Monthly Archive: May 2013

May 30

Amendments and Clarifications to Transformation Waiver Program Rules – Proposed Packet

Attached are the proposed amendments  [Preamble] [Rule] to the Transformation Waiver program rules to reflect the recent changes to the Program Funding and Mechanics (PFM) Protocol and the proposed process to add new three-year Delivery System Reform Incentive Payment (DSRIP) projects.

These rules will go before the HHSC advisory committees the week of June 10-14 and will be published as proposed in the Texas Register June 28, 2013.

We welcome any comments waiver stakeholders may have. Written comments on the proposal may be submitted to Charles Greenberg, Assistant General Counsel, Office of General Counsel, Health and Human Services Commission, Mail Code-1070, P.O. Box 13247, Austin, TX, 78711; by fax to (512) 424-6586; or by e-mail to charles.greenberg@hhsc.state.tx.us, within 30 days after publication of this proposal in the Texas Register.

 

 

Permanent link to this article: https://blogs.utmb.edu/1115/2013/05/30/amendments-and-clarifications-to-transformation-waiver-program-rules-proposed-packet/

May 28

Recorded Call-HHSC Technical Assistance

The conference call between RHP 2 and HHSC on Thursday, May 23rd at 1:00 pm was recorded.  Below are the instructions to access the recording.

To listen to a digital recording of this call, dial 877.471.6587 or 402.970.2667 and enter program ID 183047062001.

This program will be available from now until 06/22/13 at 11:59 PM CT.

Thanks,
Bobbie Guyton
409.766.4045

Permanent link to this article: https://blogs.utmb.edu/1115/2013/05/28/recorded-call-hhsc-technical-assistance/

May 28

FOR RHP 2 DSRIP PROJECT OWNERS – C3 Patient Satisfaction

Dear RHP 2 DSRIP Project Owners:

HHSC has sent me a clarification to share with RHP 2 DSRIP project owners regarding Category 3 (Patient Satisfaction).  HHSC is concerned that the following information may have not been communicated clearly on Thursday’s RHP 2 Technical Assistance call.

If the project cover sheet does not identify that there is an issue with Category 3 (Patient Satisfaction) (5C), HHSC’s assumption is that CMS does not have an issue with patient satisfaction for that project and the provider does not need to add a Category 3 outcome (including TBD for a non-hospital provider).

For non-hospital providers that have 5C checked on their cover sheet, they can either:

  • Replace patient satisfaction with “TBD”; or,
  • Add “TBD” and keep the patient satisfaction outcome as well in order to get their DY 2-3 value back up to its original value (assuming that was the project’s only issue).

If you have any questions, I am here to assist.

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2013/05/28/for-rhp-2-dsrip-project-owners-c3-patient-satisfaction/

May 21

RHP 2 Meeting Minutes-May 17, 2013

Attached are the minutes from the 1115 Medicaid Waiver Meeting on Friday, May 17, 2013 at 9:00 am.

[Waiver Full District Meeting]

Permanent link to this article: https://blogs.utmb.edu/1115/2013/05/21/rhp-2-meeting-minutes-may-17-2013/

May 21

RHP 2 TECHNICAL ASSISTANCE CALL RESCHEDULED: Thursday, May 23, 2013, 1-3 pm

Dear RHP 2 Stakeholders:

HHSC has notified us that our region’s cover sheets are not ready, and suggested that we reschedule today’s technical assistance call.  We agree with HHSC that the call will be more productive if DSRIP project owners have their cover sheets in hand for the call.

The technical assistance call has been rescheduled for:

Thursday, May 23, 2013
1-3 pm
Dial-in Number:
1.877.226.9790
Participant Code:
3020674

If you did not make yesterday’s deadline to submit questions, or if would like to send additional questions, please do so by 10 am tomorrow, Wednesday, May 22, 2013.  All questions should be submitted to: cskovace@utmb.edu with a cc: to bjguyton@utmb.edu.

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2013/05/21/rhp-2-technical-assistance-call-rescheduled-thursday-may-23-2013-1-3-pm/

May 21

RHP 2 NOTICE: Final 2012 UC Payment Database with FINAL IGT/Payment Amounts

Good Afternoon RHP 2:
This notice contains information regarding 2012 UC Payments, including the FINAL IGT/payment amounts.

Attached you will find three (3) documents:

  1. Notice providing information and timeframes regarding the FINAL 2012 UC payment information
  2. Revised 2012 UC Payment Database based on comments received
  3. FINAL 2012 UC IGT workbook (containing two spreadsheets sorted by governmental entity and by provider name)

The FINAL 2012 UC payment schedule appears below: Read the rest of this entry »

Permanent link to this article: https://blogs.utmb.edu/1115/2013/05/21/rhp-2-notice-final-2012-uc-payment-database-with-final-igtpayment-amounts/

May 20

1115 Medicaid Waiver: Region 2 Technical Assistance Call Reminder and HHSC Updates/Instructions

Please read the following note carefully and review the five (6) attachments.  You will find:

  • [Anchor call talking points]
  • [Companion document] – This version of the document includes yellow highlights to reflect what has changed since the May 3, 2013 version. HHSC strongly encourages stakeholders to closely review this updated document since it addresses many common questions regarding follow-up to CMS initial review feedback.
  • IGT entity change form [Instructions and Checklist] [Entity Change Form]– This form is to be used if an IGT entity for a DSRIP project has changed.
  • [QPI and Medicaid/Indigent instructions] – These overviews outline what performing providers should expect for Phase 2 related to quantifiable patient impact and Medicaid/indigent impact.

Also, please remember that RHP 2 will host a technical assistance call tomorrow for DSRIP project owners.  HHSC staff will be on the call to provide guidance, and each entity will have time to ask questions or comment on their CMS feedback.  We are still hopeful that we will receive the HHSC cover sheets in advance of tomorrow’s conference call.  As soon as we receive the cover sheets, we will forward them to project owners.  Please remember the 10 a.m. deadline today (Monday, May 20, 2013) to submit questions for tomorrow’s call.  Submit questions to cskovace@utmb.edu, with a cc: to bjguyton@utmb.edu.  As agreed upon at the RHP 2 meeting Friday, we will go alphabetically beginning with Angleton-Danbury and ending with UTMB.

RHP 2 Technical Assistance Call with HHSC
Tuesday, May 21, 2013
1-3 pm
Dial in Number:       1.877.226.9790
Participant Code:     3020674

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2013/05/20/1115-medicaid-waiver-region-2-technical-assistance-call-reminder-and-hhsc-updatesinstructions/

May 20

HHSC Announces Delay in DY 1 DSRIP Payment: For “sweeps date” of May 1, 2013

Dear RHP 2 Stakeholders:

As discussed in the RHP 2 meeting Friday morning, HHSC announced that there will be a delay in the DY 1 DSRIP Payment for entities who submitted IGT with a Tex Net sweeps date/settlement date of May 1, 2013.

The April 23, 2013, IGT notification email had indicated an estimated payment date of May 17, 2013; however, the revised payment issue date is May 23, 2013.

If you have questions regarding the information above, please contact:

Rhonda Hites
HHSC Hospital Rate Analysis
(512) 707-6068
rhonda.hites@hhsc.state.tx.us

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2013/05/20/hhsc-announces-delay-in-dy-1-dsrip-payment-for-sweeps-date-of-may-1-2013/

May 16

Meeting Presentation-Friday, May 17th @ 9:00 am

Attached is the presentation for the RHP 2 1115 Waiver Meeting for Friday, May 17th at 9:00 am.

[Meeting Presentation]

Thanks,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2013/05/16/meeting-presentation-friday-may-17th-900-am/

May 15

SAMPLE HHSC COVER SHEETS – FOR REVIEW ONLY

Dear RHP 2 Stakeholders:

Many of you have called or e-mailed asking about the HHSC generated DSRIP cover sheets which will provide additional details to supplement the feedback from CMS, including state valuation flags.  Per HHSC, they are working on our region’s cover sheets and are trying to get them out in advance of our Technical Assistance Call next Tuesday.  HHSC shared a couple of sample cover sheets [Sample A] [Sample B] (de-identified) from another RHP, and I wanted to pass them along so you could have an idea of what to expect.  Additionally, HHSC is in process of updating the companion document with procedural guidelines for the four-phase project revision process.

PLEASE NOTE THE UPCOMING RHP 2 EVENTS:

Read the rest of this entry »

Permanent link to this article: https://blogs.utmb.edu/1115/2013/05/15/sample-hhsc-cover-sheets-for-review-only/

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