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

Current through Reg. 49, No. 28; July 12, 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.