News & Updates

April 23, 2018

Materials from RHP 1 Regional Meeting – March 27, 2018

Materials from the meeting can be downloaded using the links below.

March 23, 2018

RHP 1 Plan Update

RHP 1 has compiled the first DRAFT of the RHP Plan Update for DY7-8.  Stakeholders are invited to review the draft and provide input via email to the Anchor or at the RHP 1 Regional and Public Stakeholder meeting on March 27th.  This draft 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.

September 29, 2017

Materials from RHP 1 Regional Meeting – September 27, 2017

Materials from the meeting can be downloaded using the links below.

September 6, 2017

Public Stakeholder Forum scheduled for September 27, 2017

Registration is now available for our upcoming RHP 1 Regional Meeting and Stakeholder Forum on September 27th in Tyler, TX. To register, contact the RHP 1 Anchor team.

The meeting will be held in the Ornelas Academic Amphitheater on the 3rd floor of the Academic Center of UT Health Science Center. Registration starts at 9:00 and the meeting will begin at 9:30. The meeting will conclude by 3:00pm.

Confirmed topics and speakers include:
– 1115 Waiver Updates – John Scott, DSRIP Director of Operations, Texas HHSC
– Meadows Mental Health Policy Institute – Andy Keller, President and Chief Executive Officer
– Northeast Texas Public Health District – Community Outreach Updates
– RHP 1 Community Health Needs Assessment Update
– RHP Plan Update and Demonstration Years 7-8 Planning

As part of the DY7-8 Plan update process for RHP 1, we will also outline the process for allocating the additional DY7-8 DSRIP funds among Performing Providers (new or existing) based on the Community Needs Assessment Update and IGT availability. Additional details on the remaining DY7-8 DSRIP funds available to RHP 1 and the guidelines for eligibility can be found in the DRAFT Program Funding and Mechanics Protocol on page 27. If you have not already done so, please take the time to review this document before the meeting on the 27th.

April 7, 2017

Materials from RHP 1 Regional Meeting – March 29, 2017

Materials from the meeting can be downloaded using the links below.

September 30, 2016

Materials from RHP 1 Regional Meeting – September 27, 2016

Materials from the meeting can be downloaded using the links below.

March 30, 2016

Materials from RHP 1 Regional Meeting – March 29, 2016

Materials from the meeting can be downloaded using the links below.

February 25, 2016

Program Evaluation Webinar

Presentation slides can be downloaded using the link below.

2.25.16 Slides

September 23, 2015

Materials from RHP 1 Regional Meeting  – September 15, 2015

Materials from the meeting can be downloaded using the links below.

July 2, 2015

1115 Waiver Extension Application Draft

HHSC has posted the 1115 Waiver Extension Application Draft, attachments, and Public Notice.  These documents can be found on the HHSC Waiver Renewal website at: 1115 Waiver Renewal.

Also posted are the scheduled dates and locations for Statewide Public Meetings on the 1115 Waiver Extension Application.  The public are invited to attend meetings at any location throughout the state to provide comments.  A meeting will be held in Tyler on the following date and location:

  • July 16, 2015  10:00 AM – 12:00 PM
  • Tyler Junior College West Campus
  • 1530 SSW Loop 323, Room 104
  • Tyler, TX  75701


April 9, 2015

DY4 April Reporting Dates & Deadlines

Please refer to the slides from the April 7th webinar for a complete listing.

  • April 1, 2015 – DSRIP Online Reporting System Opens
  • April 24, 2015 – Final date to submit April reporting questions or DY4 data issues to HHSC
  • April 30, 2015 – Due date for April DY4 reporting, including semi-annual reporting requirements
  • June 10, 2015 – HHSC and CMS will complete review of reported data
  • July 2, 2015 – Due date for providers to submit responses to HHSC NMI requests
  • July 8, 2015 – IGT due for April reporting DSRIP payments
  • July 31, 2015 – DSRIP payments processed (top 14 IGT entities will be July 21st)
  • August 7, 2015 – HHSC and CMS will give final approval of additional info submitted for NMI requests

DY4 April Reporting Webinars

Recordings of the webinars have been posted to the RHP 12 Anchor website and can be accessed via the following link:
HHSC Hosted April DY4 Reporting Webinars

March 27, 2015

DY4 April Reporting Webinars

General Reporting & Quantifiable Patient Impact (QPI)
Tuesday, April 7, 2015, 10:00AM – 11:30AM (CDT)

Category 3 & Category 4 Guidance
Tuesday, April 7, 2015, 2:00PM – 4:00PM (CDT)

Materials from RHP 1 Regional Meeting  – March 26, 2015

Materials from the meeting can be downloaded using the links below.

March 19, 2015

Waiver Extension/Renewal Update

The following message was sent by HHSC on Thursday, March 12, 2015:

Transformation Waiver Stakeholders –
We want to provide you an update on HHSC’s recent visit to Baltimore to discuss with CMS the renewal/extension of the 1115 Transformation Waiver and how to move forward to address the concerns CMS raised in the September 2014 UC deferral letter regarding IGT financing for private hospitals. (If you’re an anchoring entity or on the Executive Waiver Committee, you may get another copy of this email – you’re on the above list because you were getting UC deferral updates.)

Chris Traylor, Kay Ghahremani and Monica Leo met with key CMS staff on Monday, including Vikki Wachino (Acting Director, Center for Medicaid and CHIP Services, acting in Cindy Mann’s former role), Tim Hill (Finance), Kristin Fan (Finance), Eliot Fishman (Director, Children and Adults Health Programs Group, which oversees 1115 waivers), and Brenda Blunt (HHSC’s waiver project officer).

Attached are the four Word documents HHSC sent CMS in advance of the meeting – agendas for each of the topics and a draft of the Transition Plan for the Pools that HHSC is required to submit to CMS later this month along with an attachment to the transition plan.


Waiver Extension/Renewal and the Pool Transition Plan due March 31st

There were no big surprises in the meeting. The comments from CMS regarding waiver renewal/extension were similar to messages they’ve conveyed both in Texas and nationally recently. As we assumed, Texas will need to make a strong case to CMS to continue the DSRIP and UC pools beyond the original 5-year waiver term. We’re committed to working with you to make that case, and HHSC emphasized for CMS the key points in the first attached agenda. Some highlights from the meeting:

  •  HHSC: DSRIP and the RHP structure have enabled locally driven, provider-level innovation, which is so important to improving how care is delivered.
  • CMS acknowledged that the Texas DSRIP program took long to get up and running, so we will want to continue to strongly make this point as part of our argument to extend DSRIP.
  • CMS: DSRIP is hard to administer in Texas (and other states) and CMS is uncertain about what return it’s getting for its large investment.
  • CMS wants further alignment of Texas Medicaid quality efforts and to further value based payment within Medicaid managed care.
  • Of different states’ DSRIP programs, CMS thinks the New York model is well designed. (HHSC already is looking into the NY model, and what elements from it may be applicable to TX.)
  • CMS wants a sustainability plan for DSRIP and UC; it is hesitant about ongoing supplemental payments and would rather see increases in Medicaid payment rates. (CMS noted that another way to reduce Texas’ UC burden would be insurance coverage expansion.)
  • CMS Financial staff acknowledged they understood the importance of these funds to help support Texas’ safety net providers.

HHSC plans to submit the attached transition plan to CMS by the deadline of March 31, 2015. Many of you provided input on an earlier draft that was incorporated into this version. If you see anything in this final draft that you think is factually incorrect, please let us know as soon as possible.

Private Hospital IGT Financing

Regarding the UC deferral issue, CMS Financial staff provided HHSC a binder in response to the letter HHSC sent CMS in December. The attached 17 PDF documents are the entire contents of the binder by tab. HHSC is sharing the full binder with all of you because we know this issue has potential statewide implications and will need your assistance to continue to make our case to CMS regarding waiver financing. As you can see from the contents of the binder, CMS has reviewed this issue in detail; however, it’s unclear at this point to what extent their General Counsel has been involved in the response.  We’ll follow up with them to ask whether their Legal team has reviewed. HHSC plans to review this issue internally and will work closely with impacted stakeholders before responding back to CMS on the points they made in the binder.

Table of Contents  Tab 1  Tab 2  Tab 3  Tab 4  Tab 5  Tab 6  Tab 7  Tab 8  Tab 9  Tab 10  Tab 11  Tab 12  Tab 13  Tab 14  Tab 15
CMS Findings


Lisa Kirsch
Chief Deputy Medicaid/CHIP Director for Policy and the Transformation Waiver
Texas Health and Human Services Commission

March 18, 2015

RHP 1 Regional Meeting Scheduled for March 26, 2015

The next RHP 1 Regional Meeting will be held at the Green Acres Baptist Church, Galilee Room, in Tyler, TX.  The deadline to register is Friday, March 20th via the registration link below.
This meeting is intended for DSRIP Performing Providers, UC-only Participants, and other regional stakeholders with an interest in 1115 Waiver activities.

Click to Register

Presentation topics include:

  • 1115 Waiver Statewide and Regional Updates
  • Reporting Updates & Technical Guidance
  • DSRIP Project Rapid Fire Sessions
  • Learning Collaborative Updates
  • Palliative Care and Supportive Care Delivery Models
  • Population Health


October 16, 2014

Materials from RHP 1 Regional Meeting  – June 2, 2014

Materials from the meeting can be downloaded using the links below.

October 6, 2014

Materials from RHP 1 Regional Meeting  – September 3, 2014

Materials from the meeting can be downloaded using the links below.