CMS letter lifting the UC deferral

Dear RHP 2 1115 Waiver Stakeholders –

Yesterday, HHSC received the [attached] letter from CMS that formally removes the UC deferral issued in September 2014.  As we anticipated, the letter notes that CMS plans to work with Texas to do further analysis related to its concerns around private hospital IGT financing arrangements.  As outlined in the letter, if CMS determines that any of the financing arrangements violate federal law and/or any regulations, they expect that Texas would  make necessary adjustments by December 2015.

My office will continue to keep you updated on this issue as we are apprised of new developments by HHSC or other sources. 

Thank you,
Craig

1115 Waiver Update: RHP level PPA and PPR Now Available

RHP 2:

RHP level PPA and PPR data is now available for download and review on the HHSC Waiver website (http://www.hhsc.state.tx.us/1115-Waiver-Guideline.shtml.) This is Medicaid/CHIP data from calendar year 2012, along with a descriptive summary document.  

On behalf of the UTMB/RHP 2 Anchor Office team, we want to wish you much peace and joy during the holiday season.  Thank you for all you do for the success of DSRIP in RHP 2.  As we go into 2015, we will look forward to continuing to work with you to serve for the health and wellbeing of Texans, both in the 16 counties we serve and beyond.

Thank you,
Craig

RHP 2 -January 2015 – Important Upcoming Dates and Deadlines

Given the approaching holidays, I wanted to share a quick snapshot of upcoming dates and deadlines for January 2015.  Please feel free to share with others in your organization who may be responsible for certain aspects of the 1115 Waiver. 

January 2015 – Important Upcoming Dates and Deadlines

January 1 – IGT Entity Change Form due to HHSC for Entities that have changes in funding DSRIP projects.  DY4 Monitoring IGT will be calculated based on IGT commitments as of this date.

January 2 – IGT Entities enter payments into TexNet and submit Trace Numbers.

January 5 – IGT due from IGT Entities for metrics that were approved in the current DY3 October reporting period (round 2) or approved but unpaid in previous rounds.

January 15 – Requests due to HHSC for any provider who needs to “true up” Category 3 Baseline Rates that were submitted in October.

January 16 – Deadline for providers to respond to metrics marked as “Need More Information” with additional documentation using the Online Reporting System.

January 30 – DY3 October Reporting payment issue date for DSRIP Providers.

Thanks,
Craig

Waiver Updates and Important Information – Region 2

Dear Region 2:

Thank you to our amazing and dedicated performing providers in Region 2 who collectively submitted $71,600,633 (total value) for metric achievement during the recent DY3 October Reporting Period.  169 of the 243 total submitted metrics were “approved,” with 59 “provisionally approved” and 15 flagged for “Needs More Information.”   Please see additional details re: DY3 October Reporting below.

Attached to this e-mail are the [notes from the Anchor] call hosted by HHSC last Friday, December 12, 2014.  I am also attaching a spreadsheet with the statewide [Category 3 Selection Summary] for all projects.  Please review both documents in detail; however, I would like to highlights a few important items below:

DY3 October Reporting & IGT Information:

  • The deadline for providers to submit additional information for metrics marked “Needs More Information” is 11:59 pm CST on Friday, January 16, 2015.  As with DY3 October reporting, all additional information is to be submitted using the Online Reporting System.
  • IGT will be due on January 5th and payments will occur on January 30th for metrics approved in the current round or approved but unpaid in previous rounds.  The IGT due amounts will be sent out by Rate Analysis the week of December 15, 2014 using an FMAP of 58.05. 
  • Provisional approval was granted for approximately 45% of projects and metrics in our region.  Carefully review the details in the attached Anchor Meeting notes about “provisionally approved” metrics and the timelines for full review of those metrics, including the possibility of recoupment of funds if metric achievement is not demonstrated.
  • If any IGT entities have changes in DSRIP funding, please submit an IGT Entity Change Form prior to Thursday, January 1, 2015.  The form can be found on the Waiver website at:  http://www.hhsc.state.tx.us/1115-docs/DY3-Templates/April2014/IGT-Entity-Change-Form.xlsx.  If you submit a change form, kindly send a courtesy copy to Bobbie Guyton at bjguyton@utmb.edu so we may update our RHP plan and master file.

 Category 3 Baseline Reporting:

Any provider who has recognized errors in baseline data that was reported during the DY 3 October reporting period should send an email to the waiver inbox with the subject line “Updated Baseline Information” and include an updated baseline template with the corrected data.  The deadline for these requests is Thursday, January 15, 2015.  Please send a courtesy copy to Susan Seidensticker at smseiden@utmb.edu, as she will be most willing to assist from the Region 2 Anchor Office, if needed.

Category 4 Certifications for “UC Only” Providers:

Category 4 PPA and PPR reports were sent to providers participating in the Waiver as UC-only facilities on Friday, December 12, 2014 along with instructions on how to complete the certification process for DY3 UC payments.  If you are a UC-only facility and did not receive your reports, please send a request immediately to the HHSC Waiver mailbox at:  TXHealthcareTransformation@hhsc.state.tx.us.

Mid-Point Assessment, On-Site Audit/Visits & Regional Call:

Region 2 Anchor Office staff meets with Myers and Stauffer to discuss the mid-point assessment process and the timeline for completion tomorrow, Tuesday, December 16, 2014.  If you have not been contacted directly by Myers and Stauffer regarding an on-site visit, you will not be subject to one at this time; however, desk audits and follow-up communication can be expected and we will discuss more about this on the regional call this Friday, December 19, 2014 at 10 am CST.  If you are a performing provider with an active DSRIP project, please ensure someone on your staff participates in this important call this Friday morning.   

If you have any questions related to the information above or attached, please do not hesitate to contact me personally by phone or e-mail (409.766.4047 or cskovace@utmb.edu).  Likewise, general information, regional updates and archived data regarding the 1115 Waiver can be found on the Region 2 website at http://www.utmb.edu/1115/.

Thank you,
Craig

Update on UC Deferral

Transformation Waiver Stakeholders –

We want to give you a brief update on the September UC deferral.  HHSC expects to receive from CMS next week the letter formalizing the lifting of the deferral.  This is very encouraging, and we want to thank those of you that helped get the deferral lifted by providing supporting documentation and/or helping HHSC to develop the position we conveyed to CMS.

Earlier this week, HHSC sent a more detailed letter to CMS outlining HHSC’s position on the issues presented in the deferral (attached).  CMS has indicated that in the coming weeks it will review the information HHSC sent in comparison to the supporting documentation that led to the deferral in order to begin more detailed discussions early next year.

We’ve discontinued the bi-weekly UC deferral update meetings, but will keep you informed as we have updates.

Thanks,
Lisa Kirsch
Chief Deputy Medicaid/CHIP Director for Policy and the Transformation Waiver
Texas Health and Human Services Commission
512-707-6096

 

Jan 14

CMS letter lifting the UC deferral

Dear RHP 2 1115 Waiver Stakeholders – Yesterday, HHSC received the [attached] letter from CMS that formally removes the UC deferral issued in September 2014.  As we anticipated, the letter notes that CMS plans to work with Texas to do further analysis related to its concerns around private hospital IGT financing arrangements.  As outlined in …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2015/01/14/cms-letter-lifting-the-uc-deferral/

Dec 22

1115 Waiver Update: RHP level PPA and PPR Now Available

RHP 2: RHP level PPA and PPR data is now available for download and review on the HHSC Waiver website (http://www.hhsc.state.tx.us/1115-Waiver-Guideline.shtml.) This is Medicaid/CHIP data from calendar year 2012, along with a descriptive summary document.   On behalf of the UTMB/RHP 2 Anchor Office team, we want to wish you much peace and joy during …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/12/22/1115-waiver-update-rhp-level-ppa-and-ppr-now-available/

Dec 22

RHP 2 -January 2015 – Important Upcoming Dates and Deadlines

Given the approaching holidays, I wanted to share a quick snapshot of upcoming dates and deadlines for January 2015.  Please feel free to share with others in your organization who may be responsible for certain aspects of the 1115 Waiver.  January 2015 – Important Upcoming Dates and Deadlines January 1 – IGT Entity Change Form …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/12/22/rhp-2-january-2015-important-upcoming-dates-and-deadlines/

Dec 16

Waiver Updates and Important Information – Region 2

Dear Region 2: Thank you to our amazing and dedicated performing providers in Region 2 who collectively submitted $71,600,633 (total value) for metric achievement during the recent DY3 October Reporting Period.  169 of the 243 total submitted metrics were “approved,” with 59 “provisionally approved” and 15 flagged for “Needs More Information.”   Please see additional details …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/12/16/waiver-updates-and-important-information-region-2/

Dec 16

Update on UC Deferral

Transformation Waiver Stakeholders – We want to give you a brief update on the September UC deferral.  HHSC expects to receive from CMS next week the letter formalizing the lifting of the deferral.  This is very encouraging, and we want to thank those of you that helped get the deferral lifted by providing supporting documentation …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/12/16/update-on-uc-deferral/

Dec 15

RHP 2 Regional Meeting Information-December 3, 2014

Below is the link to review the information and attachments from RHP 2’s Regional Meeting on Wednesday, December 3, 2014.  https://ispace.utmb.edu/xythoswfs/webview/_xy-8665668_1  

Permanent link to this article: http://blogs.utmb.edu/1115/2014/12/15/rhp-2-regional-meeting-information-december-3-2014/

Dec 10

1115 Waiver – 12/05/14 Anchor Update

October Reporting and Review HHSC will complete its review by Dec. 8.  Providers will be able to login to the DSRIP Online Reporting System to view the HHSC Signoff and HHSC Comments for each metric.  HHSC will also send summary information to anchors and providers during the week of December 8 with the signoff status …

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Permanent link to this article: http://blogs.utmb.edu/1115/2014/12/10/1115-waiver-120514-anchor-update/

Dec 10

RHP 2 – Mid-Point Assessment Update

Dear RHP 2: As you know, Mid-Point Assessments of DSRIP waiver projects in Texas are actively being done.  As part of this assessment, Myers and Stauffer are conducting site visits of selected providers in each RHP on behalf of CMS as well as visiting with anchoring entities.  Region 2 is scheduled for next week.  Given …

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Permanent link to this article: http://blogs.utmb.edu/1115/2014/12/10/rhp-2-mid-point-assessment-update/

Dec 02

IMPORTANT UPDATE: HHSC announces that CMS Plans on Lifting UC “Deferral” in Texas

Dear Region 2 Providers: Many of you may have already seen the HHSC announcement below related to the ongoing UC “deferral” issue in Texas ; but, just in case you did not, I wanted to share Lisa Kirsch’s note sent to anchors yesterday evening.  Based on the communication below, CMS told HHSC that they are …

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Permanent link to this article: http://blogs.utmb.edu/1115/2014/12/02/important-update-hhsc-announces-that-cms-plans-on-lifting-uc-deferral-in-texas/

Nov 10

Anchor Call Notes-November 7, 2014

[Attached] are the notes from the Anchor Call on Friday, November 7, 2014 along with the [STC 48 (Pool Transition Plan) document] discussed with EWC this week.

Permanent link to this article: http://blogs.utmb.edu/1115/2014/11/10/anchor-call-notes-november-7-2014/

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