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.

UPCOMING EVENT:

 

TO BE ANNOUNCED

 

 

There are currently no upcoming events. Please check back later.

 

 

 

 

 

Making a Difference

DSRIP DY10R1 – April Reporting
  • DY10R1 – April Reporting Webinar recording can be located at this link
  • Reminder – the following resources are available on the DSRIP Online Reporting Bulletin Board
    • April DY10 Reporting Companion
    • April DY10 User Guide
    • Category C Reporting Template
    • Related Strategies Reporting Template
    • Category D Reporting Documents
    • Category D Reporting Template
    • Excel Macros Troubleshooting Document
  • Friday, April 30th @ 11:59 – DY10R1 DSRIP Reporting Due Date
    • Enter reporting responses and upload applicable CAT C and CAT D reporting templates – DSRIP Online Reporting System
    • Complete Related Strategies template and EMAIL the template to HHSC Waiver mailbox at TXHealthcareTransformation@hhsc.state.tx.us.

 

CAT C :

  • Related Strategies Reporting Template:  Two versions available: with and without Macros – review troubleshooting document on the bulletin board for more guidance on these.

 

CAT D:

  • Although not required to submit a CAT D template if you are not reporting in April, it is recommended that you do so indicating “No” for whether you are reporting in April or not.  If you do not submit the template, HHSC will follow-up with you to make sure that is what you intended to do. 
  • Be sure to also mark your intentions in the online DSRIP CAT D tab.
COMPLIANCE MONITORING: MSLC

CAT C: Round 3

  • Category C Round 3 begin notifying providers regarding selected measures starting today.
  • You will have until Friday, 5/7/21 to respond
  • The process has changed to do contractual agreements between MSLC and HHSC – these changes will be identified in your email request, but are listed here as well:
    • Provider submission of data elements to MSLC that support numerator and denominator
    • inclusion for the rates indicated above as required by the measure specification.
    • Possible follow-up information request and conference calls by MSLC. Note only one follow-up request and submission of additional information will be permitted.
    • MSLC review of the submitted data and submission of preliminary findings to the provider. If significant data or methodology issues are found, MSLC may develop a corrective action plan for the provider to follow in order to make the necessary corrections.
    • Time-limited period for provider submission of corrected data to address findings and issues found by MSLC. Providers will be allowed a one-time submission of corrected data during this period only. MSLC will NOT be accepting new data or corrections after this period.
    • Possible request from MSLC for a sample of detailed patient charts/medical records to verify the information in the supporting data.
    • Communication of final Category C verification results by MSLC to HHSC.

 

DSRIP 1.0 Reviews – Existing Open Reviews

  • MSLC has started the review of the DSRIP 1.0 open audits (Category 1, 2, & 3) based on previously submitted data and reports.  MSLC will reach out to providers by the end of the month with next steps.
  • HHSC sent the list of CAT 3 open outcomes to Anchors 3/26/21, which was sent to providers.
  • HHSC will send The CAT 1 & 2 List to Anchors on 4/19/21, we will forward them to you as soon as we get the list.
Compliance Monitoring:
  • MLSC:  Waiver 1.0-Category 3 Open Audits Resuming – May 2021
    • Attached is the Category 3 Open Outcomes excel spreadsheet from MLSC for  Waiver 1.0  – These are Open Cat 3 Audits that were not completed when MLSC was pulled from auditing, they will begin working on closing in these audits in May.  According to HHSC DSRIP staff and MSLC, no new Waiver 1.0 audits will be requested.
  • CAT C Data Support Guide:
    • MSLC updated their CAT C Data Support Guide – It is located on the DRIP Online reporting System: Version 7 dated 3/25/21, attached with this email for your convenience.
DY10R1 Reporting:
  • Category D PPE Reports: 
  • Reminder:  DSRIP Online Reporting opens April 1, 2021 – DY10R1 Reporting Companion also available on 4/1.
  • 4/6/2021:  The April DY10 reporting webinar has been scheduled for Tuesday, April 6th at 10:00 AM. Please register for the webinar using this link: https://register.gotowebinar.com/register/4912181860306785293.
DSRIP Transition: