on page 27. If you have not already done so, please take the time to review this document before the meeting on the 27th.
April 7, 2017
Materials from RHP 1 Regional Meeting – March 29, 2017
Materials from the meeting can be downloaded using the links below.
Agenda
HHSC Updates – John Scott
RHP 1 Updates – Stephanie Fenter
CMS Quality Payment Program – David Nilasena
Community Needs Assessment & Initiatives – Gabriela Orsak and Christina Tuell
- Sign-in Sheets
September 30, 2016
Materials from RHP 1 Regional Meeting – September 27, 2016
Materials from the meeting can be downloaded using the links below.
- Agenda
- Slides
- Sign-in Sheets
- Poster/Storyboard Walk Presentations
- Hunt Regional Medical Center
- Paris-Lamar County Health District
- University Physician Associates
March 30, 2016
Materials from RHP 1 Regional Meeting – March 29, 2016
Materials from the meeting can be downloaded using the links below.
- Agenda
- Slides
- Sign-in Sheets
- DY6 Transition Year Proposal
- RHP 1 UC Funding Handout
- Evaluation Link
February 25, 2016
Program Evaluation Webinar
Presentation slides can be downloaded using the link below.
- 2-25-16 Slides
September 23, 2015
Materials from RHP 1 Regional Meeting – September 15, 2015
Materials from the meeting can be downloaded using the links below.
- Agenda
- Slides
- Sign-in Sheets
- Poster/Storyboard Walk Presentations
- Andrews Center
- Hunt Regional Medical Center Greenville
- Lakes Regional
- Mother Frances Hospital
- NET Health
- Texoma Community Center
- UT Health Science Center at Tyler
July 2, 2015
1115 Waiver Extension Application Draft
HHSC has posted the 1115 Waiver Extension Application Draft, attachments, and Public Notice. These documents can be found on the HHSC Waiver Renewal website at: 1115 Waiver Renewal.
Also posted are the scheduled dates and locations for Statewide Public Meetings on the 1115 Waiver Extension Application. The public are invited to attend meetings at any location throughout the state to provide comments. A meeting will be held in Tyler on the following date and location:
- July 16, 2015 10:00 AM – 12:00 PM
- Tyler Junior College West Campus
1530 SSW Loop 323, Room 104
Tyler, TX 75701
April 9, 2015
DY4 April Reporting Dates & Deadlines
Please refer to the slides from the April 7th webinar for a complete listing.
- April 1, 2015 – DSRIP Online Reporting System Opens
- April 24, 2015 – Final date to submit April reporting questions or DY4 data issues to HHSC
- April 30, 2015 – Due date for April DY4 reporting, including semi-annual reporting requirements
- June 10, 2015 – HHSC and CMS will complete review of reported data
- July 2, 2015 – Due date for providers to submit responses to HHSC NMI requests
- July 8, 2015 – IGT due for April reporting DSRIP payments
- July 31, 2015 – DSRIP payments processed (top 14 IGT entities will be July 21st)
- August 7, 2015 – HHSC and CMS will give final approval of additional info submitted for NMI requests
DY4 April Reporting Webinars
Recordings of the webinars have been posted to the RHP 12 Anchor website and can be accessed via the following link:
HHSC Hosted April DY4 Reporting Webinars
March 27, 2015
DY4 April Reporting Webinars
General Reporting & Quantifiable Patient Impact (QPI)
Tuesday, April 7, 2015, 10:00AM – 11:30AM (CDT)
Category 3 & Category 4 Guidance
Tuesday, April 7, 2015, 2:00PM – 4:00PM (CDT)
Materials from RHP 1 Regional Meeting – March 26, 2015
Materials from the meeting can be downloaded using the links below.
- Agenda
- Presentation Slides
- Regional Meeting Sign-in Sheets
- Telemedicine Workgroup Sign-in Sheet
- HHSC Category 3 Slides
- Evaluation Form
March 19, 2015
Waiver Extension/Renewal Update
The following message was sent by HHSC on Thursday, March 12, 2015:
Transformation Waiver Stakeholders –
We want to provide you an update on HHSC’s recent visit to Baltimore to discuss with CMS the renewal/extension of the 1115 Transformation Waiver and how to move forward to address the concerns CMS raised in the September 2014 UC deferral letter regarding IGT financing for private hospitals. (If you’re an anchoring entity or on the Executive Waiver Committee, you may get another copy of this email – you’re on the above list because you were getting UC deferral updates.)
Chris Traylor, Kay Ghahremani and Monica Leo met with key CMS staff on Monday, including Vikki Wachino (Acting Director, Center for Medicaid and CHIP Services, acting in Cindy Mann’s former role), Tim Hill (Finance), Kristin Fan (Finance), Eliot Fishman (Director, Children and Adults Health Programs Group, which oversees 1115 waivers), and Brenda Blunt (HHSC’s waiver project officer).
Attached are the four Word documents HHSC sent CMS in advance of the meeting – agendas for each of the topics and a draft of the Transition Plan for the Pools that HHSC is required to submit to CMS later this month along with an attachment to the transition plan.
Agenda for Meeting with CMS re: Waiver Transition
STC 48 Transition Plan Draft 20150302
STC 48 Transition Plan Attachment A
Agenda for Private Hospital Funding Meeting
Waiver Extension/Renewal and the Pool Transition Plan due March 31st
There were no big surprises in the meeting. The comments from CMS regarding waiver renewal/extension were similar to messages they’ve conveyed both in Texas and nationally recently. As we assumed, Texas will need to make a strong case to CMS to continue the DSRIP and UC pools beyond the original 5-year waiver term. We’re committed to working with you to make that case, and HHSC emphasized for CMS the key points in the first attached agenda. Some highlights from the meeting:
- HHSC: DSRIP and the RHP structure have enabled locally driven, provider-level innovation, which is so important to improving how care is delivered.
- CMS acknowledged that the Texas DSRIP program took long to get up and running, so we will want to continue to strongly make this point as part of our argument to extend DSRIP.
- CMS: DSRIP is hard to administer in Texas (and other states) and CMS is uncertain about what return it’s getting for its large investment.
- CMS wants further alignment of Texas Medicaid quality efforts and to further value based payment within Medicaid managed care.
- Of different states’ DSRIP programs, CMS thinks the New York model is well designed. (HHSC already is looking into the NY model, and what elements from it may be applicable to TX.)
- CMS wants a sustainability plan for DSRIP and UC; it is hesitant about ongoing supplemental payments and would rather see increases in Medicaid payment rates. (CMS noted that another way to reduce Texas’ UC burden would be insurance coverage expansion.)
- CMS Financial staff acknowledged they understood the importance of these funds to help support Texas’ safety net providers.
HHSC plans to submit the attached transition plan to CMS by the deadline of March 31, 2015. Many of you provided input on an earlier draft that was incorporated into this version. If you see anything in this final draft that you think is factually incorrect, please let us know as soon as possible.
Private Hospital IGT Financing
Regarding the UC deferral issue, CMS Financial staff provided HHSC a binder in response to the letter HHSC sent CMS in December. The attached 17 PDF documents are the entire contents of the binder by tab. HHSC is sharing the full binder with all of you because we know this issue has potential statewide implications and will need your assistance to continue to make our case to CMS regarding waiver financing. As you can see from the contents of the binder, CMS has reviewed this issue in detail; however, it’s unclear at this point to what extent their General Counsel has been involved in the response. We’ll follow up with them to ask whether their Legal team has reviewed. HHSC plans to review this issue internally and will work closely with impacted stakeholders before responding back to CMS on the points they made in the binder.
Table of Contents Tab 1 Tab 2 Tab 3 Tab 4 Tab 5 Tab 6 Tab 7 Tab 8 Tab 9 Tab 10 Tab 11 Tab 12 Tab 13 Tab 14 Tab 15
CMS Findings
Thanks,
Lisa Kirsch
Chief Deputy Medicaid/CHIP Director for Policy and the Transformation Waiver
Texas Health and Human Services Commission
512-707-6096
March 18, 2015
RHP 1 Regional Meeting Scheduled for March 26, 2015
The next RHP 1 Regional Meeting will be held at the Green Acres Baptist Church, Galilee Room, in Tyler, TX. The deadline to register is Friday, March 20th via the registration link below.
This meeting is intended for DSRIP Performing Providers, UC-only Participants, and other regional stakeholders with an interest in 1115 Waiver activities.
Click to Register
Presentation topics include:
1115 Waiver Statewide and Regional Updates
Reporting Updates & Technical Guidance
DSRIP Project Rapid Fire Sessions
Learning Collaborative Updates
Palliative Care and Supportive Care Delivery Models
Population Health
October 16, 2014
Materials from RHP 1 Regional Meeting – June 2, 2014
Materials from the meeting can be downloaded using the links below.
- Agenda 6-2-14
- Slides 6-2-14
- Learning Collaborative Slides 6-2-14
- Sign-in Sheets 6-2-14
October 6, 2014
Materials from RHP 1 Regional Meeting – September 3, 2014
Materials from the meeting can be downloaded using the links below.
- Agenda
- Slides
- Sign-in Sheets
- Evaluation Form
- Poster Gallery Presentations
- Andrews Center
- Good Shepherd Medical Center
- Hopkins County Memorial Hospital
- Hunt Regional Medical Center Greenville
- Lakes Regional
- Mother Frances Hospital
- NET Health
- Paris-Lamar County Health District
- University Physician Associates