HHSC Revises Program Financing and Mechanics Protocol

The Health and Human Services Commission (HHSC) would like to update you on changes to the Centers for Medicare and Medicaid Services (CMS) approval process of Delivery System Reform Incentive Payment (DSRIP) projects under the Texas Healthcare Transformation and Quality Improvement Program 1115 waiver.  HHSC and CMS have agreed to a phased approval process for DSRIP projects to enable timely initial approval of most projects.  The phased approval process is needed due to the volume and complexity of Texas’ 1300+ proposed DSRIP projects with a proposed value of almost $10 billion all funds.

With these changes, initial approval will enable a project to earn incentive payments for the first three years of the waiver (through September 30, 2014). The first Regional Healthcare Partnership plan is scheduled to receive initial approval by today, April 5, 2013 and the remaining regions will receive initial approval by the end of May.  HHSC will work with CMS to get full approval of most projects by September 1, 2013, which will enable projects to earn incentive payments for the final two years of the waiver (October 1, 2014-September 30, 2016). HHSC also will work with providers to revise projects that need additional work to receive approval, including demonstrating a meaningful impact on healthcare delivery for the Medicaid and uninsured populations.

Below is the notification to Regional Healthcare Partnerships summarizing the changes along with the revised Program Funding and Mechanics (PFM) Protocol for the waiver, which incorporates the changes.

REVISED Program Financing and Mechanics (PFM) Protocol

 Notification of Changes

 Please direct any questions to txhealthcaretransformation@hhsc.state.tx.us.


RHP 6 Plan Submitted to CMS

On March 28, 2013, University Health System was notified that HHSC submitted the RHP 6 Plan to CMS. The Plan is available on HHSC’s website.