Welcome to RHP 9 – Transforming Healthcare Now 

Waiver Information


  • Medicaid 1115 Waiver renewed October 1, 2017 – September 30, 2022. information 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.

Happy Holidays & Season's Greetings

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Making a Difference

October DY8R2 Reporting
  • DSRIP Online Reporting System
    • Please note that the checkboxes under the APMs section on the Category A tab may not appear to save if the provider is using Internet Explorer for their browser. If the provider can switch browsers (e.g., Google Chrome, Firefox, etc.) the provider will be able to see the saved selections.
    • There is conflicting guidance in the October DY8 Reporting Companion for Alternative Payment Methodologies (APMs). The companion document mentions that the question “Please describe the benefits and/or challenges the provider has experienced with their VBP arrangement(s)” is required. However, under the Alternative Payment Methodologies (APMs) section on the Category A tab, the question “Please describe the benefits and/or challenges the provider has experienced with their VBP arrangement(s)” only appears if “Yes” is selected for the question: “Is this arrangement new since completing Category A required reporting in October DY7?”
      • If the provider has a response for the question “Please describe the benefits and/or challenges the provider has experienced with their VBP arrangement(s),” please select “Yes” for the new APM/VBP arrangement question and include in your benefits and challenges response that the answer to the new APM/VBP arrangement question should be “No”.
      • Providers may also choose to not provide a response when “No” is selected for a new APM/VBP arrangement.
  • If additional contacts need access to the online reporting system for the October DY8 reporting period, then please complete and submit an RHP Contact Change Form. RHP Contact Change Forms should be sent to TXHealthcareTransformation@hhsc.state.tx.us. The RHP Contact Change Form can be found on the bulletin board and on the Waiver website under 1115 Medicaid Waiver Tools and Guidelines.
  • Costs and Savings
    • An updated version of the Costs and Savings FAQ document responding to all outstanding provider questions is attached. All providers should review the updated Costs and Savings FAQ document.
    • If providers have identified extremely helpful resources related to calculating costs and savings, return on investments, etc., then please share these resources with HHSC by emailing them to TXHealthcareTransformation@hhsc.state.tx
  • Core Activities
  • Deleting Secondary Drivers and Change Ideas in the Reporting Template: if a provider has multiple Secondary Drivers and associated Change Ideas, certain rules need to be followed. Based on the current functionality, if a provider has, for example, five secondary drivers and wants to delete the 2nd one, erasing it in the template will also delete the 3rd-5th Secondary Drivers. To avoid this:
    • Providers can select “Edit” for this Core Activity and copy/paste information from Secondary Drivers #3-#5 into Secondary Drivers #2-#4. This would include the Secondary Driver name, all of its Change Ideas, and the response to the progress and challenges question. It would be best for the provider to highlight and copy/paste the text from these fields in the formula bar. (They should not copy/paste the cells themselves as this will override conditional formatting and data validation.)
  • If for some reason a provider is not able to copy and paste as instructed above, you can keep this secondary driver in the template and confirm in the progress and challenges that it needs to be removed – and we can do it on the back end. This Core Activity will still be in the RHP plan update template, so you will need to confirm the deletion in that template as well.
  • To update Category C measure bundles or measures on a Core Activities tab, providers need to select Edit option that will allow them to update Category C measure bundles or measure selection for a particular Core Activity.
  • Providers should review their Other Core Activities to see if they can be moved on the menu. To do that – provider would need to delete an existing Other Core Activity (if it is under Other Core Activity Grouping) and replace it with the one on the menu.
  • Providers would need to do this in October DY8 reporting template and the same change will need to be reflected in the RHP Plan update template for DY9-10.
  • HHSC has developed a file that lists all providers’ Core Activities, Secondary Drivers and Change Ideas that were used to populate the reporting and the RHP Plan update templates.  See attachment. 
Reporting Timeline
  • October 25, 2019 – Final date to submit Category C questions
  • October 28, 2019 – Final date to submit Category A, B, and D questions
  • October 31, 2019, 11:59 pm – October DY8 DSRIP reporting submissions are due. Late submissions will not be accepted.
  • November 1, 2019 – HHSC starts review of DSRIP reporting submissions
  • November 20, 2019 – HHSC will post the estimated IGT. Final IGT due will be based on HHSC review and approval.
  • November 20, 2019, 5:00 pm – Due date for IGT Entities to approve and comment on their affiliated providers’ October reported progress on metrics using the IGT Info tab of the provider-level project.
  • December 6, 2019, 5:00 pm – Due date for submitting any IGT changes in entities or proportion of IGT among entities to HHSC.
  • December 13, 2019 – HHSC will distribute initial reporting results with approval of October DY8 reports or request additional information (referred to as NMI).
  • December 20, 2019 – Estimated date for Rate Analysis to send IGT notification.
  • January 6, 2020 – IGT settlement date for October reporting.
  • January 15, 2020, 11:59 pm – Due date for providers to submit responses to HHSC requests for additional information (NMI requests).
  • January 17, 2020 – October reporting DY8 DSRIP payments processed for transferring hospitals.
  • January 31, 2020 – October reporting DY7 DSRIP payments for all providers and DY8 DSRIP payments processed for providers that were not paid on January 17, 2020.
  • February 21, 2020 – HHSC will distribute NMI reporting results. Approved reports will be included for payment in the next DSRIP payment period, estimated for July 2020.
Blueprint for a Healthy Texas
Compliance Monitoring Update
  • HHSC is finalizing the contract and expects to have a compliance monitor on board in early November.
  • HHSC will be contacting providers this week to update contact lists for communication with the compliance monitor. This is not specific to any reviews at this time but is to ensure that the compliance monitor will have the appropriate contacts for future correspondence.
DY8R2 (October) Reporting
  • The DY8R2 Reporting Webinar will take place on Friday, October 4th from 10 am to 12 pm. Register at https://register.gotowebinar.com/register/7784348112560958220
  • The October DY8 reporting companion document will be available on the DSRIP Online Reporting System around Monday, 9/30/2019.  
  • The following excel templates are being finalized for the DY8R2 Reporting Period and will be posted to the online reporting system bulletin board:
    • Category A Core Activity Reporting
    • Category C Reporting Template
    • Category C E2-A01 DY8 Milestone Reporting Template
    • Category D Reporting Template