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 354.1749 - Category A Requirements for Performers
Current through Reg. 49, No. 38; September 20, 2024
A performer must fulfill the following Category A - Required Reporting requirements for each demonstration year (DY).
(1) Core activities. A performer must select at least one core activity in the RHP plan update for its RHP that supports the achievement of its Category C measure goals, as described in the Measure Bundle Protocol. The performer must report progress on, and updates to, its selected core activities during the second reporting period of each DY.
(2) Alternative Payment Models (APMs). A performer must report progress toward, or implementation of, APM arrangements with Medicaid managed care organizations or other payers during the second reporting period of each DY.
(3) Costs and savings. A performer with a total valuation greater than or equal to $1 million per DY must report the costs of at least one core activity, as well as the forecasted or generated savings from that core activity.
(4) Collaborative activities. A performer must attend at least one learning collaborative, stakeholder forum, or other stakeholder meeting during each DY and report on its participation during the second reporting period of each DY.
