RHP9 Updates

• Distribution of October DY9 NMI reporting results will be delayed a few days. HHSC hopes to distribute NMI reporting results by the end of the week or early next week to providers who received NMI requests during the October DY9 reporting period.

• REMINDER: Plan modifications that impact April DY10 reporting are due March 2, 2021 and can be submitted by email to the waiver mailbox at TXHealthcareTransformation@hhsc.state.tx.us.
• HHSC has posted a Category B Plan Modification Form on the DSRIP Online Reporting System’s bulletin board under Category B Resources. Please use this form to request changes if the provider has not yet submitted their request.
• If the plan modification request is related to the impact of COVID-19 on the provider’s patient volume or system, then the provider should include the following information in their request.
• Proposed DY9 PPP baselines/goals (i.e., Total PPP, MLIU PPP, Estimated Medicaid PPP, Estimated LIU PPP) and an explanation of how the proposed goal was calculated
• Detailed explanation about why the provider wouldn’t meet their goal with 35% allowable variation for DY9
• Which system components, services, and/or departments are being impacted
• An estimated impact on patient volume and duration of impact
• Details about any operational changes (e.g., if staff was reassigned, changes to hours of operation, etc.) and when these changes took place

• DY9R2 Update
• February 24, 2021 – NMI from October 2020 Reporting - Approval or Denial by HHSC and CMS
• Category B:
• March 2, 2021 – Plan Modifications that impact April DY10 Reporting due – submit by email to the Waiver email box: TXHealthcareTransformation@hhsc.state.tx.us
• If you submit a plan modification as a result of COVID-19 impact on provider’s patient volume or system, you must include the following:
• Proposed DY9 PPP baseline/goals (i.e., Total PPP, MLIU PPP, Estimated Medicaid PPP, Estimated LIU PPP) and an explanation of how the proposed goal was calculated.
• Detail explanation about why the provider wouldn’t meet their goal with the 35% allowable variation form DY9
• Which system components, services, and/or departments are impacted
• Estimated impact on patient volume and duration of impact
• Details about any operational changes (e.g., if staff was reassigned, changes to hours, etc. . . .) and when they took place.
• Category C:
• Category C PY3 Optional Telehealth Measures:  Reminder HHSC updated the optional telehealth specifications on 1/29/2021 that may be used for PY3 (CY2020) reporting.
• The Category C PY3 Telehealth Specifications Guidance document and the Category C Measure Specificaoitns Excel File (v2) are posted on the DSRIP Bulleting Board and sent to providers via email.
• HHSC anticipates PY4 (CY2021) reporting to have same allowances, however, currently this is limited to PY3 reporting.  Stay tuned for more guidance for PY4 in the future pending CMS approvals of COVID-specific allowances for CY2021.

DY11 Proposed Directed Payment Programs:

HHSC conducted a public hearing on January 20, 2021 to review proposed measures and performance requirements for two directed payment programs for SFY 2022: The Comprehensive Hospital Increased

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Reimbursement Program (CHIRP) and the Texas Incentives for Physicians and Professional Services (TIPPS). A recording of the hearing is available at this link.

Rural Access to Primary and Preventive Services Program (RAPPS)

• Proposed new rules §353.1315 and §353.1317 were published in the January 29, 2021 issue of the Texas  Register for public comment. Comments may be submitted to  TXHealthcareTransformation@hhsc.state.tx.us by midnight on February 13.
• HHSC held a public hearing on the proposed rules for RAPPS on February 5. A recording is available at this  link.
• Program Requirements and Proposed Measures and specifications are posted for public comment through February 17. Please provide comments and feedback through the Microsoft Forms survey.

Directed Payment Program for Behavioral Health Services (BHS)

• Proposed new rules §353.1320 and §353.1322 were published in the January 29, 2021 issue of the Texas  Register for public comment. Comments may be submitted to  TXHealthcareTransformation@hhsc.state.tx.us by midnight on February 13.
• HHSC held a public hearing on the proposed rules for BHS on February 5. A recording is available at this  link.
• Program Requirements and Proposed Measures and specifications are posted for public comment through February 17. Please provide comments and feedback through the Microsoft Forms survey.

Communication Resources

• Questions on CHIRP or TIPPS measures or performance requirements:  TXHealthcareTransformation@hhsc.state.tx.us
• Questions on CHIRP or TIPPS rules, eligibility, classes, components, financial requirements (i.e. anything other than measures and performance requirements): RAD_1115_Waiver_Finance@hhsc.state.tx.us
• Questions on RAPPS or BH DPP: TXHealthcareTransformation@hhsc.state.tx.us
• Questions on DSRIP Transition Plan and Milestones: TXHealthcareTransformation@hhsc.state.tx.us
• Questions on 1115 Waiver Extension: TX_Medicaid_Waivers@hhsc.state.tx.us

• CMS approved HHSC request for 1115 Wavier Extension
• Ten Year Extension – January 15, 2021 -September 30, 2030
• The new waiver STCs explicitly included the end date for DSRIP:  September 30, 2021.  HHSC does not expect that CMS will provide a separate response to the DSRIP Extension.
• DSRIP transition Programs – Waiver STCs included:
• DPP (Directed Payment Program) requirements
• New Public Health Provider Charity Care Pool (PHP CCP) – will provide reimbursements for services meeting charity care policy definitions to LHDs, Public Health Districts, CMHCs, LMHAs, and LBHAs.