Good afternoon RHP2 Stakeholders,
Please review below for the latest information regarding Waiver Renewal.
HHSC is developing two DSRIP transition year (demonstration year [DY] 6) rule packets. The implementation of the waiver extension is contingent on approval from the Centers for Medicaid and Medicare Services (CMS) and changes would be proposed as needed based on final negotiations with CMS.
The first set of DSRIP transition year rules proposed to be effective June 1, 2016, were published in the March 25, 2016 issue of the Texas Register. They are available here – http://www.sos.state.tx.us/texreg/archive/March252016/index.html. This first rule packet specifies actions that current DSRIP performing providers must undertake in preparation for DY6 of the anticipated waiver extension period, which begins October 1, 2016. Such actions include determining if a DSRIP project will continue into the extension, requests for adjustments to certain milestone goals, and requests for exceptions to reporting of Medicaid IDs.
The second packet is in development and will specify the transition year policies that should be effective no later than September 30, 2016.
Please note that a public hearing on these rules has been scheduled for April 11, 2016, at 9:30 a.m. at the Brown-Heatly Building, Public Hearing Room, located at 4900 North Lamar Boulevard, Austin, Texas 78751. Craig and Katrina plan to be in attendance at the public hearing. If your organization is unable to attend but have any specific concerns that you would like for us to present at the meeting, please email firstname.lastname@example.org using the subject line: DY6 Public Hearing Feedback. Craig and Katrina will take those concerns with them to Austin.
Additionally, as previously communicated, HHSC received from the federal Centers for Medicare and Medicaid Services (CMS) the attached letter. To support Texas’ extension request for the Uncompensated Care (UC) pool in the 1115 Transformation Waiver, the letter requests that HHSC submit an independent analysis by May 31, 2016 of the impact of the UC pool on overall UC in the state, Medicaid provider rates, Medicaid beneficiary access to services, and a number of other areas.
HHSC worked with CMS to extend the timeframe to August 2016. Given the tight deadline, HHSC is working with two existing contractors that have the subject matter expertise to complete the study. Health Management Associates (HMA) will complete the study, and Deloitte will be responsible for the actuarial portion of the project. HHSC had previously communicated their plan to work with a public university, however, the timeframes precluded the ability to reach an agreement.
HHSC continues to be optimistic about a waiver extension and will keep us apprised as they have more information.
Please let us know if you have any questions.