December 2015 archive

Dec 23

Anchor Office’s Holiday Schedule

Dear RHP 2:

The Anchor Office will be closed from December 24, 2015 to January 3, 2016 in observance of upcoming holidays. However, the Anchor Office will monitor emails/communications during the holidays. In urgent cases that require immediate assistance, performing providers are welcome to contact Susan Seidensticker and the Analyst Team.

Happy Holidays!


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Dec 22

RHP 2 Meeting Agenda-01/08/16

Dear RHP 2 Providers & Stakeholders:

Attached is the agenda for the regional meeting on Friday, January 8, 2016, from 9:30 am – 12:30 pm (CST) in the Caduceus Room on UTMB’s main campus located at 301 University Boulevard in Galveston.


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Dec 21

URGENT – HHSC cannot pay your hospital UC payments until this issue is resolved

RHP 2:

Please see the message below related to the Uncompensated Care (UC) program.  If this impacts your hospital, please contact Bobbie Guyton in my office as soon as possible at: or 409.766.4045.

HHSC is providing clarification that updates to the RHP Plan are not due by January 4, 2016.  Amendments to the RHP Plan will need to be completed prior to January 31, 2016, to ensure that your hospital will be eligible for the Final DY 4 UC Payment.  If your hospital is new to the UC Program or if your hospital has had a TPI change, you will need to contact your Anchor with these changes.  The Anchor will update the RHP Plan and send those changes to the Transformation Waiver Team. Information regarding participation in an RHP Plan can be found at §355.8201.

The deadline of January 4, 2016 is for new affiliation agreements.

Thank you,


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Dec 14

12/11/15 Anchor Notes

Good morning RHP 2:

Attached are the anchor notes from Friday, December 11th.  Thanks.


Anchors  –

Thank you for joining us on today’s call – the last scheduled Anchor call for 2015!  It has been a while since we’ve been able to have one and we appreciated the opportunity to speak with you directly and hear your questions.  Attached please find the notes from the call.

As discussed during the call, attached are an updated list of selected Stretch Activity and Population Focused Priority Measures, and the DY6 Transition Year proposal submitted to CMS.  Also attached is a summary of what was reported for each Category 3 outcome during the October DY4 reporting period.

Regarding the email from Marwood Group with questions about the Texas 1115 waiver program, below is the response HHSC sent to them (HHSC comments are italicized):

  • It is  my understanding that the uncertainty surrounding CMS approval of the UC renewal is separate from the DSRIP renewal request, please confirm. We don’t know. CMS likely will have different considerations for the UC and DSRIP pools, but we don’t know whether they’ll initially authorize both for the shorter period of time.

o    Does the state expect  that DSRIP will be authorized at the levels requested for five years? Or is it likelier to be authorized for 2-3 years? We’ll likely receive an initial, shorter extension (no more than 2 years) and then will continue negotiations for the remainder of the 5 year ask.

  • If so, is it likely that the DSRIP payments will flow through the MCO, rather than through the affiliating public partner? We don’t know yet. We submitted the extension application in September and CMS is reviewing.
  • If so, Is it likely that that changes to DSRIP eligibility will occur during the next waiver demonstration? The State didn’t propose changes to DSRIP eligibility in the extension application.
  • It is my understanding that CMS had withheld about $75M in UC funds to certain private hospitals in Texas in September 2014, but released them in January 2015 due to concerns that there affiliation agreements violated the regulation over donations.

o   Has this issue been resolved by CMS? CMS has indicated that they will give Texas until September 2017 to work out this issue.

o   Is it likely that changes to the affiliation arrangements between public and private hospitals occur during the next Waiver demonstration? Unknown.

As always, please let us know if you have any questions.  Have a great weekend!  Thanks,

Amanda Broden
Healthcare Transformation Waiver Operations
Texas Health and Human Services Commission

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Dec 11

DSRIP Additional Reporting period is open

Good morning Region 2!

The Anchor office just wanted to make sure that you saw the message from HHSC that the Additional Reporting period has opened.
If your reporting results required response in the NMI period, you have from now through January 15th at 11:59pm to submit your information to HHSC.
Susan Seidensticker, BSIE, MSHAI, CPHQ, CSSBB, PMP
Director, Waiver Quality Operations
University of Texas Medical Branch (UTMB)


The Additional Reporting period is open.  For projects that require additional information, (project status is “Needs More Information”) please go to your project’s details pages and report your project’s results before the end of the Additional Reporting period.

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Dec 03

SAVE THE DATE: RHP 2 Meeting-Friday, January 8, 2016

Dear RHP 2 Providers & Stakeholders:

We will hold a regional meeting on Friday, January 8, 2016, from 9:30 am-noon (CST) in the Caduceus Room on UTMB’s main campus located at 301 University Boulevard in Galveston.  We will publish the agenda prior to the meeting.

Please save the date.

Thank you,


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