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

DY10R1 Reporting Timeline:

DY10R1 Reporting Timeline:

  • June 14, 2021:  April Reporting Review Complete – Approval or Request for More information sent out.
  • June 16, 2021:  IGT Notification Request
  • July 6, 2021: IGT Due
  • July 16, 2021:  NMI Responses Due to HHSC
  • July 20, 2021: DY10 DSRIP payments to transferring hospitals
  • July 30, 2021:  April reporting payments for DY8, DY9, and DY10 DSRIP for all providers and DY8 and DY9 payments for those not paid on July 20.
  • August 24, 2021: HHSC & CMS Approve NMI Responses, payments in January 2022.
Upcoming Stakeholder Meeting:
DSRIP Transition:
  • Milestone 10 Deliverable for HHSC – Regional Healthcare Partnership Structure Post DSRIP
    • DY 11, DSRIP Anchor entities continue to support the participating providers in completing DY10 reporting (April & October 2022)
    • DY11 will be a transition year for the role.
    • HHSC has developed options for the scope of future regional coordinating entities focused on DY12 new program options.  Anticipate posting draft role information in July for comment.


  • HHSC DSRIP Team continues to coordinate with Internal DPP partners on the reporting timelines.  Still anticipate October & April reporting.
  • IGT calls for CHIRP, TIPPS, RAPPS, and DPP BHS are complete.  Final models based on actual IGT collection and MCO premium rates are in progress.
DPP Information & Contacts:
    • EMAIL










A quick update from HHSC:

April DY 10 Reporting: HHSC is working on completing April DY10 reporting review.

  • 6/14/21:  Approval/Request for NMI (need more information) from HHSC due to providers
  • 7/15/21:  Due Date:  NMI responses for DY101  April reporting
  • 8/21/21:  HHSC Approve/Deny NMI  - Approved reporting included in DSRIP Payment period in January 2022