November 2014 archive

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.

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Nov 10

HHSC 10/31 letter to CMS Re: UC deferral

Dear RHP2 Performing Providers and Stakeholders:

For your reference, [attached] is a letter that Texas’ Medicaid Director Kay Ghahremani sent to Cindy Mann at CMS on October 31st in advance of HHSC’s November 3rd meeting with CMS related to the UC deferral. HHSC is working to provide CMS the remaining requested documents and we’ll provide you an update next Friday on next steps.
Thanks, Craig.

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Nov 07

REGION 2 UPDATE: DSRIP 1115 Waiver Renewal Survey due 11/26/14

Dear Region 2 Performing Providers and Stakeholders:

You may have received the message below and link to the HHSC waiver renewal survey earlier this week from HHSC.  However, I am sharing once again because it is very important for HHSC to hear from providers/stakeholders, like you.  I strongly encourage you to take a few minutes and participate in the survey which closes on November 26, 2014. 

To access the survey, click on the following link:  Once you have completed the survey, click the “submit” button at the end of the survey to submit your responses.  Again, the survey will be available until November 26, 2014

On behalf of HHSC and the Region 2 Waiver Office, thank you in advance for your participation.



Texas’ 1115 demonstration waiver, the Healthcare Transformation and Quality Improvement Program, is a 5-year waiver that goes through September 30, 2016. It includes Texas’ two major Medicaid managed care programs (STAR and STAR+PLUS), children’s dental managed care, an Uncompensated Care (UC) Pool and a Delivery System Reform Incentive Payment (DSRIP) Pool. In order for Texas to continue these Medicaid managed care programs, UC, and DSRIP, Texas must submit a renewal or extension request no later than September 30, 2015.  This survey is specific to DSRIP.

HHSC seeks input from Texas Medicaid stakeholders, including both current Regional Healthcare Partnership (RHP) participants and other interested entities, on the future of the DSRIP program as Texas begins to pull together the renewal/extension (hereafter referred to renewal) request.  HHSC will use this information to help inform an initial plan for the waiver renewal request.

In submitting your responses, please consider the following:


  • DSRIP is a substantial federal investment – Texas needs to demonstrate the value of the investment.
  • The need to continue to strengthen care coordination among providers across the continuum of care.
  • Outcomes measurement is important – consider some funding for shared outcomes at the RHP and/or State level?
  • Sustainability going forward – how to take what’s being learned through DSRIP, sustain/disseminate/replicate best practices, and embed these practices into everyday Medicaid business?
  • Texas is at the forefront of DSRIP renewal (California is a year ahead of Texas) – so think what the next phase of DSRIP could look like to build on what we’ve learned so far.

To access the survey, click on the following link:  Once you have completed the survey, click the “Submit” button at the end of the survey to submit your responses.  The survey will be available until 11/26/2014.


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