Health and Human Services Commission
UPDATED WAIVER TIMELINE
January 6, 2014 – IGT due for October DY 2 DSRIP payments (FMAP 58.69).
January 10, 2014 – DY4-5 valuation response due from providers.
January 17, 2014 – Providers submit additional information if necessary for October DY2 progress reporting.
January 27, 2014 – Phase 4: HHSC provides feedback on Phase 4 submissions.
Late January 2014 – October DY 2 DSRIP payments processed.
Late January 2014 – HHSC sends revised Category 3 measures menu to providers
January 31, 2014 – HHSC reviews learning collaborative plans and sends to CMS with waiver annual report
February 7, 2014 – Phase 4: RHPs submit responses to HHSC feedback. Performing providers must submit responses to the Anchor to compile/send in one submission packet to HHSC
February 7, 2014 – HHSC and CMS will approve or deny the additional information submitted in response to HHSC comments on October reported milestone/metric achievement
By February 12, 2014 (staggered) - HHSC provides feedback to RHPs regarding New 3-Year Projects
By Late February, 2014 (staggered) – RHPs respond to HHSC feedback on New 3-Year Projects
February 24, 2014 – HHSC completes Phase 4 review
March 7, 2014 – Providers return selected Category 3 measures to HHSC
By March 14, 2014 – HHSC submits New 3-Year Projects to CMS (those that will be eligible for April reporting)
April 2014 – Full RHP Plan submission to HHSC (target)
Late April, 2014 – Results from CMS on New 3-Year Projects (target)
April 30, 2014 – April DY3 milestone/metric achievement reporting and Semi-Annual Progress Reports due from providers
Overview of Texas Health Care Transformation Waiver (PDF)
Two-page highlight of the 1115 Medicaid Transformation Waiver including a brief background, goals, and
benefits to the State.
Draft RHP Governance Overview (PDF)
The proposed regional health care partnership governance structure submitted by HHSC; pending approval of the
Centers for Medicare and Medicaid Services (CMS).
RHP Principles (PDF)
A brief overview of the approach used to determine regional health care partnership boundaries, the role partnerships play in implementing the 1115 waiver, and coordination of each partnership by an anchor.
RHP Map (PDF)
Finalized map of the regional health care partnerships across the State (dated August 2012).
RHP Anchor List (PDF)
Final list of anchor entities for each regional health care partnership across the State (dated 05/30/12).
Final RHP Plan Template (PDF)
Approved HHSC template for use by regional health care partnerships in outlining the four-year program plan under which each RHP will operate (last updated 09/24/12).
DSRIP Funding and Reporting Flow (PDF)
Flowchart of the DSRIP document submission and reimbursement process.
Draft Uncompensated Care (UC) Protocol (RTF)
Draft version of the State's "working document" for UC requirements, subject to CMS approval (last updated 05/23/12).
Updated Program Funding and Mechanics Protocol (PDF)
Final (updated) version of the State's "working document" for the 1115 Waiver Program requirements (last updated 04/04/13).
Webinar: Program Funding and Mechanics Protocol Overview (PDF)
HHSC's webinar presentation (7/10/12) of the most recent version of their draft Program Funding and Mechanics Protocol submitted to CMS for comment/approval.
Webinar: DSRIP Planning Protocol (PDF)
HHSC's webinar presentation (7/11/12) of the most recent version of their draft RHP Planning Protocol (formerly referred to as the DSRIP menu) and DSRIP program requirements submitted to CMS for comment/approval.
UNCOMPENSATED CARE (UC) TOOL AND INFORMATION
The UC Tool has been posted by HHSC and can be found on the Rate Analysis webpage.
- UC Overview (PDF) -- a narrative explanation of the uncompensated care tool overview for both hospital UC (TXHUC) and physician UC (TXPUC)
- UC Tool Information Sheet (DOCx)
- Purchase of Services & UC Reporting Statutes and Regulations (PDF)
Please visit the HHSC Rate Analysis Department website to view the fill UC Tool Page
GUIDANCE RELATED TO COLLABORATION AMONG PERFORMING PROVIDERS (PDFs)
Final RHP (DSRIP) Planning Protocol Documents (PDFs)
Final version of the State's working documents outlining the categories, project options, milestones and metrics recommended for each of the four delivery system reform categories approved by CMS (last updated 09/24/12).
Pass 1 Electronic Workbooks
Pass 1 Electronic Workbooks can be found by visiting the main HHSC 1115 Transformation Waiver webpage through the link listed at the bottom this page. Individual Pass 1 Electronic Workbooks have been distributed to anchors to providers in their regions.
Community Data and Resources for RHP Assessment of Needs (PDF)
A table containing resources compiled by HHSC to assist in gathering community assessment needs data and health care infrastructure data for counties participating in DSRIP activities. HHSC has indicated the community assessment needs must drive the selection of DSRIP projects in a region, and the infrastructure data will be included in the RHP Plan.
RHP Planning Summit Presentations and Handouts (August 7-8, 2012 - Austin, Texas)
PDF copies of the presentation slides and handouts provided by HHSC to summit attendees.
- RHP Plans, CMS Expectations, and Took Kit Primer (Speakers: Kirsch & Khalsa)
- Uncompensated Care (UC) Protocol and Requirements (Speakers: Davis, Miller & Seime)
* Uncompensated Care Tool/DSH Section and TexNet - Entering an IGT
Texas Institute of Healthcare Quality & Efficiency Lunch Presentation (Speaker: Raimer)
Program Funding and Mechanics Protocol (Speakers: Kirsch, FitzPatrick & Egan)
RHP Planning Protocol (DSRIP Menu): Understanding Projects and Metrics (Speaker: Milligan; Panel: Culica, Hellerstedt, Spuria, Stoner & Woodard)
Day 2 Summit Presentations
- Intergovernmental Transfers and the Waiver (Speaker: Aragon)
- Behavioral Health Panel: Addressing the Needs of the Texas Population
* Adult Potentially Preventable Hospitalizations in Texas (Speaker: Gilliam)
* Role of Community Mental Health Centers (Speakers: Southern and Kirsch)
- Outcomes-based Payment Systems Lunch Presentation (Speaker: Goldfield)
CATEGORY 4 GUIDANCE (PDF)
Category 4 Guidance (11/09/12) - Document provided by HHSC that outlines guidance for hospital performing providers who are required to participate in Category 4 reporting.
COMMON PROJECT PROBLEMS and IMMEDIATE GUIDANCE (PDF)
Immediate Guidance for Common Project Problems (12/03/12) - Document that outlines common problems HHSC has encountered in review of Pass 1 projects submitted by regions. HHSC recommends addressing these problems as final plans are put together for December 31 submission.
GUIDANCE ON VALUATION (PDF)
Project Valuation Guidance (01/16/13) - Document provided by HHSC related to justification of project valuation and requirements for documenting quantifiable and direct patient impact as part of justifying valuation.
For additional information related to the 1115 Waiver, please visit the Texas Health and Human Services
Commission Medicaid Transformation Waiver website.