RHP9 Updates

Quarterly DSRIP Stakeholder Meeting:

• HHSC will be holding its next quarterly DSRIP Transition Partner Engagement meeting via webinar on September 23, 2021 at 10:00 AM.
• HHSC will provide updates on the DSRIP Transition progress, additional upcoming opportunities for partner engagement, and will give partners the opportunity to ask questions.
• Please use the following link to register for the webinar: https://register.gotowebinar.com/register/7842250608919978000. After registering, you will receive a confirmation e-mail containing information for joining the webinar.
• Please forward this invitation to others who may be interested in an update on DSRIP Transition. To be added to the Partner Engagement distribution list, e-mail TXHealthcareTransformation@hhsc.state.tx.us.

DSRIP Transition:

Reminder: PHP-CCP Initial Interest Form Due July 30, 2021

• The Texas Health and Human Services Commission (HHSC) announces the Public Health Provider - Charity Care Program (PHP-CCP) Initial Interest Form for the eligibility period of Fiscal Year 2021 (10/1/2021 - 9/30/2022).
• PHP-CCP is designed to allow qualified providers to receive reimbursement for the cost of delivering healthcare services—including behavioral health services, immunizations, and other preventative services—when those costs are not reimbursed by another source. The program is authorized under the 1115 waiver. Year 1 of the program will consist of uncompensated care and Medicaid shortfall. Please reference the rule found in 1 Texas Administrative Code Section 355.8215 for background information.
• The initial interest form is comprised of the following sections: (1) Provider Information; (2) Provider Type; (3) Legal Certification. The interest form must be submitted by 5:00 PM on July 30, 2021. No extensions beyond the July 30, 2021, due date will be accepted. For questions about PHP-CCP, please visit the HHSC website. For questions regarding the content of the application, please email Provider Finance with “PHP-CCP Initial Interest Form” in the subject line.

PHP-CCP Participants Mandatory Training

• The Texas Health and Human Services Commission (HHSC) announces the Public Health Provider - Charity Care Program (PHP-CCP) Initial Cost Report Training for the eligibility period of Fiscal Year 2021 (10/1/2021 - 9/30/2022). The training schedule is as follows and registration links can be found below: 
  • August 12th, 2021, from 9AM to 1PM
  • August 16th, 2021, from 12PM to 4PM
  • August 19th, 2021, from 12PM to 4PM
  • August 23rd, 2021, from 9AM to 1PM
• PHP-CCP is designed to allow qualified providers to receive reimbursement for the cost of delivering healthcare services, including behavioral health services, immunizations, and other preventative services, when those costs are not reimbursed by another source. The program is authorized under the 1115 waiver. Year 1 of the program will consist of uncompensated care and Medicaid shortfall. Please reference the rule found in 1 Texas Administrative Code Section 355.8215 for background information.
• The initial training is mandatory to qualify for participation in the program. No exceptions will be made, and makeup training will not be provided. For questions about PHP-CCP, please visit the HHSC website. For questions regarding the content of the application, please email Provider Finance with “PHP-CCP Initial Cost Report Training” in the subject line.

1115 Waiver Transition Update – Public Forum

• HHSC held a Public Forum and update on the 1115 Waiver Extension request on Tuesday, July 20, 2021.
• Attached is the presentation from that forum.

Click here for the recording of the event.  

RHP 9, 10, & 18 Hosts: DY10R2 -DSRIP Cost & Savings Reporting Learning Collaborative

• Date:  August 19, 2021, 9:00 am – 10:30 am
• Register by clicking on the link below:
  

  Register for Event Here

April DY10 Reporting Timeline

• July 16, 2021, 11:59 pm – Due date for providers to submit responses to HHSC requests for additional information (NMI requests) on April reporting submissions.
• July 20, 2021 – April reporting DY10 DSRIP payments processed for transferring hospitals.
• July 30, 2021 – April reporting DY8, DY9, and DY10 DSRIP payments for all providers and DY8 and DY9 DSRIP payments processed for providers that were not paid on July 20, 2021. There are separate transactions for each payment for each DY.
• August 24, 2021 – HHSC and CMS will approve or deny the additional information submitted in response to HHSC comments on April reported milestone/metric achievement. Approved reporting will be included for payment in the next DSRIP payment period, estimated for January 2022.

Category A: Cost & Savings

• HHSC has notified providers that a draft version of the template for Cost and Savings DY10 reporting has been posted on the DSRIP online reporting system bulletin board for providers to download and explore.
• Providers should review the template and refer back to the Cost and Savings guidance already posted to practice preparing their analysis.
• Please send questions and feedback to TXHealthcareTransformation@hhs.texas.govas soon as possible so we can gauge what kinds of questions and level of detail to address in our user guide, or whether a Q and A type document would be more helpful.

Category A: Core Activities

• HHSC will post a file of Core Activities that were approved during October DY9 reporting early next week.
• The file will be posted on the bulletin board and providers will need to review it to make sure they know which Core Activities they will be reporting on in October DY10.

Survey of DSRIP providers from Texas A&M Evaluators

• Providers will receive an email from the external evaluators of the DSRIP program at the Texas A&M School of Public Health regarding their experience with the DSRIP program and Alternative Payment Models.
• This survey is distinct from regular DSRIP reporting to HHSC.
• It is part of an evaluation required by the Centers for Medicare and Medicaid Services and builds on prior surveys and evaluation work done as part of the DSRIP social network analysis.
• DSRIP team leads and/or their designees, will receive an email from aspiegelman@tamu.eduwith a link to the survey. Please complete the survey within three weeks of receipt of the survey.

Compliance Monitoring

• MSLC continues to review Category 1, Category 2, Category 3 open measures, as well as Category 3 measures that were newly selected for round 3. Please continue to encourage timely submission of documentation and have providers inform MSLC and HHSC of any issues as soon as possible.
• Compliance monitoring for Category C is expected to continue until Summer of 2023 to ensure that measures flagged during October DY11 (2022) can be audited, as necessary.
• All compliance monitoring questions should be directed to the HHSC compliance mailbox and the MSLC mailbox.

June 30th Deliverables Submitted to CMS

• HHSC submitted three additional DSRIP Transition deliverables to CMS on 6/30/21.
• All completed deliverables can be found on the HHSC DSRIP Transition webpage under the Transition Milestone Updates section.

DY11 Proposed Directed Payment Programs

• The DSRIP Team is coordinating with our internal DPP partners on the development of the reporting timelines that we have discussed on previous anchor calls. We should be able to share a draft in the next week or two. Please note, this will only include the programs for which the HTW team has some operational responsibility.
• Reminder: sign up/update Gov Delivery Notices for the applicable DPP here: https://service.govdelivery.com/accounts/TXHHSC/subscriber/new
• Continue sending questions related to DPP measures, performance requirements, specifications, and reporting: DPPQuality@hhs.texas.gov.
• If you have financial questions, including eligibility and estimated IGT, you can email the Provider Finance Department (PFD) at the following e-mail addresses:
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Reminder: New DPP Webpages

• HHSC has created a new webpage for Medicaid & CHIP Directed Payment Programs. Documents related to the proposed DY11 DPPs are no longer under the DSRIP Transition webpage but can be found on each program-specific site.  Links to each DPP program pages are found on the webpage.