Current through Reg. 49, No. 38; September 20, 2024
(a) Only one entity in a Regional Healthcare
Partnership (RHP) may be an anchor.
(b) An entity may be an anchor if it meets
the following criteria:
(1) The anchor must
be a governmental entity.
(2) If an
RHP includes a public hospital, the anchor must be a public hospital, except as
described in paragraph (3) of this subsection.
(3) If an RHP does not include a public
hospital, or if no public hospital wants to be an anchor, the anchor must be:
(A) a hospital district;
(B) a hospital authority;
(C) a county; or
(D) a state university with an academic
health science center.
(4) If a region cannot agree on an anchor,
HHSC will designate the anchor. HHSC will base its decision on criteria such as
ability to financially support necessary administrative activities, prior
relationships with other participants in the region, and history of
participating in community and regional activities outside of the
waiver.
(c) An anchor
must:
(1) serve as the single point of
contact with HHSC for the RHP, except as specified in rule;
(2) facilitate transparent and inclusive
meetings among participants to discuss RHP activities;
(3) coordinate RHP activities to help ensure
that participants properly address both the needs of the region and the
requirements placed upon the RHP;
(4) develop the RHP needs assessment included
in the RHP plan;
(5) compile and
submit the RHP plan to HHSC, as prescribed by HHSC;
(6) prepare and submit an annual progress
report on behalf of the RHP, in accordance with HHSC requirements;
(7) ensure that all confidential information
obtained through its role as an anchor remains confidential as required by
state and federal laws and regulations;
(8) ensure that all waiver information
provided to it in its capacity as anchor is distributed to the RHP
participants; and
(9) post the most
recent approved RHP plan and any proposed RHP plan modifications to the RHP
website; and
(10) meet all other
requirements as specified in the Program Funding and Mechanics
Protocol.
(d) An anchor
must not:
(1) request reimbursement from a
Medicaid provider for the discharge of the anchor's responsibilities, although
an anchor and other governmental entities within the RHP may agree to share
such costs;
(2) delegate
decision-making responsibilities concerning the interpretation of the waiver,
HHSC policy, or actions or decisions that involve the exercise of discretion or
judgment;
(3) require any IGT
entity to fund any project;
(4)
require any participant to act as a performer in any DSRIP project;
or
(5) prevent or in any way
prohibit the development of a DSRIP project between an IGT entity and a
performer.
(e) An anchor
may delegate ministerial functions such as data collection and reporting. Any
entity to which ministerial functions are delegated under this subchapter must
comply with the roles, responsibilities, and limitations of an
anchor.
(f) In addition to any
reimbursement received under §
RSA
354.1634(e) of this
subchapter (relating to Waiver Pool Allocation), an anchor may be reimbursed
for the cost of its administrative duties conducted on behalf of the RHP. The
anchor must provide an intergovernmental transfer to HHSC for the purpose of
obtaining federal matching funds in accordance with the Administrative Cost
Claiming Protocol so that it can be reimbursed for such costs. An anchor may
not recover more than the anchor's actual costs.
