RHP9 Updates

• Monday, November 15, 2021 – Deadline for Public Comment on Proposed DY11 DSRIP Extension PFM & MBP
• Materials are posted on the HHSC website, Waiver Overview page, under “November 1, 2021, Proposed Amendment for One-Year DSRIP Extension (DY11).”
• On November 3, the DSRIP team hosted a webinar on proposed changes to the PFM and MBP. The webinar recording is available here.
• Stakeholder feedback on the DY11 changes to the PFM and MBP may be submitted through the Microsoft Form by Monday, November 15, 2021, 5:00 pm CST.
• HHSC plans to submit the amendment package to CMS the week of November 22.

• Timeline
• November 16, 2021 – HHSC will post the estimated IGT due for October reporting based on milestones and metrics reported as achieved. Final IGT due will be based on HHSC review and approval.
• November 19, 2021, 5:00 pm – Due date for IGT Entities to approve and comment on their affiliated providers’ October reported progress on metrics using the IGT tab for DY7-10 projects.
• December 1, 2021– Due date for submitting any IGT changes in entities or proportion of IGT among entities to HHSC.
• December 10, 2021 - HHSC and CMS will complete their review and approval of October DY10 reports or request additional information (referred to as NMI) regarding the data reported.
• December 14, 2021 - Estimated date for Provider Finance to send IGT notification.
• January 5, 2022 – IGT settlement date for October reporting.
• January 14, 2022, 11:59pm - Due date for providers to submit responses to HHSC requests for additional information (NMI requests).
• January 19, 2022 – October reporting DY10 DSRIP payments processed for transferring hospitals.
• January 28, 2022 – October reporting DY9 DSRIP payments for all providers and DY10 DSRIP payments processed for providers that were not paid on January 19, 2022.
• February 25, 2022 - HHSC and CMS will approve or deny the additional information submitted in response to HHSC comments on October reported milestone/metric achievement.

• MSLC has started Category C round 4 reviews. The review round is scheduled for September 2021 through February 2022. Providers should direct any audit-specific questions to MSLC and copy the HHSC Compliance Mailbox.

DY11 Proposed Directed Payment Programs (DPPs)

• HHSC sent a letter to CMS accepting the offer made by CMS to extend the DSRIP program, the Uniform Hospital Rate Increase Program (UHRIP), and the Quality Incentive Payment Program (QIPP) for Fiscal Year 2022. HHSC also committed in the letter to continued collaboration on state-directed payments (SDPs) with CMS as required by the 1115 Texas Healthcare Transformation and Quality Improvement Program Waiver (Waiver).
• We do not have any final or formal decisions on the DPPs. However, in the most recent round of questions received from CMS (on Wednesday, Nov 10), there were no questions related to the quality aspects of the programs.
• Based on ongoing discussions with CMS, provider reporting originally scheduled for October was delayed. We will be communicating the reporting timeline via a Gov Delivery notification that should by posted next week. Providers should still expect to report twice per program year on the DPPs.
• Reminder: sign up/update Gov Delivery Notices for the applicable DPP here: https://service.govdelivery.com/accounts/TXHHSC/subscriber/new.

• DPP Measures, performance requirements, specifications and reporting:  DPPQuality@hhs.texas.gov
• DPP Financial Questions (Eligibility and estimated  IGT) Provider Finances at specific DPP boxes:
• CHIRP – PFD_Hospitals@hhsc.state.tx.us
• TIPPS – PFDAcuteCare@hhs.texas.gov
• RAPPS - PFD_Hospitals@hhsc.state.tx.us
• DPP BHS – PFDAcuteCare@hhs.texas.gov

• DPP Webpages:
• Medicaid & CHIP Directed Payment Programs
• CHIRP
• DPP BHS
• RAPPS
• TIPPS
• Directed Payment Programs:  Includes operational information  for each DPP & ongoing HHSC and CMS correspondence related to the DPPs