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.



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

June 3-4, 2020  (8:30AM - 4:30PM)

Hurst Conference Center, 1601 Campus Drive, Hurst, TX 76054


Click here to register

Wednesday-Thursday, June 3-4, 2020: 

RHP 9, 10, 18 Collborative Connections - Impacting Care 8:30AM - 4:30PM

Click here to register






Making a Difference

DY8 Round 2 (October) Reporting Timeline
  • 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.
Category A
  • Costs and Savings NMIs: Providers required to submit the Cost and Savings analysis received an NMI for the Category A reporting. For most providers, this NMI did not impact the payment eligibility.
  • HHSC will be sending out requests for additional information via email during the review of each analysis in January and February. HHSC may ask for additional information regarding provider’s analysis during this time, including asking for additional information on the assumptions that went into analysis as many providers did not provide a lot of details for their assumptions (e.g., provider assumed that the inpatient utilization will be decreased by 75% as a result of the initiative. Since this is a key assumption for the Cost and Saving analysis contributing to a high ROI, providers need to elaborate on what this assumption is based on).
Category B
  • Correction: The deadline for Category B plan modifications that will impact DY8 Category B metrics reported in April DY9 has been updated to EOD March 1, 2020.
  • Providers need to send HHSC updated Total and MLIU PPP baseline information (e.g., if the provider is using the average of DY5 and DY6 to establish their baseline, the provider should include the revised actual values for DY5 and DY6), along with a detailed explanation for the request (e.g., data errors in original submission, significant change to the Performing Provider's system definition, significant shift in the demographic served, etc.) to the waiver team mailbox at TXHealthcareTransformation@hhsc.state.tx.us.
  • Note that any plan modifications that were submitted through the RHP Plan Update process will only impact DY9-10 Category B metrics.
Category C
  • The Cat C DY8R2 NMI template is available on the online reporting system bulletin board. Outcomes that received an NMI for a Category C reporting milestone (RM-2, IM-2, or AM-7.x) are required to submit a new Category C NMI Reporting Template.
  • Providers should submit their NMI templates through the online reporting system by 11:59 pm on Wednesday, January 15, 2020.
PFM Requirements

Attached is a 2-page summary of DSRIP DY9-10 requirements.