OCTOBER 31 Update: Dear Region 2 Stakeholders:

You are invited to join the Region 2 anchor team, the RHP 2 Regional Steering Committee (RSC) and the other regional stakeholders this Friday, November 2, 2012 at UTMB’s Specialty Care Center at Victory Lakes (League City, Texas) for an important 1115 Waiver meeting. The day will begin at 8:30 am with a continental breakfast to celebrate the completion of our first part submission, and then we will start the waiver meeting promptly at 9 am.  We anticipate a full agenda, but will aim to conclude by 10:30 am. 

If you are unable to join us in person, please dial in at 9 am using the following conference line:

Phone Number:     1.877.226.9790
Participant Code:   3020674

This will be an important meeting to review RHP 2’s recent HHSC submission covering Sections I, II & III, including supplemental documents related to our region’s Community Need Assessment (CNA).  The deadline was 10 am (cst) today; however, we were successful in turning it in yesterday afternoon.  Also, on Friday, we will converse about pass 1 projects, discuss our planning calendar/timeline that will ensure we meet the next deadline, update the region on the status of pass 2 and field questions on any items not covered on the agenda.  As a bonus, members of the RHP 2 anchor construction team will be on hand to answer any outstanding questions and make sure all entities participating in DSRIP are on target to re-submit final plans with suggested edits. 

We have now posted RHP 2’s submission (approximately 50 pages) and our region’s supplemental material package that was also submitted to HHSC yesterday*.  (See links below). Please review the documents prior to Friday’s meeting.  It will also be helpful for you to print out and bring a hard copy to the meeting. 
*PLEASE NOTE: This first submission is editable; so, after review by the RSC and regional stakeholders, we can modify when we turn in the second submission due mid-November.  

On behalf of the RHP 2 anchor leadership team, the RSC members and the residents who make up the 16 counties we impact, I want to personally thank each of you for your hard work, dedication and patience during this planning process. Many thanks and see you Friday!

Craig S. Kovacevich, M.A.
Associate Vice President for Healthcare Transformation
UTMB Health System

OCTOBER 30 Update: We wanted to announce that the HHSC 1115 Transformation Waiver team will be holding a teleconference addressing questions related to project outcomes and baselines this Thursday, November 1, 2012 from 2-4 pm (CST).  Dr. Betsy Shenkman, who is the Texas Medicaid External Quality Review Organization (EQRO) quality expert, will answer emailed questions about project baselines and outcomes and then will take additional questions from teleconference participants.  

If you would like to email Dr. Shenkman a question, please send it to the waiver mailbox at by close of business tomorrow, October 31, 2012. Please put “Baseline/Outcome Question” in the subject line so HHSC staff can easily identify your question and route it accordingly.

The dial in number is 1.877.331.7677. There is no need to RSVP for this teleconference, simply dial in and you will be placed into conference line.

OCTOBER 25 Update: RHP 2 Stakeholders: As part of our reply to HHSC, we must provide a brief description of any initiatives in which providers in the RHP are participating that are funded by the U.S. Department of Health and Human Services.

We need your response asap tomorrow, Friday, October 26, 2012.

Please reply to: me, with a cc: to Tom Riley at

Please see the list below as a guide.

INFORMATION NEEDED ASAP regarding participation in the following:

  • HITECH Payments: HER incentive payments; Health Information Exchange Grant; other HITECH grant or payment
  • HRSA grants: FQHC/RHC/School-based health canter grants. Including capital grants; Health professions loans and workforce development grants; Ryan White funding; maternal and child health grants
  • SAMSHA Funding (list of SAMSHA grants by state): Community Mental Health services block grant; substance Abuse and Prevention and Treatment Block Grant; other mental health and substance abuse grants
  • CDC grants (list of CDC funding by state); immunization grants; CLASBI/Hospital acquired infection initiatives

OCTOBER 22 Update: This Friday’s RHP 2 planning meeting (October 26th) is being cancelled to allow the anchor team time to prepare for the first submission deadline of October 31, 2012 to HHSC. All DSRIP projects were due last Friday, and the anchor team is now in process of reviewing and linking to the community needs assessment.  If the team needs further clarification or additional project information, they will reach out directly to the performing provider. 

OCTOBER 15 Update: Important information below:

  • This week’s RHP 2 1115 Waiver Meeting is being cancelled—We will reconvene as a region next Friday, October 26, 2012 at UTMB Victory Lakes.
  • ALL UTMB INTERNAL DSRIP Projects are due by 5 pm (CST) today, Monday, October 15, 2012 via  e-mail to:


OCTOBER 11 Update: RHP 2 1115 Waiver Planning Updates:

  • Tomorrow's Planning Meeting has been cancelled.
  • Based on feedback from the RSC, the deadline for DSRIP project submissions has been officially moved to Friday, October 19, 2012.

Many of you have reached out already for assistance as the deadline nears. Please continue to let us know if you need anything.

OCTOBER 8 Update: I want to take this opportunity to personally thank those of you who have submitted your revised DSRIP projects, and remind stakeholders who have not yet done so that the new deadline for RHP 2 DSRIP projects is this Friday, October 12, 2012.  If you are a UTMB project owner, your projects were due last Friday, October 5, 2012.  On behalf of the RHP 2 Anchor Team and UTMB’s Health System Leadership, we appreciate your hard work to get them submitted on time given all of the recent changes.

Once projects are submitted, the anchor DSRIP Review Team will begin their evaluation to make sure that they are compliant with the requirements set forth by HHSC for inclusion into the regional plan. A member of the team will be in contact with any questions, suggestions and/or required modifications.  If you need any additional guidance on DSRIP, including assistance with the suggested valuation tool presented to the region, please e-mail me at: with a cc: to and we will connect you with a regional anchor resource as soon as possible.

Please note that this week’s RHP 2 Planning Meeting is being cancelled to allow stakeholders the opportunity to complete their DSRIP projects to meet the Friday, October 12, 2012 5 pm (CST) deadline.  We will reconvene the following week, and will send out notification with an agenda closer to the date.  Likewise, if we receive any new information from HHSC that requires a meeting, we will notify the region and make a teleconference option available.   

Thank you once again for your efforts as we work together to create a RHP that will transform healthcare in our region and be a model to others in the state.

OCTOBER 4 Update: Please see the notice from HHSC below.  While there are no firm date commitments, HHSC and CMS recognize that additional time is needed for the development of projects given the new protocol complexities. 

In RHP 2, we want to work with you to provide extra time for you to submit your projects with the new requirements; therefore, tomorrow’s 5 pm deadline for projects with IGT (secure) will be extended.  If you have worked to meet this original deadline and want to send your projects in for anchor review, please feel free to do so. Send to me at, with a copy to Katrina at

At this time, we are extending the deadline by one week to Friday, October 12, 2012; however, if after today’s Executive Waiver Committee meeting or tomorrow’s Anchor Call we find out more specifics on dates/extensions, we will modify the new deadline accordingly.  We will also discuss more at tomorrow’s RHP 2 Regional Planning Meeting at UTMB’s Victory Lakes campus.

I leave you with one of my favorite Zig Ziglar quotes that I always find myself telling my staff.  It certainly holds true as we navigate this ever-changing waiver journey together:
“Be firm on principle, but flexible on method.”

We will be back in touch soon. --Craig


Since the release of the RHP Planning Protocol, which was just approved last week, we have received a significant number of questions from providers on developing good plans.  It has become clear that additional time is needed for developing projects that meet the complexities of the Protocol.

We have worked with CMS to extend the timeline. This will allow us to provide responses to Frequently Asked Questions and for CMS to review responses. We are asking Pass 1 Performing Providers that need additional time to please reach out to their anchors to notify them. For purposes of the October 31, 2012 deadline, we will require a subset of the RHP Plan Template, through the Needs Assessment Section III, to submit to CMS.

While HHSC wants to work to get Plans submitted as soon as possible, we also have heard the requests that more time is needed. We are excited about the projects that are in development and have also received input from other stakeholders about the innovation that is occurring in the regions.

If there is consensus in a region that the timeline can be met, you can submit on the current schedule.

Thank you for your patience as we continue to work with you. We will provide more details on the overall timeline soon.

Anchors, please be advised that the anchor workbook will be posted early next week. We had built the anchor workbooks with the hope that we could include some additional flexibility for Pass 1; however, CMS has not granted the change.

OCTOBER 2 Update: Please plan to join RHP 2 this Friday, October 5, 2012 at 8:30 am at UTMB’s Victory Lakes Specialty Care Center (League City, Texas) for an informative session on IGT mechanics under the 1115 Waiver.  This meeting is in response to continued questions that are coming into us as regional anchor related to IGT rules/regulations.  This meeting will be led by representatives from Gjerset & Lorenz, and will provide an opportunity for RHP 2 stakeholders to share their experiences, validate information, ask questions and (hopefully) dispel myths of how IGT transfers work under the 1115 Waiver.

We will also have members of the RHP2 1115 Waiver Construction Team on hand for any last minute questions prior to the 5 pm submission of DSRIP projects (with secured IGT).

If unable to join in person, please dial in at:

  • 1.877.226.9790
  • 3020674 – Participant Code

Also, for performing providers actively working on DSRIP projects for Friday’s deadline: Based on some clarification we received from HHSC during a phone call today, we have edited the instructions and reposted them.  Edits are highlighted in yellow. Please continue to reach out to us with questions, we’re trying to get back to everyone as quickly as possible. Thank you for your continued herculean efforts at building DSRIP projects for RHP 2. [download updated instructions]






Texas Friends

For Your Review

Some documents are Adobe PDF files. To view .PDF files, you need Adobe Acrobat or the free Adobe Reader installed on your computer.

Adobe Reader Download Download now

Contact us

Want to know more? Call or email us, and we'll be happy to answer questions, listen to your ideas, or share additional information.
Phone: Phone: (409) 772-3116