Welcome to RHP 9 – Transforming Healthcare Now

Waiver Information

  • 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
  • 25 providers participating in Delivery System Reform Incentive Payment (DSRIP) projects
  • Needs assessment: Gaps in access, behavioral health, and overall care coordination.
  • 129 DSRIP projects
    • 46 Infrastructure Development projects (Category 1)
    • 83 Program Innovation and Redesign projects (Category 3)
    • 200 Plus Outcome Measures (Category 3)

Thursday, June 1, 2017, 5:00 PM: Deadline for changes in IGT Entities or proportion of IGT among entities
Friday, June 9, 2017: HHSC and CMS will complete their review and approval of April DY6 reports or request NMI
Monday, July 3, 2017: IGT due for April DY6 reporting DSRIP payments and Monitoring IGT
Friday, July 7, 2017, 11:59 PM: Due date for NMI responses and incomplete semi-annual progress reports 
Friday, July 14, 2017: April reporting DY6 DSRIP payments processed for transferring hospital and top 14 IGT entities
Monday, July 31, 2017: April reporting DY5 DSRIP payments processed for all providers and DY6 DSRIP payments processed for remaining providers
Wednesday, August 9, 2017: HHSC and CMS will approve or deny the NMI responses and semi-annual progress reports. Metrics approved will be paid in the next DSRIP payment period (January 2018)
November 2017: Regional Community Needs Assessment due.  


Making a Difference

Compliance Monitoring
  • Cat 1 and 2 - Round 3 reviews continue as planned.  Round 3 reviews continue as planned. MSLC will be contacting providers with follow up or additional requests.
  • HHSC started sending out messages to providers whose metrics were either not achieved or not validated. This mail out will continue this week. 
  • In general, HHSC is not sending out messages to providers whose metrics were achieved, even if they were revised, since MSLC communicated results of the review. HHSC will be in touch with providers if there will be any changes made to the reported information.
  • Category 3 - MSLC continues to review Category 3 measures.
Clinical Champions Workgroup
  • The Clinical Champions Bundle Advisory Teams (BATs) have submitted their first round of voting on potential measures for hospital and academic health science centers and each BAT had a conference call with HHSC during which they discussed their thoughts about including specific measures.
  • This week the BATs have begun another round of voting on those same measures; the voting will close on May 7th and conference calls are scheduled with each BAT for next week for discussion.
  • During the round of voting currently open, BAT members will be able to submit potential additional measures for consideration in the third round of voting.
  • HHSC also began work with the Technical Advisory BAT to discuss potential definitions for “setting” and “active patient” for measures.
  • HHSC had conference calls with LHDs and CMHCs to continue discussions on measures for those provider types.
  • RHP9 has 17 individuals on the BAT in the categories of Technical Advisory, Behavioral Health, Chronic Disease, Dental, Hospital Safety, Palliative Care, Maternal Health, Pediatrics and Specialty Care.  
April DY6 Reporting
Compliance Monitoring
  • Cat 1 and 2 - Round 3 reviews continue as planned. For the most part providers should not have a lot of new requests during April, unless they previously requested extensions and pushed the deadlines to April.  HHSC is finalizing messages to the providers to Round 2, and still working with MSLC on findings for some of the projects. Some providers will get additional notifications from MSLC with changes in previous findings/results.
  • Category 3 - MSLC continues to review Category 3 measures.