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 8 - DSRIP PROGRAM DEMONSTRATION YEARS 9-10
Section 354.1737 - RHP Plan Update for DY9-10
Universal Citation: 1 TX Admin Code ยง 354.1737
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 DY9-10 for the performer's RHP.
(b) An RHP plan update for DY9-10 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, if needed;
(3) include a list of IGT entities,
performers, and other stakeholders involved in the development of the RHP plan
update;
(4) include signed
certifications from the performer's leadership and the performer's affiliated
IGT entities that all the information contained within the RHP plan update for
DY9-10 is true and accurate;
(5)
describe the processes used to engage stakeholders including the public
meetings held;
(6) include the
total amount of estimated DSRIP funding to be used by demonstration year
(DY);
(7) include for each
performer:
(A) an updated definition of the
performer's system, if needed;
(B)
any updates to the performer's DY7-8 Category A core activities for
DY9-10;
(C) updates to the
performer's Category B total Patient Population by Provider (PPP) or MLIU PPP
for DYs 5-8, if needed;
(D) the
forecasted number of Medicaid individuals served in DY9-10 and the forecasted
number of LIU individuals served in DY9-10 based on the number of MLIU
individuals served in DY7-8;
(E) if
the performer is a hospital or physician practice:
(i) the performer's selected Category C
Measure Bundles and measures for DY9-10;
(ii) the performer's requests for allowable
changes to its selected Category C Measure Bundles and measures, as described
in §354.1753(a)(1)(E) of this division (relating to Category C
Requirements for Performers), the Program Funding and Mechanics Protocol and
Measure Bundle Protocol; and
(iii)
the related strategies associated with each of the performer's Category C
Measure Bundles for DY9-10.
(F) if the performer is a community mental
health center or local health department:
(i)
the performer's selected Category C measures for DY9-10;
(ii) the performer's requests for allowable
changes to its selected Category C measures, as described in
§354.1753(b)(1)(E) and §354.1753(c)(1)(F) of this division, the
Program Funding and Mechanics Protocol and Measure Bundle Protocol;
and
(iii) the related strategies
associated with each of the performer's Category C measures for
DY9-10.
(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; and
(8) include a narrative explaining the
performer's rationale for its Category C Measure Bundle and measure selections
for DY9-10.
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
