Bobbie Guyton

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Nov 14

DSRIP – 11/10/17 Anchor Notes

Region 2,

The attached file is from the Anchor call HHSC held on Friday; please note the following:
• If your organization submitted the template to HHSC allowing for provisional approval of metrics due to Hurricane Harvey, please note the key dates on page 1.
• On page 2, please note that the next round of metrics for compliance review will begin shortly. Notifications from MSLC may arrive as early as this week.

We asked HHSC as to when we would have the template for the regional plan submission, so that performing providers will have as much lead time as possible to complete; the answer we got back was that we can expect to see it in “early December”. The Anchor office will keep you apprised on this.

Susan Seidensticker, BSIE, MSHAI, CPHQ, CSSBB, PMP
Director, Waiver Quality Operations
University of Texas Medical Branch (UTMB)
Shearn Moody, 9th Floor

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Nov 06

DSRIP Anchor Update

Good afternoon,

Attached is a DY7-8 payment flow tool we developed to view how potential DY7-8 reporting and payments may work for providers. The first tab gives an overview of reporting and funding requirements, and the second tab gives an example where providers can change the data in the yellow cells to see how it might apply to them. The tool assumes that providers are reporting in the earliest eligible reporting periods based on an April 30, 2018, RHP Plan Update submission date.

As always, please let us know if you have any questions. Thanks,

Amanda Broden
Healthcare Transformation Waiver Operations
Medicaid/CHIP | 512-462-6388

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Oct 18

RHP2 DY6 October Reporting Webinar – Supplement to HHSC Reporting Webinars


Thank you to those that attended the October DY6 reporting webinar yesterday. Please find the webinar slides attached. Also, the learning collaborative and regional meeting documents needed to complete the Core Component deliverable will be available through the RHP 2 website by the end of this week.

Do not hesitate to reach out with any and all questions.

Thank you,

Andrew T. Herndon, MHA, CSSGB
Senior Management Analyst
Waiver Operations
Office of the President
UTMB Health

301 University Blvd. Galveston, TX 77555-0985
Office: 409-766-4044 Cell: 979-204-8526
Fax: 409-747-0896

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Oct 18

RHP 2 DSRIP: 10/13/17 Anchor Notes

Good afternoon Region 2,

Below please find the notes from the Anchor call that HHSC conducted on Friday.
Anchor Notes
MPT Instructions
Calculator for MPT
DSRIP Draft Category C Measure Specifications

The following items are of special interest:

October Reporting:
• All RHP 2 performing providers who are reporting in the DY6 October cycle should have received an email from HHSC entitled “October DY6 DSRIP Reporting and Hurricane Harvey Reporting Exceptions”, which included a large (5MB) excel template.
o If you did not receive this email and are eligible to report now, please let the Anchor team know and we’ll get the template over to you.
o If your organization chooses to utilize HHSC’s offer of provisional approval of metrics due to the storm, that template is to be completed and submitted back to HHSC via the mailbox ( by Tuesday, October 31st – this file is not to be uploaded into the online reporting tool.
o The template shows at the individual metric level what accommodations may be available.
o If you are not requesting to use the provisional approvals, no action is necessary.
o As a courtesy, if you choose to submit the template to request the provisional approvals, please copy me ( so that our office has a record of the request as well.
• Reminder: HHSC’s cut-off dates for questions are as follows:
o Category 1, 2 and 4: Wednesday, October 25th
o Category 3: Friday, October 20th
• Please see page 2 of the Anchor notes regarding formatting issues in the Sustainability template needed to complete your M-4.1 deliverables. HHSC has uploaded the corrected template to the online reporting tool (it will say Version 2 at the top), though they did not change the revision date in the bulletin board list of available files. If you have downloaded the template already and are not seeing any issues, you are free to continue to use that one.
• Please also see page 2 of the Anchor notes regarding a glitch in the Category 3 template. Some providers in the state have been getting errors in the calculated achievement percentage when they populated the numerator and denominator. As of now, HHSC has not uploaded the corrected template. If you have already started and your calculations appear correct, you are free to continue to utilize the version of the template you currently are using. HHSC has said that they will attempt to notify directly those providers who appear to be impacted by this error.

Compliance Monitoring:
• Notifications on new Category 1, 2 and 3 efforts for compliance review by Myers & Stauffer LC (MSLC) will be issued shortly. MSLC is aware that providers are not to be asked to deliver any compliance-related responses until the DY6 October reporting cycle closes.

Waiver Renewal:
• HHSC stated that the negotiations with CMS are ongoing.
• The feedback window regarding Category C now closes on Monday, November 6th. The links (one for the introduction, 23 for the hospital and physician practice, one for local health departments and one for community mental health centers) are in the attached email.
• HHSC has added a Minimum Point Threshold calculator to the online tool; that Excel file and its accompanying PDF are attached for your convenience.

Susan Seidensticker, BSIE, MSHAI, CPHQ, CSSBB, PMP
Director, Waiver Quality Operations
University of Texas Medical Branch (UTMB)
Shearn Moody, 9th Floor

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Oct 17

HHSC Template Changes and Errors for DY6 October Reporting

RHP 2,

The DRAFT anchor notes were just sent out for today’s anchor call and several DY6 October Reporting template changes and errors that HHSC has identified are explained in the notes. We will send out the finalized Anchor Notes once we receive them from HHSC. Please see the changes and error details below:

1. For QPI: MSLC validated changes that were incorporated into the data seeding of the October DY6 template only include date changes for applicable carryforward metrics or changes to the pre-DSRIP baseline. These are the only elements that impact current reporting. Do not expect to see changes in the reported achievement numbers in the template.

2. For the sustainability template, the initial template had some sizing quirks that have been addressed in an updated version. If you find that you cannot see checkboxes or drop-down menus, please download the most recent version of the Sustainability Planning Template from the Online Reporting System bulletin board. We have pulled the old version down from the website in order to maintain version control.

3. HHSC just found an issue with the Category 3 October DY6 reporting template that affects the calculation of DY6 achievement for some projects. We will be issuing a corrected template very soon. If a provider has not already completed the Category 3 reporting template, please wait until next week to download the template just to give us time to make sure we’ve got the issue resolved. We will also send an email to providers we have identified that will be affected by this issue. If we discover an error in a template that has already been completed we will work with the provider to correct it.

4. HHSC plans to have a Cat 3 Template for the NMI period that will be different than the Cat 3 Template for the primary reporting period. Providers must submit the Cat 3 NMI Template during the NMI period. They cannot submit general reporting period template during the NMI period.

Please reach out with any questions.

Thank you,

Andrew T. Herndon, MHA, CSSGB
Senior Management Analyst
Waiver Operations
Office of the President
UTMB Health

301 University Blvd. Galveston, TX 77555-0985
Office: 409-766-4044 Cell: 979-204-8526
Fax: 409-747-0896

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Oct 17

RHP 2: Awards for Unallocated Funds

Good afternoon,

As you all are aware, HHSC provided $2,308,000 (all funds) for both DY7 and DY8 to RHP 2 to bring our regional allocation up to its full allotment. A process for applying for these funds was developed by the Anchor team, which was then shared at the two public meetings held in the month of September. Six organizations made requests for these funds, and with the approval of our Regional Steering Committee, I am pleased to announce that the following allocations will be made:

• Angelina County and Cities Health District: $446,161.76 (new performing provider to DSRIP)
• CHI Memorial: $743,602.94 (new performing provider to DSRIP)
• Woodland Heights Medical Center: $495,735.29 (new performing provider to DSRIP)
• Burke: $300,000.00
• Liberty Dayton Regional Medical Center: $100,000.00
• Tyler County Hospital: $222,500.00

Please join me in welcoming our three new performing providers to DSRIP.

The impact felt in the service areas of existing DSRIP performing providers has been notable, and I am confident our regional efforts under the next iteration of the Waiver will continue to show improvements for the populations we serve. Our Anchor team will coordinate with HHSC to formalize the updated valuations and will keep everyone apprised of the requirements going forward. Thanks.

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Oct 06

October Webinar Presentations

Below are the presentations for the webinar on Wednesday, October 5, 2016  about October Reporting.

October DY5 DSRIP General Reporting

October DY5 DSRIP Category 3 Reporting


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Oct 03

Anchor Update 09/30/16

Good afternoon Region 2,

Please see below for the latest update received from HHSC.

  •  The first bullet references the Regional Learning Collaborative plan for DY6A; the feedback that your organization has provided this summer on the efforts to date will be of great help to the Anchor office in completing this deliverable. As our office works to complete that deliverable, we will keep you updated.
  • The second (highlighted) bullet regarding the HHSC website is key – if you have not yet bookmarked their new site, we recommend that you do so now. The redesigned website for HHSC is still a work in progress; if you are having trouble locating something, please reach out to the Anchor office and we will attempt to assist you.
  • The third bullet references the attachment provided, thus providing you with the latest information furnished to CMS by HHSC.
  • For those organizations that had requested Category 3 alternative achievement and/or had NMI responses to the DY6 participation template, we should have HHSC’s decisions by close of business Monday.
  • RHP 2’s Category 3 DY6 Stretch Activity Selection template was submitted earlier this week.

As a reminder, DY5 officially ends at 11:59:59pm tonight.  HHSC will be hosting its October DY5 Reporting Webinar next week

Topic: DSRIP DY5 October Reporting

Date: Wednesday, October 5, 2016

Time: 10:00 – 11:30AM, Central Daylight Time

To join the online meeting:

1) Go to Join WebEx meeting 2) Click on Attend Meeting

3) Enter Meeting Number: 737 847 551

4) Call 888-613-0404

To join the audio conference only: All participants should dial 888-613-0404 (no password necessary). 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.

If you experience technical difficulties accessing the webinar or should you have any questions, please email waiver staff at:

Additionally, you are invited to participate in our regional supplemental reporting webinar the week after that.

When:    October 11th, 2016

10:00am – 11:30am CST

Where:   Online presentation with a phone call in for audio


  1. General Reporting Update
  2. QPI Reporting
  3. Category 3 Reporting
  4. Category 4 Reporting
  5. Question and Answer Period

Audio Call-In:                    877.226.9790

Access Code:                     3020674

Video Log-In:           

Meeting Number:             8772269790

Code:                                 3020674

Susan Seidensticker, BSIE, MSHAI, CPHQ, CSSBB, PMP

Director, Waiver Quality Operations

University of Texas Medical Branch (UTMB)




  • Attached is the template for submitting the DY6A Learning Collaborative Plan, which will be due to HHSC by December 15, 2016 (same deadline as the DY5 Anchor Annual Report).
  • We are hoping to get some initial October DY5 reporting documents on the website today.  Please note that our main website page was moved just this morning under a “waivers” subfolder, but the “old” link does redirect to the new link, which is: We have been told that the rest of our pages will follow suit but will still redirect to their current links, but we will keep you posted.
  • HHSC has submitted to CMS an addendum to Attachment I of the RHP Planning Protocol  for Demonstration Year 6A (see attached). This addendum specifies milestone structure for Categories 1 and 2; includes a DY6A milestone structure for Category 3 measures, as well as DY6A goal calculation, measurement period, partial payment calculation, stretch activities, and the Population Focused Priority Measure (PFPM) Menu; and includes one change related to Category 4 reporting of Optional Domain 6, which is eliminated in DY6A. All of these changes are consistent with the approved PFM. We will also post this on the waiver website.
  • We plan to send notifications about the Cat 3 Alternate Achievement Requests for DY6 and the DSRIP DY6 Participation Templates on Monday, October 3rd.
  • The Category 3 DY6 Stretch Activity Selection Templates are due from anchors to HHSC today, September 30th.

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

Healthcare Transformation Waiver Operations

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May 26

1115 Waiver: HHSC Updates

Dear Region 2 Performing Providers and Stakeholders:

I would like to share a few updates with you regarding the Texas 1115 Healthcare Transformation Waiver.

A survey link is now posted on the page of HHSC Waiver website:  This will allow stakeholders to give preliminary feedback on the draft waiver renewal document that was discussed at the May 14, 2015 Executive Waiver Committee (EWC) meeting.  The document is also posted on the Waiver Renewal page.  HHSC will be replacing the current survey with an updated version once the official draft waiver renewal document is available in late June/early July.  This will assist HHSC in getting feedback specific to the actual waiver renewal request.

HHSC is in process of working to combine project type assignments into one document for all anchors to post on their individual regional website.  This is based on the Project Type Templates and RHP Certification forms which were recently submitted to HHSC.

  • Per HHSC, any entities who were waiting until all of the updated plan information was available before signing their RHP certification form can now find the information posted on the page:  The most recent update was the reposting of the regional Category 1 & 2 Workbooks, which now contain 3 and 4-year projects and updates from the mid-point assessment through April 27, 2015.  Next week, HHSC anticipates updating the page to include links to the updated regional websites.

If you have any questions related to the above information, please do not hesitate to e-mail me at: or contact me by phone at: 409.766.4047.  As a reminder, the Region 2 Anchor Office will be closed on Monday, May 25, 2015 in observance of Memorial Day and will reopen on Tuesday, May 26, 2015 at 8:00 a.m. (CDT).

Thank you,

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Apr 22

4/17/15 Anchor Notes

Dear Region 2 Performing Providers and Stakeholders:

Please find attached two documents:

  • [A draft payment DSRIP] (only) payment schedule.  This does not include UC payments.
  • [Notes from the HHSC call with Anchors]. Important information included is highlighted and topics are below, but please always make sure to read all notes thoroughly.
  • New Statewide Learning Collaborative Date – Now August 27 – 28.
  • DY4 April Reporting – QPI, Category 3 and Category 4. As a reminder, Category 4 is required for UC only hospitals, as well.
  • 3-year Project Change Request Update
  • DSRIP Mid-Point Assessment Status
  • Waiver Renewal Planning
  • Value Based Payments Structure Note
  • DSRIP Statewide Event Calendar request

Please let us know if you have any questions or need additional information.  Thank you.
Craig S. Kovacevich, MA

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