Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter D - TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM
Division 6 - HOSPITAL SERVICES
Section 354.1665 - Demonstration Year 6 DSRIP Pool Funding and Distribution

Universal Citation: 1 TX Admin Code ยง 354.1665

Current through Reg. 49, No. 38; September 20, 2024

(a) The DSRIP pool for demonstration year (DY) 6 is $3.875 billion.

(1) The DSRIP pool for DY6A is $3.1 billion.

(2) The DSRIP pool for DY6B is $775 million.

(b) A performer's total value for DY6A is equal to the performer's total value for DY5, unless otherwise specified in § RSA 354.1667 of this division (relating to Requirements for Continuing DSRIP Projects).

(c) The DSRIP funding distribution among categories for a hospital performer in DY6A is as follows:

(1) Categories 1 and 2 must comprise no more than 57 percent of the performer's total value with the following exceptions:
(A) If the performer is a hospital that does not participate in Category 4, Categories 1 and 2 must comprise no more than 67 percent of the performer's total value.

(B) If the performer met the 57 percent threshold at the time of initial RHP plan submission, but later exceeded it due to HHSC and CMS approval of a three-year project or withdrawal of Category 4 Reporting Domain 6, Categories 1 and 2 must comprise no more than 62 percent of the performer's total value.

(2) Category 3 must comprise at least 33 percent of the performer's total value.

(3) Category 4 must comprise no more than 10 percent of the performer's total value.

(d) The DSRIP funding distribution among categories for a non-hospital performer in DY6A is as follows:

(1) Categories 1 and 2 must comprise no more than 80 percent of the performer's total value.

(2) Category 3 must comprise at least 20 percent of the performer's total value.

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