Current through Reg. 49, No. 43; October 25, 2024
Section 354.1621 - RHP Plan(a) A performer may receive DSRIP only if HHSC and the Centers for Medicare and Medicaid Services have approved the RHP plan with which the performer is associated.(b) An RHP plan must: (1) meet the requirements listed in the Program Funding and Mechanics Protocol (PFM Protocol) and the RHP Planning Protocol;(2) describe the Regional Healthcare Partnership's (RHP's) health care needs, referencing sources used;(3) include a list of IGT entities, performers, and UC hospitals;(4) include a certification that all the information contained within the RHP plan is true and accurate;(5) describe the processes used to engage stakeholders including the public meetings held, public posting of the RHP plan, and the process for submitting public comment on the RHP plan;(6) include a reasonable estimate of the available non-federal funds in the region, by demonstration year, to support the UC and DSRIP pools;(7) include the total amount of estimated UC and DSRIP funding to be used by demonstration year;(8) include the minimum number of DSRIP projects as described in § RSA 354.1632 of this subchapter (relating to DSRIP Requirements for Regional Healthcare Partnerships);(9) list all DSRIP projects submitted to the RHP for consideration, including those DSRIP projects proposed by RHP participants that were not selected for inclusion in the RHP plan;(10) include a narrative explaining how all of the DSRIP projects selected by the RHP will: (A) address the community needs outlined in the RHP plan; and(B) demonstrate health care delivery transformation and improvement in the quality of care provided in that RHP; and(11) include a description of each DSRIP project that must: (A) include the milestones and metrics associated with the project;(B) for each milestone, include the estimated DSRIP funding;(C) contain a reasonable estimate of the IGT provided by the IGT entity in connection with the DSRIP project as well as the identity of the IGT entity;(D) explain how the project addresses the regional health care needs stated within the RHP plan;(E) justify the amount of DSRIP funding estimated for the project;(F) explain how the DSRIP funding will not duplicate the funding for federal activities or initiatives funded by the U.S. Department of Health and Human Services;(G) address each core component required for the project as identified in the RHP Planning Protocol; and(H) provide a reasonable, quantifiable estimate of the impact the DSRIP project will have on all patients, including Medicaid and low-income uninsured populations.1 Tex. Admin. Code § 354.1621
The provisions of this §354.1621 adopted to be effective October 31, 2012, 37 TexReg 8453; Amended to be effective September 1, 2013, 38 TexReg 5431