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

DSRIP Transition - DY11 Proposal HHSC

Hospital/UHRIP DPP: HHSC has created a workgroup that has been reviewing and considering a redesign of the existing UHRIP (uniform hospital rate increase program) directed payment program. HHSC has had some discussions with CMS as they recently finalized the terms for the current program year for UHRIP. What they know from CMS is that it may be possible to expand the UHRIP program but CMS would expect to see a quality component added to the program/tied to the funding. HHSC Waiver Operations and HHSC Provider Finance have been working with/facilitating subgroups to look at various models, directed payment program federal rules (including limitations and requirements), as well as quality components and considerations. HHSC is also working with a contractor on financial models.


Physician DPP: HHSC created a workgroup to evaluate possible directed payment program opportunities for physician groups. One consideration discussed is revising the existing NAIP (network access improvement program) DPP, which is currently a pass-through program for academic health science centers in partnership with managed care organizations. Preliminary considerations include adding a quality component tied to NAIP funding. HHSC is considering three main practice types: physician practices associated with health-related institutions (aligns with DSRIP practices), physician groups contracted with hospitals that receive IME add-ons (indirect medical education), and possibly community private physician practices.


Rural: A rural workgroup will evaluate possible directed payment programs that would be targeted to rural health clinics. Goal would be to incentivize and continue improving primary care in rural communities. There are several RHCs who have been subcontracted partners in DSRIP that could possibly become eligible primary care providers under a DPP program. HHSC has started working with RHCs and other rural health entities to develop what this would look like, evaluate a lot of the existing rural health bundle measures, and discuss payment options for that.   


CMHCs: A CMHC workgroup will be led by HHSC to also evaluate potential directed payment programs for DY11. The goal here would be to continue the significant work and behavioral health services in the DSRIP program; continuing to improve on that and to incentivize CMHCs to become certified community behavioral health center (CCBHC) models if not already doing that. A lot of the measures required as part of the CCBHC model align with what is done in DSRIP.


LHDs: With regard to LHDs, HHSC plans a workgroup to evaluate three possible program options designed to complement each other. The possible options HHSC is looking to evaluate are: (1) whether or not LHDs could participate in the UC (uncompensated care) program; (2) an LHD directed payment program similar to the physicians program – tied to Medicaid utilization that includes a quality component; and (3) some type of cost-reimbursement methodology for services provided by LHDs to the Medicaid public (e.g., similar to school health and related services programs).


Note on LIU Population: HHSC understands that directed payment programs of any type are run through managed care organizations and tied to utilization rates. HHSC indicated they continue to have internal discussions with leadership regarding the LIU population. However, they are not at a point in which they have any information to share specific to that issue.

SAVE THE DATE AND REGISTER: HHSC DSRIP Transition Plan Partner Engagement Meeting

HHSC will be holding its next quarterly DSRIP Partner Engagement meeting via webinar on Monday, November 16, 2020 at 2:30 PM. HHSC will provide updates on the DSRIP Transition progress, additional upcoming opportunities for partner engagement, and will give partners the opportunity to ask questions. Please register for the webinar using this link: https://attendee.gotowebinar.com/register/2224623594491872523

Happy Tuesday Providers


  • TEST YOUR TEMPLATES if you have not yet started inputting data.
  • DO NOT wait until the deadline for submitting questions.
  • There have been issues with Cat A-Core Activities, CAT C, and CAT D templates for some providers.  All templates on the DSRIP Bulletin Board are current.  However, HHSC is also working with providers on a case by case basis to fix some unique issues by provider and updating their individual templates.
  • Send any issues to the box for resolution
    • Identify your RHP, TPI, Template in the Subject line
    • Identify your issue and the browser and other programs you are using so they can better assist you and resolve the issue in as timely a manner as possible. 
CAT A Cost & Savings:
  • HHSC will post a Q&A for questions received on the Bulletin Board by early next week.
  • The October DY8 Costs and Savings Data file that was distributed (OctDY8_CS_Data.xlsx) was for reference only. 
  • It is a snapshot in time as of October DY8 Reporting, providers should only submit requests to update if the Core Activity identified and/or the full/partial qualifier is inaccurate based on the Core Activities as of October DY8 reporting.
CAT A Core Activities:
  • Template Issues:  HHSC has worked with several providers to resolve provider specific issues related to the template.  If you have an issue please send your template and the issue to the HHSC box with the subject line:  RHP09_TPI -Core Activities template to have it resolved.