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 EVENTS:

 

TO BE ANNOUNCED

 

 

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

 

 

 

 

 

Making a Difference

October DY10 Reporting
  • Tuesday, October 5, 2021 10:00 am – 12:00 – October DY10 Reporting WebinarClick here to register.
  • Reporting materials will be posted in the Online DSRIP Bulletin Board starting the end of September as the are ready.
  • CAT A:
    • Final Cost & Savings template for DY10R2 and the User Guide have been posted on the bulletin board (also attached)
      • Reminder:  Enable Editing, Enable Content
  • CAT C:
    • Updated Category C Summary Workbook posted to the online reporting bulletin board
      • Providers should review for accuracy
      • Monday, 9/27/21 – Deadline to report discrepancies in the CAT C Summary to waiver mailbox.
      • Included the TPI and Measure ID in all communications about a specific measure
      • TA flags resolved after 9/13/21 will not be in this updated workbook
COVID-19 Flexibilities
  • CAT B
    • DY10 Allowable Variation updated to 15% flat percentage.
  • CAT C:
    • Report calendar year 2021 data (DY10-Begin reporting in April DY11R1) to be eligible for payment on CAT C DY10 Achievement – No impact on October DY10R2 reporting
      • For measures selected for DY7-10, the PY4 achievement value for DY10 achievement milestones and DY9 carryforward achievement milestones will be based on the greater of:
        • Provider’s approved DY8 achievement value for the measure;
        • Average approved DY8 achievement value for the measure if 10 or more providers selected the P4P measure for DY7-8, rounded down to the quartile;
        • Average approved DY8 achievement value for the Measure Bundle if less than 10 providers selected the P4P measure for DY7-8, rounded down to the quartile; or
        • Percent of DY10 goal achieved in CY2021 for DY10 achievement milestones, and Percent of DY9 goal achieved in CY2021 for DY9 carryforward achievement milestones.
      • For measures that were newly-selected for DY9-10, the PY4 achievement value for DY10 achievement milestones and DY9 carryforward achievement milestones will be based on the greater of:
        • Average approved DY8 achievement value for the measure if 10 or more providers selected the P4P measure for DY7-8, rounded down to the quartile;
        • Average approved DY8 achievement value for the Measure Bundle if less than 10 providers selected the P4P measure for DY7-8, rounded down to the quartile; or
        • Percent of DY10 goal achieved in CY2021, and Percent of DY9 goal achieved in CY2021 for DY9 carryforward achievement milestones.
    • Average Achievement Values file dated 3/17/21 on Online Reporting bulletin board will be used to determine achievement for CY2021 CAT C reporting
Upcoming Stakeholder Meeting
DSRIP One-Year Extension
  • HHSC has accepted CMS’s offer to extend DSRIP for one year
  • CMS has not confirmed acceptance as of 9/17/21
  • DSRIP team is working on the waiver extension amendment and PFM (Program Fundamentals Manual) and MBP (Measure Bundle Protocols) required to implement extension
  • Stay tuned for public posting on the amendment.
Compliance Monitoring - MSLC
  • MSLC began sending out CAT C Round 4 reviews last week.
  • Round 4 Review Period is September 2021 – February 2022
  • Providers who received emails on 9/15/21 from MSLC and who reported PY3 in April Dy10 while under MSLC review for baseline, PY1 and/or PY2
    • If you have revised baseline , PY1, and/or PY2 must be resubmitted based on alignment with MSLC review outcomes
    • If no change is required, providers enter previously reported PY3 to certify that data is correct
  • HHSC/MSLC will send out compliance monitoring contact list to anchors prior to each round of reporting
    • Anchors will check with provides for updates
In between rounds, providers should email the Waiver box and MSLC with any contact changes using the contact updates forms found on the bulletin board