Category: HHSC/CMS News

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
409-766-4041
smseiden@utmb.edu

Permanent link to this article: https://blogs.utmb.edu/1115/2017/11/14/dsrip-111017-anchor-notes/

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
amanda.broden@hhsc.state.tx.us | 512-462-6388

Permanent link to this article: https://blogs.utmb.edu/1115/2017/11/06/dsrip-anchor-update/

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 atherndo@utmb.edu

Permanent link to this article: https://blogs.utmb.edu/1115/2017/10/17/hhsc-template-changes-and-errors-for-dy6-october-reporting/

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

 

Permanent link to this article: https://blogs.utmb.edu/1115/2016/10/06/october-webinar-presentations/

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: TXHealthcareTransformation@hhsc.state.tx.us

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

Agenda

  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:                     https://www.webmeeting.att.com

Meeting Number:             8772269790

Code:                                 3020674

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

Director, Waiver Quality Operations

University of Texas Medical Branch (UTMB)

409-766-4041 smseiden@utmb.edu

**************************************************

Anchors,

  • 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: https://hhs.texas.gov/laws-regulations/policies-and-rules/waivers/medicaid-1115-waiver. 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

Permanent link to this article: https://blogs.utmb.edu/1115/2016/10/03/anchor-update-093016/

Sep 21

DSRIP DY5 October Reporting Webinar

Good afternoon Region 2,

As we are approaching the end of DY5 on September 30th, this serves as a reminder that the October reporting period is soon to be upon us.

HHSC will be hosting their October reporting webinar on Wednesday, October 5th beginning at 10:00am.  We encourage each organization to attend, as each reporting cycle brings a few changes in process.

Also, please note that the RHP 2 Anchor office intends to host a supplemental reporting webinar on Tuesday, October 11th (time TBD). This will allow our team to answer any additional questions that the providers may have after the HHSC version.  As always, please contact us if you have any questions.

 

Susan Seidensticker, BSIE, MSHAI, CPHQ, CSSBB, PMP
Director, Waiver Quality Operations
University of Texas Medical Branch (UTMB)
409-766-4041
smseiden@utmb.edu

******************************************************

From: HHSC Texas Healthcare Transformation and Quality Improvement Program
Sent: Wednesday, September 21, 2016 9:49 AM
Subject: DSRIP DY5 October Reporting Webinar

HHSC will be hosting a webinar on October DY5 Reporting.

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: TXHealthcareTransformation@hhsc.state.tx.us.

Permanent link to this article: https://blogs.utmb.edu/1115/2016/09/21/dsrip-dy5-october-reporting-webinar/

Sep 19

1115 Waiver Anchor Update from September 16, 2016

Good afternoon Region 2,

Thank you again to all that attended the RHP 2 Behavioral Learning Collaborative event in Galveston last week.  The notes from that meeting should be available on our website (http://www.utmb.edu/1115) by the end of the week.

Attached please find the notes from Friday’s Anchor call with HHSC and we have added a couple of other updates below.  Please review the notes carefully for information on reporting, Category 3, compliance audits, and Waiver renewal.

October DY5 Reporting

  • Anchors, Providers, and IGT entities should now have access to the Project Reporting Summary under the “Reports” function on their home page’s menu bar.  The attached guide to the new Project Reporting Summary also includes information on the Uploaded Files Summary.  This information will also be included in the updated version of the DSRIP Online Reporting System User Guide for October DY5.  If you have any questions about the reports, please contact the Waiver mailbox at TXHealthcareTransformation@hhsc.state.tx.us.
  • In preparation for October DY5 reporting, we had previously asked that you alert our office of any changes needed to the access list for the online reporting tool.  Those changes need to be sent to Bobbie Guyton (bjguyton@utmb.edu) by COB on Monday, September 26th.  Thank you to those that have already responded.
  • The tentative date for the October DY5 Reporting Webinar is October 5th at 10:00 AM.  We will provide the call-in and log-in information to DSRIP providers when it is available.
  • The Category 3 DY5 Stretch Activity Reporting Coversheet is attached again (previously part of the 8/26 Anchor Notes) for those who will be reporting on this activity during October reporting.  If you have questions about the content needed for this, please contact Jennifer Woodard (jnwoodar@utmb.edu) or Susan Seidensticker (smseiden@utmb.edu).  All projects that have a DY6 stretch activity selection must have that information back to Jennifer ASAP in order to meet the Anchor submission deadline of September 30th.
  • As a reminder, all providers will be submitting one Category 3 template into the online reporting tool; this must include a scanned copy of the certification signature page.

Compliance

  • MSLC has a deadline of September 30th to complete the current Round 2 reviews for Categories 1 and 2, as well as the Round 1 of Category 3 reviews. MSLC has alerted HHSC that there are some delays with selected providers that may cause certain metrics in review to not be completed by that deadline.  If your organization is one that experienced such a delay, you may be asked to work with MSLC during the October reporting period.

DY6 Participation Templates

  • HHSC is reviewing the NMI responses and is scheduled to have their feedback returned to the Anchors on October 3rd.

HHSC Waiver Website

  • The new HHSC website launched September 1st, and the new address for the main waiver website page is https://hhs.texas.gov/laws-regulations/policies-and-rules/medicaid-1115-waiver , although there is a re-direct to this link if you use the previous waiver website address.  However, links we have sent out in the past for documents on the waiver website will no longer work.
  • The RHP 2 Anchor team understands (and share!) your frustration that many links are currently inaccessible on the waiver website, and that more recent updates have not made it over to the new site.  HHSC is working to get information back up there and accessible as soon as possible.  If there is something specific you need access to, please let us know and we’ll work to resolve the concern(s).

Thanks,

 

Craig S. Kovacevich, MA
Associate Vice President,
Waiver Operations &
Community Health Plans
UTMB Health
409.766.4047 (Office)
cskovace@utmb.edu

Representing:
1115 Medicaid Waiver – RHP 2
UTMB HealthCare Systems
UTMB Community Health Plans

Permanent link to this article: https://blogs.utmb.edu/1115/2016/09/19/1115-waiver-anchor-update-from-september-16-2016/

Sep 09

9/9/16 Anchor Update

Good afternoon Region 2,

Please see the email below that HHSC sent out today; we encourage you to pay special attention to the highlighted items, as well as the PDF attachment that describes the new functionality within the online reporting tool.

We look forward to seeing many of you at the Behavioral Learning Collaborative event that will be held in Galveston on Thursday afternoon; if you have questions regarding that please email me back directly.

 

Susan Seidensticker, BSIE, MSHAI, CPHQ, CSSBB, PMP
Director, Waiver Quality Operations
University of Texas Medical Branch (UTMB)
409-766-4041
smseiden@utmb.edu

 

*********************************************************************

Anchors –

A few brief updates this week:

DY6

  • HHSC continues to work to finalize the second set of DSRIP rules for adoption. HHSC anticipates that the adopted rules will be published in the Texas Register in October 2016, and we will notify anchors when they are published.

DSRIP Reporting

  • Anchors, Providers, and IGT entities should now have access to the Project Reporting Summary under the “Reports” function on their home page’s menu bar. Attached please find a brief guide to the new Project Reporting Summary, as well as the Uploaded Files Summary. This information will be included in the updated version of the DSRIP Online Reporting System User Guide for October DY5. If you have any questions about the reports, please contact the Waiver mailbox at TXHealthcareTransformation@hhsc.state.tx.us.
  • In preparation for October DY5 reporting, HHSC plans on sending out our semi-annual user/contact update on Monday, September 12th to help ensure providers have up-to-date access to the reporting system. The updates will be due back to HHSC on Wednesday, September 28th. Additional instructions will be provided in Monday’s email.

Upcoming Category 3 Due Dates

  • Category 3 Alternate Achievement Request for DY6: (for those eligible and choosing to submit): September 9th (TODAY!) or September 11th if an extension has been requested. To be sent to HHSC by Anchors.
  • Category 3 Interim Corrections: These were due earlier in the summer, but the absolute deadline for any outstanding requests is September 14th. To be sent to HHSC by provider.
  • Category 3 Stretch Activity Selections for DY6: September 30th, to be sent to HHSC by Anchor.

Waiver Website

  • The new HHSC website launched September 1st, and the new address for the main waiver website page is https://hhs.texas.gov/laws-regulations/policies-and-rules/medicaid-1115-waiver, although there is a re-direct to this link if you use the previous waiver website address.  However, links we have sent out in the past for documents on the waiver website will no longer work.
  • We understand (and share!) your frustration that many links are currently inaccessible on the waiver website, and that more recent updates (such as the SLC presentations and Cat 3 Alternate Achievement Request template) did not make it over to the new site. We are working with our Web services to get information back up there and accessible as soon as possible.  Thank you and your providers for your patience!

Please let us know if you have any questions. Thank you all so much for helping make our 2016 Statewide Learning Collaborative summit such a great success.  Have a great weekend!

 

Healthcare Transformation Waiver Operations
Medicaid/CHIP
Texas Health and Human Services Commission

Permanent link to this article: https://blogs.utmb.edu/1115/2016/09/09/9916-anchor-update/

Sep 07

DY5 UC IGT Notification

Good afternoon RHP 2:

As a friendly reminder, please note that the last day to transfer UC IGT funds into TexNet is tomorrow, September 8th with a settlement date of September 9th. Please remember to submit the allocation form along with your trace sheet to HHSC Rate Analysis.

 

Craig S. Kovacevich, MA
Associate Vice President,
Waiver Operations &
Community Health Plans
UTMB Health
409.766.4047 (Office)
cskovace@utmb.edu

Representing:
1115 Medicaid Waiver – RHP 2
UTMB HealthCare Systems
UTMB Community Health Plans

 

*******************************************************************

UC Providers, Government Entities, and Anchors,

Attached to this email you will find a workbook titled “Final-2015 DY 5 UC Payment Calculation that contains the DY5 UC payment with the haircut applied. The applicable tab for the IGT amounts, with the haircut, is titled “IGT Commitments by Affiliation” and contains all of the amounts submitted by governmental entities in the IGT commitment forms and have been reduced to the final IGT amounts based on the haircut applied by HHSC. The amount that needs to be submitted into TexNet is in Column K. These amounts are by affiliation and there may be multiple affiliations for providers that comprise their final IGT amount.  If you are unable to find your provider within the “IGT Commitments by Affiliation” tab, the provider either (a) exceeded their UC limit paid in the DY5 Advance UC Payment (see the “Recoupments” tab), or (b) the IGT source did not commit to funding the Final DY5 UC Payment (see the “Not Participating” tab).  If the provider is located on the “Recoupments” tab, HHSC will be sending the provider a recoupment letter with specific instructions to return the funds. Please note affiliation numbers for public non-state providers may have been changed by HHSC to ensure the UC Payments are processed under the same affiliation number as previous payments.

To ensure that all government entities receive this notification, HHSC requests that anchors and providers send this information to any government entity who is IGT’ing on their behalf. 

HHSC is holding back 5 percent of the total DY5 UC allocation to address possible changes to all hospitals’ HSLs pending the resolution of Texas Children’s Hospital and Seattle Children’s Hospital vs. Burwell et al., Civil Action No. 14-2060, in the US District Court for the District of Columbia.  Upon final resolution of this case, HHSC will make a final DY5 UC payment based on the court decision.

Below are the pertinent dates associated with the DY5 UC payment:

  • September 8          Last date to transfer funds into TexNet
  • September 9          DY5 UC IGT Settlement Date
  • September 30        Latest DY5 UC Payment Date

Please ensure you select the applicable UC bucket in TexNet when you enter your IGT. It is imperative that you send a screen shot/PDF copy of the confirmation/trace sheet from TexNet or an email with the confirmation number and IGT amount if the TexNet is submitted over the phone, to RAD_UC_Payments@hhsc.state.tx.us. In addition, you must submit the attached IGT Allocation form with the trace sheet. Please do not submit separate emails for the trace sheet and IGT Allocation form.  Please include two contacts and their phone numbers and email addresses, should HHSC have any questions regarding the TexNet received.

Government Entities that are IGT’ing for multiple providers may submit one lump sum IGT for their affiliates. The IGT entity must complete the allocation form using the “IGT Commitment Amount” tab.  By completing this form, HHSC Rate Analysis Department can calculate the allocation of the lump sum to apply to each provider. If a Trace Sheet is received without an IGT allocation form HHSC will allocate the IGT received in accordance with 1 Tex. Admin. Code §355.8201(h)(2)(B)(ii).  In the absence of the notification described in 1 Tex. Admin. Code §355.8201(h)(2)(B)(i), each hospital owned by or affiliated with the governmental entity will receive a portion of its payment amount for that period, based on the hospital’s percentage of the total payment amounts for all hospitals owned by or affiliated with that governmental entity.

In accordance with 1 Tex. Admin. Code §355.8201(h)(2)(C), if a government entity transfers more than the maximum IGT amount that can be provided for that hospital, and that hospital is affiliated with multiple governmental entities, then HHSC will calculate the amount of IGT funds necessary to fund the hospital’s payment and HHSC will issue a pro-rata refund to the governmental entity/entities identified by HHSC.  HHSC will determine the pro-rata refund, not the government entity/entities or their representative(s).

If you have questions regarding the UC payment process, please send an email to RAD_UC_Payments@hhsc.state.tx.us.  Please note our phones have had technical issues for a number of days and HHSC is currently working on resolving this matter.  We ask that all communication regarding this payment be submitted to the resource mailbox, as it is our only reliable form of communication, at this time.  We apologize for any inconvenience this may cause.

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/1115/2016/09/07/dy5-uc-igt-notification/

Aug 25

DY6 DSRIP Rules Public Hearing Webcast Information – Friday 8/26 @ 9:00am

Good afternoon Region 2,

Please see the email below with the webcast directions for the HHSC public hearing to be held tomorrow morning on the DY6 DSRIP Rules.  Also, please see the attached file on page 4 for the comments that Craig Kovacevich (who will be attending the meeting in person) intends to give.

 

Susan Seidensticker, BSIE, MSHAI, CPHQ, CSSBB, PMP
Director, Waiver Quality Operations
University of Texas Medical Branch (UTMB)
409-766-4041
smseiden@utmb.edu

**********************************************************************

Dear Anchors,

Please note that the public hearing on the proposed DSRIP rules will be held tomorrow, August 26, 2016, at 9:00 AM at HHSC, Brown Heatly Building, Public Hearing Room, 4900 N. Lamar Blvd., Austin, TX.   The public hearing will be webcast.

To access the webcast, please go to the following link – http://www.hhsc.state.tx.us/news/meetings.asp.

The rules are available here – http://www.sos.state.tx.us/texreg/pdf/backview/0729/0729prop.pdf.  They begin at the bottom of p. 2 (or 5486).

Thank you,

 

Healthcare Transformation Waiver Operations
Texas Health and Human Services Commission

Permanent link to this article: https://blogs.utmb.edu/1115/2016/08/25/dy6-dsrip-rules-public-hearing-webcast-information-friday-826-900am/