Welcome to RHP 9 – Transforming Healthcare Now

Waiver Information

 

  • Medicaid 1115 Waiver renewed October 1, 2017 – September 30, 2022. Click here to review  the updated RHP 9 Plan for demonstration years DY7-8.
  • Five-year demonstration waiver that began on September 1, 2011
  • 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
  • 23 providers participating in Delivery System Reform Incentive Payment (DSRIP) projects
  • Needs assessment: Gaps in access, behavioral health, and overall care coordination.

July 2018: Providers receive 20% of DY7 valuation 

 

Making a Difference

Category C
  • Request Zero Baseline:  If a provider wants to request a zero baseline, they should complete the Modification Request form. It is not listed as one of the modification request types, but they can specify their request in the Additional Comments field.  The form may not show as complete when they are done but that is okay.
  • HHSC will be posting an updated Hospital and Physician Practice and LHD specifications. The following clarifications will be added to the specifications:
    • C1-272 & L1-272 Adults (18+ years) Immunization status: Allow either version of the pneumonia vaccine to align with the allowable vaccinations for the measure Pneumonia vaccination status in older adults
    • E1-193 Contraceptive Care – Postpartum Women Ages 15–44 (CCP-AD): Clarify that for DSRIP reporting purposes, rate two will be reported for within 60 days only.
  • As previously announced, HHSC will be holding a series of calls to answer Category C specifications questions July 23-26. Please see the schedule below.  Meeting invites were sent to all calls except K1/2 (Rural)
    • As with the Cat C specs FAQ, HHSC may rephrase submitted questions to make them more applicable to all providers.
    • Additional questions from Anchors related to the calls:
      • Will the calls allow for discussion between HHSC and providers? Can providers submit additional questions during the calls? Answer: Because we won’t have operator-assisted calls, we don’t anticipate being able to manage questions from providers on the calls. We also won’t have a way to answer questions submitted during the calls because we won’t have had time to research and prepare answers.
      • Will HHSC release the questions lists to providers before the specs calls? Answer: Since we aren’t sure of the volume and types of questions we’ll get, and we haven’t done calls like this before, we aren’t quite sure yet what we’ll have time to have done before the calls, but our goal is to send out the questions (and answers, if possible) that we’ll cover on the call ahead of time.
      • How will HSHC respond to questions for which the answer can be found in a resource document? Answer: If we have time we will include answers for those types of questions on the call. We’re hopeful that this will be an opportunity for providers to get a sense of the process we go through when researching answers and they can see the kind of information that would be helpful for providers to include when they ask questions. It may also help them see the kind of information they can review on their own as they gain experience with interpreting specifications. Providers should have the specs open in front of them on the calls because we will likely reference them in our answers.
      • In general, one reason we decided to do these calls is so that we can answer as many questions as possible in a short time frame. Answering questions often takes many hours of research by staff, which is why it can seem like specs questions go unanswered for some time. This is one last push to get questions answered before early baselines are submitted.

 

 

 

Compliance Monitoring
  • MSLC has started its work on the new round of review for Category 1 and 2 projects and Category 3 performance review. Providers should have received notifications from MSLC about reviews and data that will need to be submitted. Reviews will go through this summer and should be completed in September.
  • HHSC completed its review of MSLC findings for Category 1 and 2 projects included in Round 4 and will be emailing notifications to providers next week. Final notifications related to Round 3 will also go out next week.
Measure Bundle Call Dates & Times

HHSC will be holding calls during the week of July 23 - 26 to answer measure specification questions.  Please see the schedule below for the calls being held for groups of Measure Bundles or provider categories. 

  • Measure bundle I1 is not included in a call due the small number of providers who chose that bundle, but providers may submit questions about I1 measures to be answered in writing.
  • Providers should submit their questions to their Anchor by Friday, July 13, and the Anchor will submit their region's questions to HHSC by COB Monday, July 16.  Providers may submit questions they have already submitted to the waiver mailbox that have not yet been answered. 
  • Before submitting questions, please review all available resources for answers first, including the Category C Specifications Introduction, the Category C Specifications FAQ, the Cat C Baseline Reporting Companion, etc.  HHSC cannot answer questions related to MSLC's Data Support Guide.
  • HHSC will follow-up after the calls with answers in writing.
  • HHSC will make every effort to answer submitted questions, but we may not be able to answer them all by July 26th prior to early baseline submission. 
  • Conference line details will be provided later today. 

 

Measure Bundles

Call Date

Call Time

D1, D3, D4, D5

July 23, 2018

2:00 - 2:45 PM

A1, A2

July 23, 2018

3:00 - 4:00 PM

H1, H2, H3, H4, G1

July 24, 2018

10:00 - 10:45 AM

B1, B2, E1, J1

July 24, 2018

11:00 AM - 12:00 PM

LHDs

July 25, 2018

2:00 - 2:45 PM

C1, C2, C3, F1, F2

July 25, 2018

3:00 - 4:00 PM

CMHCs

July 26, 2018

10:00 - 10:45 AM

K1, K2

July 26, 2018

11:00 AM - 12:00 PM


Recent Updates to the DSRIP Bulletin Board
  • Category C Baseline Reporting:  HHSC has posted the Category C Early Baseline Reporting Template and Companion to the bulletin board, as well as the Modification Request form.  Deadlines for the Modification Request form are included in the Category C Baseline Reporting Companion (documents sent last Friday in the Anchor Notes) 
  • Waiver Renewal
    • Additional MSLC Category C Data Support FAQ questions were posted this week, as well as an updated risk-adjusting template. Both can be found under the "MSLC Guidance for DY7 and DY8" section.
    • HHSC updated the Category C Goal Calculator to make minor changes that were impacting how some measures were displaying in the template. The updated calculator can be found under the "Category C Measure Specifications & FAQ" section.
HHSC Cat C Baseline Reporting webinar

Topic:             Category C Baseline Reporting

Date:              July 9, 2018

Time:             10:00AM-12:00PM, Central Daylight Time

 

To join the online meeting:

1) Go to Join WebEx meeting

2) Click on Attend Meeting (Meeting Number: 730 407 617)

4) Call 888-613-0404