Monthly Archive: June 2017

Jun 21

DY 6 DSRIP IGT Notification for July 2017 Payment Government Entities 2

Please carefully review this message in its entirety making note of the information provided which pertains to the DY6 Delivery System Reform Incentive Payments (DSRIP). Government entities that owe monitoring will need to submit two separate transactions for monitoring and DSRIP projects. Failure to do so may result in a delayed payment for the providers.

Attached are the following files: DSRIP Notification- DY6 Round 1 April 2017 Affiliation Summary and DY6 Round 1 April 2017 IGT Summary workbooks. These workbooks include DY6 DSRIP payments for DY6 Reporting (April), DY5 Carryforward Reporting, DY4 Carryforward Reporting, and DSRIP Monitoring.

The DY6 Round 1 April 2017 Affiliation Summary workbook has separate tabs for each Regional Healthcare Partnership (RHP) and contains the Intergovernmental Transfer (IGT) needed, by affiliation, for DY 6 DSRIP payments for DY 6 Reporting (April), DY 5 Carryforward Reporting, and DY4 Carryforward Reporting.

The DY6 Round 1 April 2017 IGT Summary workbook has separate tabs for each RHP and contains the total IGT needed by IGT Entity Name for the DY 6 DSRIP payments for DY 6 Reporting (April), DY5 Carryforward Reporting, DY4 Carryforward Reporting, and DSRIP Monitoring.

Providers can determine their estimated payment amount by dividing Column N of the DY6 Round 1 April 2017 Affiliation Summary by the state share of the current FMAP. The current FMAP is 56.18%/43.82%.

The Transformation Waiver Team had earlier emailed the Anchors information to share with providers regarding how much will be paid by project. Health and Human Services Commission (HHSC) Rate Analysis is unable to answer questions regarding this information. Please send any questions regarding this information to TXHealthcareTransformation@hhsc.state.tx.us

HHSC requires separate TexNet transactions for DSRIP Monitoring IGTs and DSRIP Reporting IGTs. The DSRIP Monitoring IGT should be placed in the Audit Cost bucket and the DSRIP Reporting IGT should be placed in the DSRIP bucket. If the full DSRIP Monitoring IGT is not submitted in the Audit Cost bucket, HHSC will reallocate IGTs for DSRIP Reporting for DSRIP Monitoring payments. Note that failure to submit two separate transactions or failure to IGT the full DSRIP Monitoring requirement may result in a delayed payment as additional manual steps will need to be performed.

IGT Entities may choose to IGT less than the required amount for DSRIP Reporting payments; however, all affiliated providers and projects will be paid proportionately. IGT may not be directed towards specific providers, projects or metrics. This will be the final opportunity to submit IGT for DY4.

A screen shot/.pdf of the confirmation/trace sheet or email of the confirmation number if the TexNet is submitted over the phone is required and must be emailed to Rate_Analysis_DSRIP_Payments@hhsc.state.tx.us. We are requesting that all government entities enter their IGT transactions into TexNet no later than July 2nd with a Settlement Date of July 3rd. No IGT’s submitted after July 3rd will be accepted.

Information regarding TexNet Connect can be found at https://comptroller.texas.gov/programs/systems/docs/96-1193.pdf

Thank you,

HHSC Hospital Rate Analysis
Texas Health and Human Services Commission
P.O. Box 149030, Mail Code H-400
Brown-Heatly Building
4900 N. Lamar Blvd.
Austin, TX 78714-9030

Permanent link to this article: https://blogs.utmb.edu/1115/2017/06/21/dy-6-dsrip-igt-notification-for-july-2017-payment-government-entities-2/

Jun 21

DSRIP Draft Measure Bundle Protocol for Cats B & C

HHSC is releasing the draft Measure Bundle Protocol in 2 parts. This Protocol is for DYs 7-8 beginning October 1, 2017, contingent on CMS approval. Thank you for your continued work as we take this next step.

Please see the attached draft of Part 1 of the Measure Bundle Protocol, which includes the Category B System Definition and Category C Measure Bundles for Hospitals and Physician Practices; Measures for Community Mental Health Centers; and Measures for Local Health Departments.

HHSC plans to release the full Measure Bundle Protocol draft next week, which will also include Category A Core Activities and Category D Statewide Reporting Measure Bundles for all DSRIP performing provider types.

HHSC is planning a webinar on June 21 to focus on changes in the Program Funding and Mechanics (PFM) protocol resulting from stakeholder feedback and the Measure Bundle Protocol; the webinar will primarily focus on Category C and understanding point values of the measure bundles. We will send out additional information separately on the webinar.

HHSC will also release a survey next week for feedback on the Measure Bundle Protocol (all sections) and request feedback by July 7th.

We know this is a lot of information and believe staging the Protocol will provide a chance to review key areas closely and give us some additional time on other sections while still adhering to timelines.

For Local Health Departments, please note there are some changes to the last list of measures that you reviewed. Some measures have been deleted that do not have measure stewards. Utilizing the survey, please let us know if you had planned to use these measures or have any other concerns.

For Community Mental Health Centers or Local Health Departments, if there are measures in the Hospital/Physician Practice Measure Bundles that CMHCs are able to report on and would like to have added to the list for CMHCs or LHDs, please let us know in the survey.

Prior to the webinar next week we will send out a measure summary document with a preview of measure specifications for more information on measure details.

Please note that there will be changes needed to the PFM to be consistent with this draft Measure Bundle Protocol. HHSC will not be issuing a new draft of the PFM until discussions are further along with CMS. The changes that would be needed are as follows, so you are aware. You can also let us know via the survey if you have any concerns about these potential changes.
• Each hospital or physician practice with a valuation of over $2 million per DY must select at least one Measure Bundle with a required 3 point clinical measure or add an optional 3 point clinical measure to a Measure Bundle with no required 3 point clinical measures.
• Only hospitals with a valuation equal to or less than $2 million per DY may select the rural Measure Bundles as identified in the Measure Bundle Protocol.
• A hospital or physician practice may only select optional measures for which they have at least the minimum denominator size as specified in the Measure Bundle Protocol.
• A hospital or physician practice may only select a bundle for which they have significant volume for at least half of the required measures in the bundle.
• For required measures with less than the minimum denominator size or a denominator of 0, the valuation for the measures and milestones within the Measure Bundle are valued differently as specified in the Measure Bundle Protocol.

Please share this with your providers. We will also get it up on the waiver website as soon as possible. Let us know if you have any questions. Thanks,

Amanda Broden
Healthcare Transformation Waiver Operations
Medicaid/CHIP
amanda.broden@hhsc.state.tx.us | 512-462-6388

Permanent link to this article: https://blogs.utmb.edu/1115/2017/06/21/dsrip-draft-measure-bundle-protocol-for-cats-b-c/

Jun 20

Webinar: DSRIP Draft Protocols for DY7-8 – June 21, 1:30 – 3:30 CDT

HHSC is hosting a webinar on DSRIP Draft Protocols for DY7-8.

The focus will be on changes to the Program Funding and Mechanics (PFM) protocol resulting from stakeholder feedback and the Measure Bundle Protocol (primarily Category C and understanding point values of the measure bundles).

Date: Wednesday, June 21, 2017
Time: 1:30-3:30 PM, Central Daylight Time

To join the online meeting:

To join the online meeting:
1) Go to Join WebEx Meeting
2) Click on Attend Meeting
3) Enter Meeting Number: 666 757 808
4) Enter Event Password: Texas
5) Call Conference #: 800-857-6564
6) Enter Passcode: 9527379

To join the audio conference only: All participants should dial: 800-857-6564 and use passcode: 9527379. 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.

Permanent link to this article: https://blogs.utmb.edu/1115/2017/06/20/webinar-dsrip-draft-protocols-for-dy7-8-june-21-130-330-cdt/

Jun 01

5/26/17 Anchor Notes

HHSC held an Anchor call on Friday; the notes are attached.

Craig S. Kovacevich, MA
Associate Vice President,
Waiver Operations &
Community Health Plans
UTMB Health
281.806.0347 (Cell)
409.766.4047 (Office)
cskovace@utmb.edu
Representing:
1115 Medicaid Waiver – RHP 2
UTMB HealthCare Systems
UTMB Community Health Plans

Description: http://www.utmb.edu/branding2010/assets/UTMB-Health-logo-w-tag_300.jpg

 

Permanent link to this article: https://blogs.utmb.edu/1115/2017/06/01/52617-anchor-notes/