Region 2: Texas Medicaid 1115 Waiver

On behalf of the Region 2 anchor team, CONGRATULATIONS to all performing providers who completed their April DY4 DSRIP reporting! Kudos to the work regional performing providers have done to meet DSRIP project metrics and milestones which were designed to transform healthcare delivery in Texas as well as optimize health system performance through three dimensions, which we call the “Triple Aim:” 1) improving the patient experience of care, including quality and satisfaction; 2) improving the health of populations; and, 3) reducing the per capita cost of health care. Please take a few minutes to stop and celebrate your accomplishments, and use these significant results to motivate you and your colleagues to push forward to make even more substantial impact during the remainder of the current waiver period. ~ Craig Kovacevich

Important Dates

May 20, 2015, 5:00pm–Due date for IGT Entities to approve and comment on their affiliated providers’ April reported progress on metrics using the "IGT Info" tab for each project (please do not use this tab to identify technical errors entered in the reporting system)

June 10, 2015–HHSC and CMS will complete their review and approval of April reports or have NMI requests

July 2, 2015, 11:59pm–Responses to NMI due

July 8, 2015–IGT due for April reporting

July 21, 2015–April reporting DY4 DSRIP payments for transferring hospitals and top 14 IGT Entities

July 31, 2015–April reporting DY2 and DY3 DSRIP payments processed for all providers and DY4 DSRIP payments for remaining providers that were not paid on July 21, 2015. *Note: there are separate transactions for each payment for each DY

August 7, 2015–HHSC and CMS will approve or deny the additional information submitted for NMI requests

Important Announcements

Waiver Renewal Planning

HHSC will post a draft of the Waiver Extension/Renewal request for public review in June 2015, and will hold public meetings throughout Texas during July. One of these meetings will be held in Houston, and the Anchor Office encourages Region 2 performing providers and stakeholders to consider attending in person if possible. As soon as HHSC publishes the public meeting schedule, the Anchor Office will send a regional announcement, and the complete schedule will be posted on both the HHSC and regional websites.

The Clinical Champions workgroup, in coordination with HHSC leadership and staff, is developing a process for DSRIP performing providers to demonstrate the benefits and early successes of some of the strongest DSRIP projects through peer assessment reviews. As soon as more information is available, it will be shared with the region. The Anchor Office will be ready to assist providers as needed since there will be a quick turnaround time (end of May) to get assessments completed and returned to HHSC.


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