Category: Minutes

Sep 23

Behavioral Health Learning Collaborative on 9/15/2016

Good Morning RHP 2,

Thank you to those who attended the September 15, 2016 Behavioral Learning Collaborative.  The cause and effect diagram related to Care Transitions has been updated per the discussions at the meeting. Documentation needed for reporting Learning Collaborative attendance is below:



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

Permanent link to this article:

Jan 25

1/22/16 Anchor Notes

Good afternoon Region 2,

Attached are the notes from the Anchor call held on Friday, January 22nd.  Some of this information was sent to you from our office last week as well.

DY 4 October Reporting: Payments for approved metric achievement will be made on or before January 29th.

Combining Projects:  Certain projects may be eligible to be combined with other projects within RHP 1 or across regions.  For those eligible projects, the deadline to submit templates (on HHSC Waiver website) is Monday, February 1st.

Compliance Monitoring: Myers and Stauffer LC has provided a summary of activities and projected timeline for Cat 1 and Cat 2 validation over the next few months.  Please see the attached file.

Category 3 Corrections: Last Wednesday (January 20th), the HHSC Cat 3 Team sent out guidance on a new category 3 summary template and the opportunity for certain projects to correct reported baselines before the next reporting period.  Please refer back to the instructions and timeline in this message to determine whether or not your projects require a correction template to be submitted.  The deadline for doing so is Sunday, February 14th.

Waiver Renewal Planning:  HHSC has begun notifying Providers with the results of their final review of projects for eligibility to continue into DY6.

  • Please review the Anchor notes for greater detail on which projects were reviewed.
  • HHSC Waiver leadership expect for all affected providers to be notified by early next week.
  • In addition to those that were reviewed based on the criteria provide in the Notes, all projects that are from removed Project Areas (2.4, 2.5, 2.8, and 1.10 unless it is a learning collaborative project) may continue in DY6 based on DY6 Transition Year requirements but will be required to submit a replacement project to begin in DY7 up to the same valuation as the previous project with a maximum of $5M per DY from the extension menu, contingent on CMS approval. If you have a project in one of these option areas, please continue to review Waiver Renewal information as it becomes available and begin considering your options for project replacement.

Thank you,


Permanent link to this article:

Jan 08

Region 2 Meeting on January 8, 2016

Dear RHP 2 providers and stakeholders:

Please find Region 2’s [meeting materials] on 1/8/2016 attached.

Thank you.

Permanent link to this article:

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

Permanent link to this article:

Sep 04

9/4/15 Anchor Notes

Dear RHP 2 Performing Providers and Stakeholders:

See the information below from HHSC.


Anchors –

Thank you for joining us on today’s call. The [notes] are attached. As discussed during the call, also attached are the results of the mid-point assessment of 3-year projects (3 YR Project Review Methodology, Appendix 1, Appendix 2), the [April DY4 NMI estimated payments file (Excel)], and the [proposed Transformational Extension Protocol menu] for replacement projects (PDF). We will post the proposed Transformational Extension Protocol menu for replacement projects on the waiver website’s Waiver Renewal page when we have the feedback mechanism ready. The [updated Population Focused Priority Measures menu] will be posted soon on the website as noted in the call and it is also attached.

Thanks for calling our attention to the conflict with the proposed DSRIP Protocol Webinar time. We are working to reschedule it for the afternoon (1:30 – 3:00 pm) of September 30th and we’ll follow up soon with confirmation of that time and with call-in information.

Please let us know if you have any questions. A reminder that HHSC will be closed on Monday for the Labor Day holiday. Have a great weekend!

Thank you.

Permanent link to this article:

Dec 15

RHP 2 Regional Meeting Information-December 3, 2014

Below is the link to review the information and attachments from RHP 2’s Regional Meeting on Wednesday, December 3, 2014.


Permanent link to this article:

Jun 12

RHP 2 Meeting Minutes-June 6, 2014

Below are the minutes and attachements from the RHP 2 meeting on Friday, June 6, 2014.

[RHP2 Meeting-June 6, 2014]

Permanent link to this article:

Aug 06

RHP 2 1115 Waiver Meeting Information – Friday, August 2, 2013

Attached below is the information from the meeting on Friday, August 2, 2013.

Permanent link to this article:

May 21

RHP 2 Meeting Minutes-May 17, 2013

Attached are the minutes from the 1115 Medicaid Waiver Meeting on Friday, May 17, 2013 at 9:00 am.

[Waiver Full District Meeting]

Permanent link to this article:

Apr 17

RHP 2 Meeting Minutes

Attached are the minutes from the Region 2: 1115 Medicaid Waiver Meeting on Friday, April 12, 2013 at 9:00 am.

[Waiver Full District Meeting]

Permanent link to this article: