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 354.1707 - Performer Valuations

Universal Citation: 1 TX Admin Code ยง 354.1707

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

(a) If a performer participated in DSRIP during the initial demonstration period or DY6, its total valuation per demonstration year (DY) for DY7 and DY8 is equal to its total valuation for DY6 with the following exceptions:

(1) If HHSC determined that a DSRIP project was ineligible to continue in DY6, the performer affected by such a determination may use the funds associated with the DSRIP project beginning in DY7.

(2) If a performer withdrew a DSRIP project between June 30, 2014, and June 30, 2016, the performer may use the funds associated with the DSRIP project beginning in DY7.

(3) If a performer participated in DSRIP during the initial demonstration period but not during DY6 and has a total valuation per DY for DY7-8 less than $250,000, the performer may request in the RHP plan update to increase its total valuation to up to $250,000 per DY for DY7-8.

(b) If a performer did not participate in DSRIP during the initial demonstration period or DY6, but begins participating in DSRIP in DY7 in accordance with §354.1721 of this division (relating to Remaining Funds for Demonstration Years (DYs) 7-8), its RHP determines its valuation in accordance with §354.1721.

(c) A performer's valuation must comport with the following funding distribution for DY7 and DY8:

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(d) If a performer's RHP meets its minimum private hospital valuation per DY for DY7-8 as described in Figure: 1 TAC § 354.1707(d)(2), the performer may allocate its DY7 and DY8 valuations as follows:

(1) 55 percent of its DY7 valuation and 75 percent of its DY8 valuation to Category C - Measure Bundles and Measures; and

(2) 15 percent of its DY7 valuation and 15 percent of its DY8 valuation to Category D - Statewide Reporting Measure Bundle.

Attached Graphic

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