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:


RHP 9 & 10 Chronic Disease Management Cohort #2

Tarrant County Public Health | 1101 South Main Street | Pasteur Room | Fort Worth, TX 76104

Wednesday, July 17, 2019 from 1:30 PM to 3:30 PM (CDT)

Click Here to Register

RHP 9 & 10 Patient Navigation & ED Diversion Cohort #2

Join WebEx meeting
Meeting number (access code): 807 361 325

Join from a video system or application
Dial 807361325@parkland.webex.com
You can also dial and enter your meeting number.
Join by phone
+1-469-210-7159 United States
Toll (Dallas)
+1-415-655-0001 US TOLL
call-in numbers

Join audio only, from mobile: 14692107159,,807361325# 

Click Here to Register        

Wednesday, July 17, 2019: RHP 9 & 10 Chronic Disease Management Cohort #2 Register
Wednesday, July 24, 2019: RHP 9 & 10 Patient Navigation & ED Diversion Cohort #2 Register  
2019 Statewide Learning Collaborative: September 4 and 5 in Austin 
September 2019: 86th Texas Legislative Session Recap






Making a Difference

April DY8 Reporting
  • April DY8 reporting review results were distributed on Thursday, June 13th. The Need More Information (NMI) or Additional Reporting Period will start on Monday, June 17th and close on Wednesday, July 10th. Please note you won’t be able to see reporting results or respond to NMI requests in the reporting system until the Additional Reporting Period is opened on Monday.
  • The Cat C NMI template is attached.  The template is due by 11:59pm on Wednesday, July 10th.
  • Please note that the DY8R1 reporting results include milestones that were not eligible to be reported during the DY8R1 reporting period (e.g., M-5.1, M-6.1, RM-3, AM-8.x). These milestones will be eligible for reporting in future reporting periods. These milestones show a signoff of “Did Not Report”, and the comment states that the milestone was not eligible to report.
  • Attached are the payment summary files by Categories B-D and Category C milestones. The DY8 Round 1 Project and Category Summary file includes the amounts approved for payment for DY6, DY7, and DY8, dependent on transferred IGT. The DY8 Round 1 Category C Milestone Summary file includes the amounts approved for payment for Category C DY7 baseline reporting (RM-1), DY7 achievement milestones (AM-7.x) and Reporting Year 1 reporting (IM-1) milestones. Rate Analysis targets sending out the IGT notification with the amounts due by affiliation and IGT Entity on Monday, June 17th.
Category A - Costs & Savings
  • HHSC is still finalizing a few questions submitted by the regions, and an updated FAQ document will be posted once these additional questions have been addressed.
  • Attached is a Costs and Savings examples document which provides examples illustrating different approaches to the Costs and Savings analysis. These examples are intended to help providers establish the scope of the Costs and Savings analysis as it relates to the Core Activity under review. Providers can continue sending questions to the mailbox after reviewing this material.
  • HHSC is considering having providers present their work on the Costs and Savings analysis at the Statewide Learning Collaborative. Please let me know by June 26th if you are have completed or made significant progress towards completing the Costs and Savings analysis, feel comfortable with the analysis, and would be willing to present at the Statewide Learning Collaborative, if needed. Anchors will submit nominations to HHSC. 
Category B
  • Plan modifications for Category B system definitions and/or PPP baseline information that impact the October DY8 reporting period are due by EOD Wednesday, July 3, 2019. Plan modification requests should be sent to the waiver team mailbox at TXHealthcareTransformation@hhsc.state.tx.us with the subject line: “RHP ##_Provider TPI: Cat B Plan Mod Request” (e.g., RHP 1_123456789: Cat B Plan Mod Request). Please be sure to include the following information:
    • System Definition: Provider should provide the name of the system component, any applicable updated system component description(s), and an explanation of the system change. Please refer to the system definitions summary that has been posted under “Category B Resources” on the Bulletin Board in the DSRIP Online Reporting System.
    • PPP Information: Provider should submit updated Total and MLIU PPP baseline information for DY5-6, along with an explanation for the request (e.g., data errors in original submission, significant change to the performing provider's system definition, significant shift in the demographic served, etc.).
  • Note: HHSC will follow up with providers if additional information is needed when reviewing the submissions.
Category C
  • DY8R1 Reporting Update:
    • HHSC will update the Category C Summary Workbook with updated reporting numbers by early next week.
  • Baseline TA Update:
    • HHSC will continue to work with providers to resolve outstanding baseline TA issues from previous rounds of reporting and from April DY8 reporting. Providers with an outstanding TA Flag will not be able to report in future reporting rounds without an HHSC approved resolution. Providers should contact HHSC once the requested information/data is available so that TA flags can be resolved.
  • DY8R2 Interim Corrections:
    • Providers will have another opportunity to submit baseline and performance corrections this summer. The interim correction template will be available in July, and the submission deadline will be in mid-August. Providers will be eligible to submit corrections for baselines and Performance Year 1. HHSC will provide additional details after the April DY8 reporting results are available
DSRIP Transition Planning:
  • HHSC and UT Dell Medical School are continuing their work on the DSRIP Transition Plan and plan to have a draft to post for public comment in early July 2019. HHSC plans to host a webinar to review the draft DSRIP Transition Plan.