July 2013 archive

Jul 31

RHP 2 1115 Waiver Meeting – Friday, August 2, 2013

Dear RHP 2 Stakeholders:

The [agenda] for this Friday’s Region 2 1115 Medicaid Waiver Meeting is attached.  We will cover recent HHSC/CMS updates and discuss next steps for performing providers and for regional initiatives, like the Learning Collaborative.  If you are unable to join in person, an audio conference option will be available.  Meeting details follow:

REGION 2
1115 MEDICAID WAIVER MEETING
10:00 AM
Friday, August 2, 2013
UTMB Specialty Care Center at Victory Lakes
2240 Gulf Freeway, Room 2.205
League City, Texas  77573
Audio Conference Option
1.877.226.9790
Access Code: 3020674

To assist us in planning, please RSVP to Bobbie Guyton by noon, Thursday, August 1, 2013.  Please call or e-mail to notify us if you plan to attend in person or via conference call at 409.766.4045 or bjguyton@utmb.edu.

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2013/07/31/rhp-2-1115-waiver-meeting-friday-august-2-2013/

Jul 31

RHP 2: 1115 Medicaid Waiver Updates – CMS Formal Review, Category 3, Waiver Evaluation, Etc.

Dear RHP 2 Stakeholders:

As follow-up to the 1115 Waiver Anchor Call last Friday afternoon, HHSC sent out several important updates that I want to share with the region.  We will go over all of these at the Region 2 meeting this coming Friday morning, August 2, 2013, at UTMB’s Specialty Care Center at Victory Lakes in League City, Texas.  Meeting details will be published tomorrow, including a dial-in option for those RHP 2 stakeholders who are unable to attend in person.

Please pay special attention to the following updates:

 

  1. CMS Formal Review:  As you know, CMS agreed to complete its formal review of Phase 1 projects within 15 days.  Originally, HHSC and CMS planned on working through those Phase 1 projects in “batches.”  In late June, CMS requested that HHSC not send any projects to them for formal review until the week of July 8.  On Friday, HHSC informed Anchors that CMS notified them that formal federal review would occur region by region, so the 15 day clock on an individual project would not begin until every project for that region had been transmitted to CMS.  HHSC is working as quickly as they can to process all Phase 1 cover sheets.  If you receive a request from HHSC for additional information or corrections, please submit the requested information ASAP, as one project can delay the entire region from receiving formal approval from CMS.
  2. TexNet Account Numbers:  It has come to HHSC’s attention that there is some confusion regarding the TexNet Account Number.  The TexNet Account Number is either the Governmental Entity’s Tax ID Number or Federal ID Number.  This number can be located on the Governmental Entity’s TexNet Trace Sheet under the Governmental Entity’s name.  Please submit this number as the TexNet Account Number on the 1115 Transformational Waiver Uncompensated Care Intergovernmental Transfer Allocation Confirmation Sheet.
  3. [Draft Category 3 Menu Revisions] & [Category 3 Summary]:  As HHSC mentioned, they are working with CMS to revise Category 3 measures.  On Friday, HHSC circulated a “DRAFT” proposal that includes new outcome domains, adds 159 new measures, and clarifies certain outcomes that were challenging to providers.  This submission by HHSC to CMS is a draft only and no action is required by providers at this time.  HHSC is sharing it with providers so that they can be aware of the discussions between HHSC and CMS related to Category 3.  A copy of the draft menu is attached and additional information can be found in the “Recent Updates” section on the HHSC waiver website:  http://www.hhsc.state.tx.us/1115-waiver.shtml
  4. Waiver Evaluation Contract with Texas A&M University:  Please see the attached from HHSC regarding the state’s requirement to conduct an evaluation of the 1115 Waiver.
  5. IGT Allocation Confirmation Sheet:  HHSC is requiring governmental entities to complete a separate UC IGT allocation confirmation sheet for each transfer of funds.  See the attached for additional information, and a copy of the required form (and related instructions) can be found at: http://registration.hhsc.state.tx.us/1115-igt-waiver.aspx
  6. Anchor Call Notes:  Please see the attached Anchor call notes from last Friday’s call with HHSC.

While there is quite a bit of information above (and in the attachments), it is all very important given the impact of the waiver to our region and the state.  We will walk through this information Friday, and I am always available to assist with any questions you have via phone or e-mail.

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2013/07/31/rhp-2-1115-medicaid-waiver-updates-cms-formal-review-category-3-waiver-evaluation-etc/

Jul 26

REVISED Message from HHSC about Texas A&M’s DSRIP project evaluation

Anchors,

Apologies–we’ve made a correction to the previously sent version of this email, specifically regarding which types of projects Texas A&M plans to speak with under #1 below. Please share this corrected version with your RHP.  Thanks!

The Health and Human Services Commission (HHSC) has contracted with Texas A&M University’s Center for Rural and Public Health (Texas A&M) to evaluate how the DSRIP-funded projects affect health system outcomes. Key components of the evaluation will include:

1)      A set of case studies examining ten (10) DSRIP-funded care navigation projects intended to reduce emergency department use.  In addition, they will identify ten (10) comparison emergency departments that do not have DSRIP-funded care navigation projects.

2)      A survey of DSRIP providers and IGT entities about collaboration with other organizations within their RHP.

3)      A survey of RHP stakeholders about their experience with the waiver, including perceived strengths, weaknesses, and recommendations.

The purpose of this email is to inform you before Texas A&M begins to contact you and members of your RHP and reassure you that Texas A&M is working on behalf of HHSC on the evaluation. If you have any questions about the evaluation, please feel free to contact Sarah Roper-Coleman at Sarah.Roper-Coleman@hhsc.state.tx.us or Rebecca Wells at wells@tamhsc.edu.

In the next month, the Texas A&M evaluation team will contact:

  • Anchors regarding identification of appropriate contacts for their member organizations for different types of information;
  • Projects leads at the ten (10) DSRIP-funded care navigation projects around the state chosen for in-depth examination;
  • Anchors for advice on whom to contact at the comparison emergency departments without DSRIP-funded care navigation projects; and

We are asking that you forward this information to your RHP members so that they are aware that they will be contacted. 

Our partners at Texas A&M have designed this evaluation to yield useful insights to providers and other stakeholders while minimizing burden on participants. Thank you for your cooperation in helping us fulfill this CMS requirement.

Amanda Broden
Healthcare Transformation Waiver Operations
Medicaid/CHIP Division
Texas Health and Human Services Commission

(512) 462-6388

Permanent link to this article: https://blogs.utmb.edu/1115/2013/07/26/revised-message-from-hhsc-about-texas-ams-dsrip-project-evaluation/

Jul 18

SAVE THE DATE: RHP 2 Meeting-Friday, August 2, 2013

Good morning RHP 2:

We will hold a regional meeting on Friday, August 2, 2013 from 10:00 a.m.-noon (CST) at UTMB’s Specialty Care Center located at 2240 Gulf Freeway South, League City, Texas.  Additional information will be forthcoming.  Thanks.

Permanent link to this article: https://blogs.utmb.edu/1115/2013/07/18/save-the-date-rhp-2-meeting-friday-august-2-2013/

Jul 09

QPI Webinar-Tuesday, July 9, 2013 at 1:30 pm

REMINDER:  Please see attached [PowerPoint] presentation below for the QPI webinar today (Tuesday, July 9, 2013).

Quantifiable Patient Impact (QPI) Webinar presentation by HHSC staff

HHSC has requested that all DSRIP providers verify or submit additional information for each project related to the quantifiable patient impact of the project and specifically its impact on the Medicaid/indigent populations.  This information will be used later this summer as CMS reviews proposed project valuation for demonstration years 4 and 5.  In the webinar, HHSC will explain how providers should fill out the spreadsheets to document this information.

  • Tuesday, July 9 from 1:30 – 3:30 pm CST.
  • Purpose will be to review the spreadsheet and instructions and to answer questions.  Please be sure all providers have received their spreadsheets and have had ample opportunity to review them PRIOR to the webinar.

To access the QPI webinar:

1) Go to www.webex.com

2) Click on Attend Meeting

3) Enter Meeting Number: 800 766 742 (no password necessary)

4) Call 1-800-396-3172 (no password necessary).  You will be placed directly into the audio conference.

Participants can choose to log in online to view the slides and listen to the audio conference OR to call in only for the audio portion.  Participants should dial in to the audio portion of the meeting 15 minutes prior to the start of the Webinar. They automatically will be connected to the meeting room and will hear music until the start of the webinar.

If you experience technical difficulties accessing either webinar or should you have any questions, please email waiver staff at: TXHealthcareTransformation@hhsc.state.tx.us.

 

 

Permanent link to this article: https://blogs.utmb.edu/1115/2013/07/09/qpi-webinar-tuesday-july-9-2013-at-130-pm/

Jul 02

RHP 2 Performing Providers Only: Updates on Request from HHSC & Upcoming Webinars

Dear RHP 2:

I have had several calls and/or e-mails asking for clarification on HHSC’s recent request for a list of operational DSRIP projects by region and the upcoming Quantifiable Patient Impact (QPI) webinar scheduled for next Tuesday, July 9, 2013.  Please see below:

  • HHSC leadership (Executive Commissioner Janek, Chief Deputy Commissioner Traylor, and Medicad Director Ghahremani) is interested in visiting regions and observing operational DSRIP projects during the month of July.  To facilitate these visits, HHSC requested that Anchors compile a list of DSRIP projects that are currently operational.  If you have a DSRIP project that fits this requirement, please email a brief description of the project (including the unique project ID) and a brief status update on the implementation of the project.  Again, HHSC is not seeking plans that are in “development,” rather ones they can visit to see progress.

We are asking for RHP 2 performing providers to send in their submissions in advance of the July 4th holiday; but, will be able to accept updates through 10 am CST on Monday, July 8, 2013.  Please send to me at: cskovace@utmb.edu with a cc: to Bobbie Guyton (bjguton@utmb.edu).

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2013/07/02/rhp-2-performing-providers-only-updates-on-request-from-hhsc-upcoming-webinars/

Jul 02

1115 Waiver: UPDATES for RHP 2 from HHSC’s Anchor Call

Dear RHP 2 Stakeholders:

HHSC hosted an Anchor Call.  Below are some highlights that I would like to share.  There is a lot of information, but it is all very important; so, please take time to careful review, especially the webinar opportunities and noted deadlines. 

As anchor for RHP 2, UTMB will continue to provide additional information as it becomes available to us from HHSC and/or CMS.  In addition to the notes below, I have attached a [“DRAFT” DSRIP payment schedule for DY2-DY3].  It also includes FMAP information that may be helping for budgetary planning.  I encourage you to share the attached information and the notes below with anyone you feel will find this information valuable.

If you have any questions, or need any assistance, please do not hesitate to contact me at: cskovace@utmb.edu or by phone at 409.766.4047. Continue reading

Permanent link to this article: https://blogs.utmb.edu/1115/2013/07/02/1115-waiver-updates-for-rhp-2-from-hhscs-anchor-call-3/

Jul 01

Quantifiable Patient Impact (QPI) Webinar-July 9 @ 1:30 PM

If you have a DSRIP project that has been identified as missing Quantifiable Patient Impact (QPI), I encourage you to participate in the HHSC QPI webinar on Tuesday, July 9, 2013 at 1:30 pm CST.  Please see the invitation and details below:

Quantifiable Patient Impact (QPI) Webinar presentation by HHSC staff

HHSC has requested that all DSRIP providers verify or submit additional information for each project related to the quantifiable patient impact of the project and specifically its impact on the Medicaid/indigent populations.  This information will be used later this summer as CMS reviews proposed project valuation for demonstration years 4 and 5.  In the webinar, HHSC will explain how providers should fill out the spreadsheets to document this information.

  • Tuesday, July 9 from 1:30 – 3:30 pm CST.
  • Purpose will be to review the spreadsheet and instructions and to answer questions.  Please be sure all providers have received their spreadsheets and have had ample opportunity to review them PRIOR to the webinar.
  • To access the QPI webinar:

1) Go to www.webex.com

2) Click on Attend Meeting

3) Enter Meeting Number: 800 766 742 (no password necessary)

4) Call 1-800-396-3172 (no password necessary).  You will be placed directly into the audio conference.

Participants can choose to log in online to view the slides and listen to the audio conference OR to call in only for the audio portion.  Participants should dial in to the audio portion of the meeting 15 minutes prior to the start of the Webinar. They automatically will be connected to the meeting room and will hear music until the start of the webinar.

If you experience technical difficulties accessing either webinar or should you have any questions, please email waiver staff at: TXHealthcareTransformation@hhsc.state.tx.us.

Permanent link to this article: https://blogs.utmb.edu/1115/2013/07/01/quantifiable-patient-impact-qpi-webinar-july-9-130-pm/