Current through Reg. 49, No. 43; October 25, 2024
Section 354.1737 - RHP Plan Update for DY9-10(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 DY9-10.1 Tex. Admin. Code § 354.1737
Adopted by Texas Register, Volume 44, Number 45, November 8, 2019, TexReg 6856, eff. 11/12/2019; Amended by Texas Register, Volume 45, Number 48, November 27, 2020, TexReg 8514, eff. 12/2/2020