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.



 POSTPONED – Check back for new dates.


2020 RHP 9, 10, & 18 Collaborative Connections – Impacting Care

Hurst Conference Center, 1601 Campus Drive Hurst, TX 7605


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






Making a Difference

DSRIP Transition
  • Please find attached an update on the DSRIP Transition and opportunities for upcoming partner engagement, including a webinar on August 26, 2020. We appreciate your involvement and interest in the DSRIP program. Please let us know of any questions.
Category A Costs & Savings
  • In October DY9 (2020), providers who have a total valuation of $1 million or more per DY are required to submit an update on progress made towards the final report of costs and savings that is due in October DY10 (2021) by responding to questions in the DSRIP Online Reporting System.
    • The questions in the DSRIP Online Reporting System will be geared towards ensuring providers can identify an intervention associated with a Core Activity that can be analyzed for the final report of costs and savings and to make sure providers can identify data sources needed to complete the analysis (i.e., program costs attributable to the intervention and savings/benefits attributable to the intervention).
    • Unlike October DY7, the October DY9 update will not ask providers which tools they plan on using.
    • The purpose of the October DY9 update is to ensure providers are headed in the right direction towards the goal of completing the final report of costs and savings.   
  • In October DY10 (2021), providers who have a total valuation of $1 million or more per DY are required to submit the final report of costs and savings. HHSC’s goal for the final report due October DY10 is to have one tool that incorporates required data and qualitative questions in lieu of a separate narrative. 
    • HHSC is planning on creating its own Costs and Savings tool and accompanying user guide with help from HHSC contractors.
      • HHSC tentatively anticipates making the tool and user guide available early next calendar year, but providers can start collecting data to use in the tool before then.
      • The tool that HHSC is planning on creating for the final report of costs and savings that is due October DY10 (2021) will require the same data that was required in the recommended tools and alternative tools for DY7-8 cost and savings reporting (i.e., program costs attributable to the intervention and savings/benefits attributable to the intervention). 
  • October DY10 (2021) tool functionality goals include:  
    • the ability to compile all tool data for ease of HHSC’s review and standardization of data for analysis 
    • preventing providers from making errors in completing the tool, reducing mistakes and technical assistance  
    • capturing singular, qualitative responses that HHSC needs for its review of submitted tools in an effort to reduce follow-up correspondence with providers (I.e., explanation of activities performed to develop the intervention to support startup program costs included in the tool, separate explanations for utilization changes for each category of healthcare costs, explanation of the population benefitting from the intervention, etc.) 
    • one tool to capture either the forecast or retrospective model 
    • a user guide that speaks in more appropriate terms for the DSRIP program 
  • HHSC is still considering whether to allow the use of alternative tools for the final report of costs and savings that is due in October DY10 (2021). HHSC may consider the functioning of alternative tools approved for use in DY7-8 in the design of the tool created for October DY10. 
Some quick updates from HHSC:
  • Reminder:  HHSC will be on limited staff tomorrow, Friday, June 19th. 
  • CAT C:  NMI Template has been posted on the DSRIP Online Reporting Site (Also attached)
    • NMI Templates should only be submitted for: 
      • Measures that received an NMI during DY9R1 Initial reporting review, or
      • Cat C measures that requested provisional approval during DY9R1 initial reporting
      • DUE:  Friday, July 17, 2020 by 11:59 pm
  • Approved Payment Files:
    • Attached payment summary files by CAT B-D and CAT C milestones
    • Includes amounts approved for payment for DY7, DY8, and DY9 (dependent on transferred IGT)
    • Category C Milestone Summary file:  Approved for payment for CAT C DY7, DY8, DY9
    • Rate Analysis sent out IGT notifications with the amounts due by affiliation and IGT Entity yesterday, Wednesday, June 17th to Anchors and IGT Entities
    • Wednesday, July 1, 2020:  IGT is due
    • July 2020 is the final opportunity to submit IGT for DY7 payments, any unpaid DY7 payments will be forfeited after July 2020
A few updates from HHSC:
  • HHSC: A limited number of staff will be working on Friday, June 19th – Juneteenth. 
  • COVID-19 Updates:  You should have received an email from Christina Mintner yesterday with information on the concessions/changes that HHSC is proposing to CMS.
    • Review the documents (attached here again) for summary and details associated with the proposed changes.
      • CAT B:  MLIU Patient Population by Provider
        • encounters to include patient telephone calls
        • Adjust the allowable variation
      • CAT C:  Measure Bundles and Measures
        • Broken out by Continuing and Newly-Selected for DYY 9 & 10
        • Payment to be decided based on the highest of three options after reporting is completed, please see attached documents for details.
        • To be eligible for payment performing providers must report on measure performance for the corresponding PY years and ongoing quality improvement activities in the Core Activities reporting for DY9-10
    • Stakeholders may submit feedback until Friday, June 26, 2020 to HHSC Texas Healthcare Transformation and Quality Improvement Program Box:  TXHealthcareTransformation@hhsc.state.tx.us
  • DY9 R1 (April) Reporting Results
    • Reporting Results and NMI’s were distributed to providers by HHSC on Thursday, June 11th.
    • CONGRATULATIONS:  RHP 9 did not have any NMIs for April Reporting
      • However, check for any notes or TA requests in your summary report.  Respond accordingly and  HHSC will be reaching out to discuss identified TAs.
    • Provisionally Approved Measures:
      • CAT C:  Can be reported during the NMI period
      • CAT D:  Do not report in NMI period – report in October 2020-DY 9 R2 using the CAT D template
    • June 13, 2020 – Additional (NMI) reporting period opens
    • June 17, 2020 – Estimated date for Rate Analysis to send IGT notification
    • July 2, 2020 – IGT settlement date for April reporting
    • July 17, 2020, 11:59 pm – Due date for providers to submit responses to HHSC requests for additional information (NMI requests) on April reported SAR requirements and reported Category B-D milestones/metrics achievement
    • July 17, 2020 – April reporting DY9 DSRIP payments processed for transferring hospitals
    • July 31, 2020 – April reporting DY7 and DY8 DSRIP payments for all providers and DY9 DSRIP payments processed for providers that were not paid on July 17, 2020
    • August 21, 2020 – HHSC and CMS will approve or deny the additional information submitted in response to HHSC comments on April reported milestone/metric achievement.
  • Compliance Monitoring Update – Myers & Stauffer
    • Have received 96% of the measures for rounds 1a and 1b
    • Results for 1a reviews – Providers should be receiving results – review and work with MSLC to complete review
  • DSRIP Transition:
    • HHSC continues to make progress on milestone work, analysis, and new program proposals:  No Updates at this time.
    • Best Practice Workgroup:  HHSC is analyzing results of Survey 2: Prioritizing Key Practices and hopes to share with the workgroup next week.
  • Texas A&M SURVEY of DSRIP Providers:
    • Your should have received a survey request from Texas A&M  on th 1115 Waiver evaluation.  This is part of the requirements for HHSC to have an independent assessment of the program done.  This is very similar to the one we completed for Waiver 1.0 that was published in 2017.  If you received it, please take the 30-60 minutes to complete.