Today’s anchor call notes and “projects under review” results

Please read today’s anchor call notes. Highlights include:

 

  • The Statewide LC is anticipated to take place at the end of August.
  • HHSC will be posting a revised Population Focused Priority measure (PFPM) baseline reporting template early next week. All providers with an alternate achievement outcome (AM-3.1 in DY5) will be asked to submit a baseline for their selected measure. The deadline for returning the PFPM baseline template is tentatively scheduled for Sunday, February 14th.
  • HHSC plans to post the draft language for the Program Funding and Mechanics Protocol (PFM) relating to the transition year (DY6) during the week of January 25, 2016.
  • A draft list of Performance Bonus Pool and Statewide Analysis Plan measures that builds on the information presented at the Statewide Learning Collaborative is scheduled to be sent out for feedback by the week of January 25th.
  • A list of best practice models HHSC has identified for project options on the Transformation Extension Menu for replacement projects is also scheduled to be sent out for feedback by the week of January 25th.
  • HHSC has provided a summary of MSLC compliance activities and list of projects/milestones currently under review.  Currently there are 57 RHP6 milestones under review impacting 13 providers.

 Further, HHSC has completed the review of projects to determine if a project is eligible to continue or requires changes for the waiver extension period that has included management approval. Please continue to review DY 6 Transition Year information as it is released by HHSC. DY 6 requirements will be contingent on agreements with CMS on waiver renewal.

 During project review, HHSC considered reported progress towards goals in addition to completion/incompletion of metrics; reported challenges and delays in implementing projects; transformative value of the project including whether the Project Option was removed from the 3-year project menu or extension menu; valuation and Medicaid/low-income uninsured (MLIU) impact of similar projects across the state; and any similar projects within the region.

 HHSC has completed review of the RHP 6 projects listed below and indicated the overall results. Specific changes for implementation in DY6 and/or DY7 were sent to providers. Projects highlighted in yellow were added to HHSC review based on reported achievement of Category 1 or 2 metrics during DY4 reporting.

 

RHP

Project ID ending Provider Name Results of HHSC Review

RHP 6

2.100 University of Texas Health Science Center at San Antonio Continue

RHP 6

2.101 University of Texas Health Science Center at San Antonio Continue

RHP 6

1.13 University of Texas Health Science Center at San Antonio Continue and replace in DY7

RHP 6

1.1 Frio Regional Hospital Continue

RHP 6

1.2 Frio Hospital Association Inc dba Frio Regional Hospital Continue with project changes

RHP 6

1.2 Dimmit County Memorial Hospital Continue

RHP 6

1.1 Uvalde County Hosp Authority dba Uvalde Memorial Hospital Continue

RHP 6

2.2 Bluebonnet Trails Community MHMR Center Continue

RHP 6

1.100 University Hospital Continue

RHP 6

1.5 The Bexar County Board of Trustees for Mental Health Mental Retardation Services, d/b/a The Center For Health Care Services Continue

RHP 6

100 Guadalupe County Hospital Board dba Guadalupe Regional Continue

 Other projects from removed Project Areas (2.4, 2.5, 2.8, and 1.10) that are not listed may continue in DY6 based on DY6 Transition Year requirements but will be required to submit a replacement project to begin in DY7 up to the same valuation as the previous project with a maximum of $5M per DY from the extension menu, contingent on CMS approval. Remaining active projects not included in HHSC review may continue in DY6 based on DY6 Transition Year requirements.   This applies to UTHSCSA (1.1, 1.13, 1.20), Methodist (2.1, 2.2), Nix (2.2), Peterson (1.1), Medina (1.2), UH (2.2, 2.3), Baptist (1.3, 2.1)