RHP9 Updates

• Reporting timeline: 
  • July 31, 2020: Remaining payments for all providers for DY7, DY8, & DY9 DSRIP payments processed for providers not paid on 7/17 will distributed. Each year will be a different transaction.
  • August 21, 2020:  HHSC & CMS will approve or deny additional comments provided in response to April Reporting.
• Recently Posted on https://hhs.texas.gov/laws-regulations/policies-rules/waivers/medicaid-1115-waiver and attached here:
  • Category and Measure Summary
  • Category C Milestone Summary
  • DY1-10 Total Payments to Date

·         HHSC and CMS are still in negotiation

·         CMS did not agree to the use of the measure class averages

·         CMS did propose using measure averages for most measures (at the measure bundle level with some exception of low volume measures) – no details available at this time

• Using DY8(PY2-CY2019) or DY9(PY3-CY2020) achievement values whichever is higher

·         HHSC hopes to have the negotiation completed with CMS in early August

• The Comment period on the posted rule amendment (The final DY9-10 PFM & MBP) is open through August 17,2020 in the July 17, 2020 issue of  Texas Register

• MSLC submitted compliance results for 1a period to HHSC who is reviewing them.
• Review your responses from M&S:  If you had changes as a result of the audits you will need to make updates in your data in October reporting as identified.
• MSLC continues to review the 1b time period submissions.

• Best Practice Workgroup will review Survey 2: Prioritizing Key Practice results and discuss next steps at the August 5, 2020 meeting.
• Partner Engagement:
  • Wednesday, August 26, 2020 @ 2:00 pm – Next quarterly meeting
  • Register using this link: https://register.gotowebinar.com/register/3382285091964590604