Region 2: Texas Medicaid 1115 Waiver

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.

Important Dates

August 15, 2015–A courtesy deadline for sending Category 3 baseline corrections for outcomes not selected for compliance monitoring. Please submit baseline correction forms to HHSC by August 15th so that baselines can be reviewed and DY4 goals finalized before the October DY4 reporting period

August 27-28, 2015–HHSC Statewide Learning Collaborative Summit, Austin, TX. The deadline to register was August 5, 2015. HHSC will broadcast the conference online for those who cannot attend in-person

August 28, 2015–HHSC has notified providers of projects that will be reviewed for possible changes for waiver renewal, including the reason for review. If providers do not plan to continue any of the projects under review after DY5 or do not plan to use the funds for a replacement, then please notify HHSC by August 28, 2015

September 10, 2015–UTMB, anchor for RHP 2, will hold its final regional meeting for Demonstration Year (DY) 4

September 25, 2015–RHP 2 Behavioral Health Learning Collaborative will be held at the Baptist Hospital of Southeast Texas (740 Hospital Drive, Suite 350, Beaumont, TX 77701)-Spindletop Room

September 30, 2015–HHSC has confirmed that all Category 3 outcomes currently selected for compliance monitoring by Myers and Stauffer will be notified of the final results of their review and any corrective action needed

Important Announcements

Waiver Renewal Planning

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.

HHSC posted the 1115 Waiver Extension Application Draft, attachments and Public Notice on the Waiver Renewal page of HHSC Waiver website. HHSC also took comments on this draft from July 6, 2015 to August 5, 2015. A summary of all comments from the public hearings (including the webinar) has been posted on the HHSC Waiver Renewal page.

HHSC will continue to work with stakeholders on detailed programmatic changes to the protocols not addressed in the waiver extension draft. More information on protocol-level proposals will be provided at the Statewide Learning Collaborative Summit on August 27-28, 2015. HHSC tentatively plans to hold a DSRIP protocol webinar in September 2015 (rather than August as previously indicated).

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