June 2014 archive

Jun 25

RHP 2 April DY3 Overall Reporting Results

Dear RHP 2 Performing Providers & Stakeholders:

 

On behalf of Katrina Lambrecht, JD, MBA, Vice President of Institutional Strategic Initiatives for the University of Texas Medical Branch at Galveston (UTMB), and the entire Anchor Office team, I would like to congratulate the performing providers in RHP 2 for the outstanding success with Demonstration Year 3 (DY3) April reporting.

As a region, we achieved:

  • A 98.5% approval rate of submitted metrics for DY3 April reporting

o   Of the 195 unique metrics reported by 15 performing providers, 192 metrics were accepted without any further requirements 

o   Three (3) metrics were designated as “NMI” (Need More Information,) and will be eligible for delayed payment once the providers submit additional documentation for secondary review and possible approval by HHSC and CMS

  • Approvals valued at more than $31,000,000 (state and federal share combined) for DY2 carry-over and DY3 first-opportunity metric reporting

o   With approximately $4,200,000 in DY2 October “NMI” reporting, which will be paid with DY3 April reporting achievements

None of the accomplishments mentioned above would be possible without the hard work and dedication of the performing providers in the region.  Through DSRIP projects, you and your colleagues are positively impacting the 16 counties that comprise RHP 2.  I am very proud of the regional collaboration that has developed since the inception of the Texas waiver; but, even more excited to witness DSRIP projects actively fulfilling the expectations of improved care, increased efficiency and cost reductions through moreintegrated, cohesive and efficient health care delivery.

I  would also like to thank my amazing Anchor Office team (Marina Flomina, Mary Gonzalez, Bobbie Guyton, Andrew Herndon, Anh Tu Pham, Susan Seidensticker and Karen Wong) for the guidance and support they offer RHP 2 providers and stakeholders on a daily basis.  Likewise, I would be remiss if I did not acknowledge Kathy Tiernan with UTMB’s Office of Health Policy & Legislative Affairs for her support during the past two reporting periods.  Kathy has “rolled-up her sleeves,” and helped our team respond to many of the requests from external partners.

Thank you for the privilege to oversee the “BEST” region in the state,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2014/06/25/rhp-2-april-dy3-overall-reporting-results/

Jun 24

DY3 April Reporting Results for Region 2 – Now In Process

Dear RHP 2 Performing Providers:

HHSC is in process of sending out the April DY3 reporting results directly to those individuals who the state has listed as performing provider contacts.  As anchor of RHP 2, Katrina Lambrecht and I are also receiving courtesy copies of all correspondence sent to performing providers in our region.  If we notice that a provider in our region has feedback with “Need More Information” (“NMI”) or with Semi-Annual Reporting (SAR) requirements marked as “Incomplete,” we will notify you, as well. 

Providers with requests for a response should follow the directions on the Instructions tab, review the DY3 Reporting Companion Document (updated on 6/18/14) and resubmit the related workbook(s) along with any supporting documentation to HHSC for additional review. (Providers with no “Need More Information” or “Incomplete” statuses do not need to resubmit their workbooks.) This information should be sent to DSRIP@deloitte.com with SUBJECT: RHP [XX], Provider [TPI: XXXXXXXXX] no later than July 11, 2014.  We also ask that when you reply to HHSC you copy me: (cskovace@utmb.edu) and Bobbie Guyton: (bjguyton@utmb.edu) so we can have a copy of your response in our master file.   

 Please note the following:

  • If the provider does not respond to HHSC’s request for additional information, all monies for the metric in question will be forfeited.
  • If additional information is requested by HHSC from April DY3 reporting, the DSRIP payment related to the milestone/metric will not be included with July DSRIP payments. Approved April DY3 responses will be included for payment in the next DSRIP payment period, estimated for January 2015.
  • Early July 2014 – IGT due for approved DY3 April reporting DSRIP payments.
  • Late July 2014 – Approved DY3 April reporting DSRIP payments processed.
  • Friday, July 11, 2014 – Due date for providers to submit responses to HHSC requests for additional information on April reported Category 1-4 milestone/metric achievement and Semi-Annual Reporting requirements.
  • Friday, August 15, 2014 – HHSC and CMS will approve or deny the additional information submitted in response to HHSC comments on DY3 April reported milestone/metric achievement. Again, all approved April DY3 responses will be included for payment in the next DSRIP payment period, estimated for January 2015.

Please do not hesitate to contact me if you have any trouble accessing your files, or if my team or I can be of any assistance in this process.  We are here to help!

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2014/06/24/dy3-april-reporting-results-for-region-2-now-in-process/

Jun 24

Statewide DSRIP Learning Collaborative Summit-SURVEY

RHP 2 Providers/Interested Stakeholders:

HHSC has requested information via a survey to assist them in planning the upcoming statewide DSRIP Learning Collaborative Summit in September.  We would like to ensure that RHP 2’s feedback is taken in to consideration; so, we encourage you to take time to complete the link survey. 

Please note that the state has requested that only one survey be submitted for each organization.

*************************************************************************************************************************************

Dear DSRIP Anchors and Providers:

As you know,  HHSC will be hosting a two day Statewide Learning Collaborative Summit on September 9th and 10th, 2014. The Summit will be held in Austin to inform implementation of the Delivery System Reform Incentive Payment (DSRIP) program under the Medicaid Transformation Waiver. Participants will include representatives from DSRIP performing providers, RHP anchoring entities and other key DSRIP stakeholders. More information on Summit logistics and registration process will be provided in the very near future.

The primary goal of the Summit is to share what Texas DSRIP participants have learned from DSRIP so far in order to increase successes as we head into years 4 and 5 of the waiver. In order to inform the agenda and topics presented at the Summit, we are requesting that you please complete the survey at the link found below in this email. The survey asks questions about what topics you would like to see HHSC present at the Summit, any particular technical assistance or agenda topics you would find helpful, and your interest in presenting an overview of your DSRIP project(s) in panel presentations or poster sessions.  A PDF copy of the survey is attached so that you can see in advance what information is being requested, in order to prepare your organization’s responses.  Once the actual survey is started, it must be completed in one setting (you cannot save it and return to it). Once you complete the last question, the survey is automatically sent to the data base. 

The survey can be found here: http://surveyconsole.com/console/t/ApFLZDeUV

We ask that you please complete the survey as soon as possible, but no later than July 1st

We look forward to receiving your input to help make this Summit as informative and useful as possible.  If you have any questions, please email the waiver mailbox at txhealthcaretransformation@hhsc.state.tx.us.  

Thank you,
Amanda Broden
Healthcare Transformation Waiver Operations
Medicaid/CHIP
Texas Health and Human Services Commission

Permanent link to this article: https://blogs.utmb.edu/1115/2014/06/24/statewide-dsrip-learning-collaborative-summit-survey/

Jun 19

1115 Waiver: DY3 April Companion Document Revisions & Important Dates

Dear RHP 2 Performing Providers:

 

Today, June 18, 2014, HHSC made additional revisions to the DY3 April companion document (https://www.hhsc.state.tx.us/1115-docs/DY3-Templates/April2014/AprilDY3ReportingCompanion.pdf).

Knowing that all of you are busy, I have taken the liberty to summarize some of the changes in the following bullet points; but, I strongly encourage you (or a member of your team) to review the entire document in detail.  I am also providing a quick recap of the timeline associated with DY3 April reporting.

April Reporting Timeline:

  • Friday, June 20, 2014 – HHSC and CMS will complete their review and approval of DY3 April reports or request additional information (referred to as NMI) regarding the data reported.  If additional information is requested, the DSRIP payment related to the milestone/metric will not be included with July DSRIP payments.
  • Early July 2014 – IGT due for DY3 April reporting DSRIP payments.
  • Late July 2014 – April reporting DSRIP payments processed.
  • Friday, July 11, 2014 – Due date for providers to submit responses to HHSC requests for additional information on April reported Category 1-4 milestone/metric achievement and Semi-Annual Reporting requirements.
  • Friday, August 15, 2014 – HHSC and CMS will approve or deny the additional information submitted in response to HHSC comments on DY3 April reported milestone/metric achievement. Approved reports will be included for payment in the next DSRIP payment period, estimated for January 2015.

 Updates and Clarification on Protected Health Information (PHI) and Sensitive Business Data:

  • Please remember that no “Confidential Information” may be sent to HHSC/CMS.
  • When clearing PHI, do not rely on hiding columns in a spreadsheet to protect confidential information.  Columns can easily be unhidden resulting in exposure of protected information. 
  • Sensitive information related to project staffing should be carefully reviewed.  Salary information may be redacted; but, staff names should not be removed from documentation supporting project milestones/metrics. 

 Direction on sending supporting documentation to HHSC/CMS

  • File names should be properly aligned between the reporting workbook and the supporting attachments.
  • Providers should use common file formats that are generally accessible to most organizations (e.g., pdf, Microsoft Word, Microsoft Excel, txt).
  • Providers are encouraged to use spreadsheets versus document tables (e.g., pdf, Word).
  • For easier review by HHSC/CMS, providers should ensure that files are easily readable upon opening (e.g., Do not submit pdfs that are upside down or sideways).

 As always, do not hesitate to contact me if you have questions or need assistance.  My contact information follows my signature.

Thank you,
Craig Kovacevich
University of Texas Medical Branch
301 University Blvd., Galveston, TX 77555-0985
P409.766.4047M281.806.0347
cskovace@utmb.edu

Permanent link to this article: https://blogs.utmb.edu/1115/2014/06/19/1115-waiver-dy3-april-companion-document-revisions-important-dates/

Jun 16

1115 Waiver: June 13, 2014 HHSC Anchor Call Notes

Dear RHP 2 Performing Providers and Stakeholders:

[Attached] are the notes from last Friday’s anchor call with HHSC re: the 1115 Waiver.  We encourage you to review the notes and pay special attention to dates.

If you have any questions, please let us know.

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2014/06/16/1115-waiver-june-13-2014-hhsc-anchor-call-notes/

Jun 16

Behavioral Healthcare Projects – 1115 Transformation Waiver

Dear RHP 2 Performing Providers and Stakeholders:

Please see the attached presentations from HHSC’s Executive Commissioner and other commission leadership related to behavioral/mental health themes under the 1115 Waiver.  Both were created for today’s House Appropriations Subcommittee testimony, and have been posted.

I am sure we all agree that behavioral/mental health needs are critically important, not only in our region, but state and nationwide.  I am very proud of the excellent job RHP 2 has done to ensure that behavioral/mental health needs are being addressed through a wide variety of DSRIP projects brought forward by the four (4) Behavioral Health Centers and other providers within the 16 counties that comprise our region.  As you will see, HHSC indicates we have 29 behavioral health-focused DSRIP projects in RHP 2.  Each target the goals of the Triple-Aim and strive to provide better access and care to more individuals through expanded services and new programs, including care coordination, integrated services and telepsychiatry.

Presentation to the House Appropriations Subcommittee on Article II: Mental Health Coordination

Presentation to the House Appropriations Article II Subcommittee: Behavioral Healthcare Projects in the 1115 Transformation Waiver

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2014/06/16/behavioral-healthcare-projects-1115-transformation-waiver/

Jun 12

RHP 2 Meeting Minutes-June 6, 2014

Below are the minutes and attachements from the RHP 2 meeting on Friday, June 6, 2014.

[RHP2 Meeting-June 6, 2014]

Permanent link to this article: https://blogs.utmb.edu/1115/2014/06/12/rhp-2-meeting-minutes-june-6-2014/

Jun 12

House Appropriations Hearing – Behavioral Health (1115 Waiver)

Good Afternoon:

I have received several inquiries from RHP 2 performing providers and interested stakeholders about the upcoming House Appropriations Hearing scheduled for Monday, June 16, 2014 in Austin.  The “Notice of Public Hearing” is attached.  This hearing will focus on behavioral health, with discussion related to the 1115 Waiver and funding of behavioral health projects.

If you would like to view the hearing, you can stream live video while the meeting is in progress.  http://www.house.state.tx.us/video-audio//

This testimony will also be filed under the 83rd Session Committee Broadcast Archive.  http://www.house.state.tx.us/video-audio/committee-broadcasts/83//

[House Appropriations Hearing-Behavioral Health]

Thank you,
Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2014/06/12/house-appropriations-hearing-behavioral-health-1115-waiver/