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 354.1675 - Anchor Requirements

Universal Citation: 1 TX Admin Code ยง 354.1675

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

To receive its DY6A anchor payment, an anchor must comply with the requirements in this section.

(1) An anchor must submit a DY6A learning collaborative plan in accordance with the PFM Protocol, if it is the anchor of a Tier 1, 2, or 3 region or it is the anchor of a Tier 4 region that wishes to receive the enhanced allocation.

(A) The DY6A learning collaborative plan, at a minimum, must include an annual regional learning collaborative. The learning collaborative must include a focus on DSRIP integration into Medicaid managed care, value-based purchasing, alternative payment models, or sustainability strategies for low-income uninsured. The anchor could also meet this requirement through a workgroup that would be in addition to the annual regional learning collaborative.

(B) Two or more regions may work together to submit a cross-regional DY6A learning collaborative plan.

(2) An anchor must conduct an extension stakeholder engagement forum to promote collaboration in the next phase of the waiver and community goals. The feedback from this forum should be used to inform the learning collaborative plan for DY6B and beyond. The anchor must post a copy of the updated RHP plan on the RHP's website prior to the extension stakeholder engagement forum.

(3) An anchor must submit the following information in accordance with the PFM Protocol:

(A) the region's community needs assessment that was submitted with the original RHP plan in 2012 that has been updated as appropriate to reflect major changes, including changes to the priority needs;

(B) a description of the process used to update the region's community needs assessment, including the process used to obtain stakeholder feedback; and

(C) the RHP plan that was submitted in 2012 that has been updated for DY6B onward. This updated RHP plan will include next steps for DSRIP projects as agreed upon by HHSC and CMS that would occur beginning in DY6B.

(4) An anchor must submit documentation in accordance with the PFM Protocol that demonstrates that the anchor implemented the DY6A learning collaborative plan and conducted an extension stakeholder engagement forum.

Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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