Stakeholder Forum – RHP 6 Plan Update (1115 Waiver Demonstration Years 7-8)

Past Events:

All stakeholders were invited to attend a RHP Stakeholder Forum on May 30, 2018, from 12:00  – 1:00 PM. During this online event, the RHP 6 Anchor presented the RHP 6 Plan Update which has been submitted to the Texas Health and Human Services Commission. The RHP Plan Update describes the providers participating in the Medicaid 1115 Waiver Incentive Pools and the proposed outcome measures targeted for improvement during Demonstration Years 7 – 8.

All stakeholders were invited to attend the RHP 6 Stakeholder Forum on March 21, 2018. At this event, the RHP 6 Anchor, University Health System, presented the draft RHP 6 Plan Update for Demonstration Years 7-8 of the Medicaid 1115 Waiver. Providers participating in the Delivery System Reform Incentive Payment Program (DSRIP) shared their transformation goals and strategies for the next two years. This was a great opportunity to share feedback on these plans and identify opportunities for alignment and collaboration. Many thanks to those who joined us!

RHP 6 has compiled the first draft of the RHP Plan Update for DY 7-8. Stakeholders are invited to review the draft and provide input and ideas using this online survey form. The survey will close March 28, 2018. This version of the RHP Plan Update is expected to change as providers receive input from stakeholders and ongoing guidance from HHSC. The final plan is due to HHSC no later than April 30, 2018.

RHP Plan Update DRAFT Section 1     RHP Plan Update DRAFT Section 2

Additional resources specific to RHP 6 and the Medicaid Waiver can be found here.

Stakeholder Forum Invitation

For more information, please contact

HHSC Announces Waiver Renewal Stakeholder Meeting

On December 21, 2017, the Centers for Medicare and Medicaid Services approved a five-year extension of the Texas Section 1115 Demonstration waiver.  The extension preserves Uncompensated Care (UC) pool and Delivery System Reform Incentive Payment (DSRIP) pool funding at current levels for two years.  The UC pool amount for the third and subsequent years will be determined during 2019.  DSRIP will be phased out by the fifth year.  The combined pools consist of at least $25 billion in All Funds for the extension period.

The waiver requires the state to make significant changes to UC and DSRIP reporting and operations in a short period of time.  HHSC staff will be holding a meeting January 11 at 8:30 am in the Brown-Heatly public hearing room to review these changes with you and your colleagues.  A conference call line will be available for those unable to attend in person.

Agenda Summary

Texas Medicaid Waiver Renewal Summary

Summary of Regional Performance Data

RHP 6 is excited to release a new report:

Assessing Progress and Opportunities to Improve Health and Transform Care in RHP 6: Summary of available regional performance measures related to the Medicaid 1115 Waiver

This report presents data currently available by region so we can assess the waiver’s impact beyond the project level. These measures have been produced by HHSC (and/or its contracted External Quality Review Organization) using Medicaid Claims data.

Further, HHSC has identified many of these measures as candidates for a proposed Performance Bonus Pool (PBP) if the waiver is extended beyond September 30, 2016. Additional measures being considered for the PBP can be found on HHSC’s website ( but are not included here because regional-level subsets are not yet available.

While we await further guidance from HHSC on waiver extension, this subset of measures can help us evaluate progress, reassess priorities, and promote additional collaboration across our region. Providers and stakeholders are encouraged to review these data and reflect on areas of strength and opportunity for further improvements. These measures will also be integral to our regional dialogue as we prepare for the development of the RHP 6 PBP plan and continue to transition our focus from individual project outcomes to regional transformation. Please communicate your ideas, questions, and concerns to Carol Huber at