1 Tex. Admin. Code § 354.1737

Current through Reg. 49, No. 50; December 13, 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