Current through Reg. 49, No. 38; September 20, 2024
(a) A performer may submit an RHP plan
modification request to HHSC to modify elements of an existing DSRIP project
prospectively, including changes to milestones and metrics.
(1) The final opportunity to submit a plan
modification request for the fourth demonstration year will coincide with the
end of the mid-point assessment described in §354.1624 OF THIS DIVISION
(relating to the Independent Assessment of DSRIP Projects). A performer will
have an opportunity to initiate a plan modification for the fourth and fifth
demonstration years by August 2014. Any plan modifications after August 2014
will be initiated by either HHSC or the independent assessor as part of the
mid-point assessment.
(2) A
performer may submit a plan modification request during the fourth
demonstration year for changes during the fifth demonstration year only for
changes to Category 3 outcomes and three-year DSRIP projects.
(b) If an RHP does not utilize its
entire allocation for the second demonstration year, the remaining allocation
can be utilized by HHSC for state initiatives. These initiatives must be
accomplished through the DSRIP program.
(c) If an RHP does not utilize its entire
allocation for the third, fourth, and fifth demonstration year, that RHP may
propose three-year DSRIP projects. Each RHP must submit a list of all DSRIP
projects from which the three-year DSRIP projects are selected.
(1) Each three-year DSRIP project on the list
must be chosen from a subset of the RHP Planning Protocol as determined by
HHSC.
(2) Each three-year DSRIP
project on the list must include at least one implementation milestone in the
third demonstration year.
(3) An
RHP must prioritize the three-year DSRIP projects based on regional needs
except that the listed projects must alternate by affiliated IGT
entity.
(4) Each three-year DSRIP
project must identify, and have written confirmation, of the IGT
source.
(5) Each three-year DSRIP
project must demonstrate significant benefit to the Medicaid and indigent
populations.
(6) An RHP must hold a
public meeting to consider the list of three-year DSRIP projects prior to
submitting the list to HHSC. When submitting the list to HHSC, the RHP must
also submit:
(A) a description of the
processes used to engage potential performers, public stakeholders, and
consumers;
(B) a description of the
regional approach for evaluating and prioritizing DSRIP projects; and
(C) a list of DSRIP projects that were
considered by the RHP but not included on the list, regardless of whether or
not those DSRIP projects had an identified source of IGT.
