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

Provider Contacts:
  • Next week HHSC will distribute to Anchor’s a Provider Contact List
  • Anchors will reach out to their Regions to confirm the contacts and make any updates as needed
  • Look for more information next week.
CAT A Activities:
  • HHSC has posted on the DSRIP bulletin board in the online reporting system a file that documents all the currently approved DY9-10 Core Activities. 
    • TAB 1 = Reflects all changes approved during RHP Plan Update, Active Core Activities are Found in Column A
      • Note:  Deleted core activities are noted and can be identified by looking at indicator DY7-8
    • TAB 2= Provides the DY9-10 Core Activities Menu
  • More direction on what to enter for CAT A during October reporting will be available in the DY9R2 Reporting Companion
Compliance Monitoring:
  • HHSC sent out notifications to 44 providers regarding PY2 reporting
    • 59 measures did not have any changes, 3 had decreased PY1 Achievement
  • All providers are being asked to review previously reported P2 data and submit the data in October to ensure consistent reporting methodology across baseline and performance years.
  • MSLC continues to work through round 1B Reviews, HHSC expects results in September.
Provider Survey: HHSC M-7 Survey of DSRIP Providers on Alternative Payments Models
  • This survey has been extended by two weeks
  • Closes on September 28, 2020
  • Please ensure only one submission from you provider entity
  • Survey is designed to collect provider feedback on opportunities and challenges regarding contracting with Medicaid MCO’s using APMs
DSRIP Transition Plan:
  • CMS formally approved the HHSC DSRIP Transition Plan (with updated due dates to accommodate the States response to COVID 19) on September 2, it can be found on the DSRIP Transition Website. (attached)
  • Key Milestone Deliverable Updates Approved:

Transition Plan Goal and Milestones

Original Deadline

Revised Deadline

Advance APMs to Promote Healthcare Quality

  • Milestone: HHSC advances Alternative Payment Models (APMs) in the Medicaid program and delivery system by updating the Texas Medicaid Quality Strategy and Texas Value-Based Payment (VBP) Roadmap to address program and stakeholder goals.



Support Further Delivery System Reform

  • Milestone: HHSC identifies and submits to CMS any proposals for new programs, including state-directed payment programs, to sustain key DSRIP initiative areas. This would include programs that require an amendment to the Waiver to begin in DY 11.



Explore Innovative Financing Models

  • Milestone: HHSC assesses Texas’ current financial incentives for Medicaid MCOs and providers to enter into meaningful quality-based alternative payment models and identifies potential opportunities to strengthen or align incentives. This work includes providing additional guidance to Medicaid MCOs and providers for allowable Quality Improvement costs to help sustain certain successful DSRIP strategies.



Strengthen Supporting Infrastructure to Improve Health

  • Milestone: HHSC assesses the current capacity and use of telemedicine and telehealth, particularly in rural areas of Texas, to inform next steps to address access gaps.



  • Milestone: HHSC identifies options for the Regional Healthcare Partnership structure post-DSRIP.