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 7 - DSRIP PROGRAM DEMONSTRATION YEARS 7-8
Section 354.1697 - RHP Plan Update
Universal Citation: 1 TX Admin Code ยง 354.1697
Current through Reg. 49, No. 38; September 20, 2024
(a) A performer may receive DSRIP only if HHSC has approved the RHP plan update for the performer's RHP.
(b) An RHP plan update must:
(1) meet the requirements listed
in the Program Funding and Mechanics Protocol and the Measure Bundle
Protocol;
(2) update the RHP's
community needs assessment, referencing sources used;
(3) include a list of IGT entities,
performers, UC hospitals, and other stakeholders involved in the development of
the RHP plan update;
(4) include
certifications that all the information contained within the RHP plan update is
true and accurate;
(5) describe the
processes used to engage stakeholders including the public meetings held,
public posting of the RHP plan update, and the process for submitting public
comment on the RHP plan update;
(6)
include the total amount of estimated DSRIP funding to be used by demonstration
year (DY);
(7) include for each
performer:
(A) the definition of the
performer's system;
(B) a
description of the performer's core activities for DY7-8;
(C) the performer's Category B total Patient
Population by Provider (PPP) and MLIU PPP baseline data;
(D) if the performer is a hospital or
physician practice, the performer's selected Category C Measure Bundles and
measures, and requests for allowable changes to those Measure Bundles and
measures, as described in the Program Funding and Mechanics Protocol and
Measure Bundle Protocol;
(E) if the
performer is a community mental health center or local health department, the
performer's selected Category C measures, and requests for allowable changes to
those measures, as described in the Program Funding and Mechanics Protocol and
Measure Bundle Protocol;
(F) a
description of the transition of the performer's DY2-6 projects to
DY7-8;
(G) the performer's Category
D Statewide Reporting Measure Bundle;
(H) the performer's DSRIP valuation amounts;
and
(I) the performer's sources of
non-federal funds by category and DY;
(8) include a narrative explaining the
performer's rationale for its Category C Measure Bundle and measure selections;
and
(9) if the RHP is allocated
DY7-8 remaining funds as described in §354.1721 of this division (relating
to Remaining Funds for Demonstration Years (DYs) 7-8), the information required
by that section.
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