Category Archive: News

Mar 17

DSRIP Quality Measure Bundle Advisory Teams

As you all know, there is still much to be decided on the structure of the proposed Category C Measure Bundles for DY 7&8.  HHSC is starting from a pared down version of the existing Category 3 list, as well as considering new measures.  The evaluation process will include the use of Bundle Advisory Teams (BATs) to best inform HHSC on which measures best fit the intent of Texas’ DSRIP efforts.

The full list of BATs membership is attached.  I want to take a moment to recognize the Region 2 providers and affiliated personnel who will be participating in this very critical effort, as 80% of available DY 7&8 valuation is proposed to be on Category C.

  • Alison Glendenning-Napoli (UTMB) will be on the Chronic Disease and Care Transitions BAT
  • Susan Holt (Spindletop) will be on the Behavioral Health & Chronic Pain Management BAT
  • Kathy Mechler (Preferred Management Corporation) will be on the Rural Hospitals BAT
  • Jolene Rasmussen (Texas Council) will be on the Behavioral Health & Chronic Pain Management BAT
  • Dr. Joan Richardson (UTMB) will be on the Pediatric and Maternal Care BAT
  • Melissa Tucker (Gulf Coast Center)  will be on the Behavioral Health & Chronic Pain Management BAT

Additionally, Jerry Carnley (Spindletop) and Susan Seidensticker (UTMB’s Anchor Office) will be on the Technical Advisory Team, which is intended to provide feedback to all of the BATs throughout the process.  I can assure you that Susan will continue to be a strong and consistent voice for our Region related to the challenges of data acquisition and validation across the care spectrum.

The timeline provided by HHSC (below) is fairly aggressive, but needed in order to continue the planning process for DY7.  I know that several Region 2 organizations gave HHSC feedback expressing concern about the requirement of a full 12-month baseline corresponding to Calendar 2017 for Category C, and I can assure you that we will continue to advocate that providers have the flexibility to utilize an alternate timeframe to establish baselines.

Thanks.
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

Permanent link to this article: https://blogs.utmb.edu/1115/2017/03/17/dsrip-quality-measure-bundle-advisory-teams/

Sep 19

Statewide Learning Collaboration Summit – Presentations

RHP 2:

The presentations from the 2016 Statewide Learning Collaborative Summit in Austin on August 30-31, are now posted online.  See the link below.

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

 

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/statewide-learning-collaboration-summit-presentations/

Sep 06

1115 Waiver Updates

Good morning RHP 2:

Please see the e-mail below regarding the attached disallowance letter.  Note that this does not affect RHP 2, but we wanted to share for your information.

Also, attached please find the Uncompensated Care Study report required by the standard terms and conditions of the 15-month 1115 Waiver Extension. The report was submitted to CMS on August 31st.

In addition, please note HHSC’s new website address below.  They are still undergoing upgrades to its webpages; so, the SLC slide deck information is not yet available.  Feel free to bookmark the link for future reference.

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

 

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

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

From: Maureen Milligan
Sent: Friday, September 02, 2016 5:44 PM
Subject: CMS Disallowance Letter

 

Good afternoon. In case you have not heard, CMS sent a disallowance letter to HHSC earlier this week based on its claim of an unallowable use of provider related donations. Our understanding was that CMS had agreed to give the state until 9/2017 to come to an agreement on funding. We’ll share more as this moves forward. Note that the state can retain the money during an appeal process.  The Executive Commissioner indicated that HHSC will appeal.

Maureen

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

From: HHSC External Relations
Sent: Friday, September 02, 2016 5:02 PM
Subject: CMS Disallowance Letter

 

The Health and Human Services Commission received the attached letter from the federal Centers for Medicare & Medicaid Services (CMS). The letter gives notice of a disallowance in the amount of $26.8 million and affects both Dallas and Tarrant counties. Specifically, CMS takes exception with certain funding arrangements it believes constitute the unallowable use of provider-related donations. HHSC will be challenging this decision.

The Executive Commissioner has notified both Parkland and John Peter Smith hospitals directly. HHSC will update you with information about this important matter as it becomes available.

If you have any questions, please contact the HHSC Government & Stakeholder Relations Division at (512) 487-3300.

 

Permanent link to this article: https://blogs.utmb.edu/1115/2016/09/06/1115-waiver-updates/

Jul 27

Population Health Improvement Initiative

Dear Region 2 Stakeholders:

Please see the request below from UTMB’s Department of Preventive Medicine and Community Health to participate in a survey regarding health-related needs in the region.  Thank you in advance for your assistance in this study.

Survey link:  CLICK HERE

 

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

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

As part of the University of Texas System Population Health Improvement Initiative, you are invited to participate in a research project.  This is a stakeholder survey to help us identify the critical needs of your community.

The survey will take about 15 minutes to complete.  Your completion of this survey indicates your consent to participate.

You will be asked to answer questions about issues in your community such as access to services and health and environmental problems. Your responses will be used to prioritize health concerns in your community.

Your participation in this study is anonymous.  You will not be asked any personal questions.  You will not be paid for being in this study.  This survey involves minimal risk to you and may positively impact your community by raising awareness.

Your decision whether or not to participate will not affect your current or future relationship with UTMB. If you decide to participate, you are free to stop at any time; you may also skip questions if you don’t want to answer them or you may choose not to submit the survey.

We ask that you forward this email to your friends and colleagues who may also be interested in completing this survey.

Please feel free to ask questions regarding this study. You may contact me, Dr. Christine Arcari, if you have additional questions at cmarcari@utmb.edu or 409-772-5271.

Thank you for your time and consideration.

 

Sincerely,

Christine Arcari
University of Texas Medical Branch at Galveston
Department of Preventive Medicine and Community Health

By clicking the link below, you confirm that you have read this email and decided that you will participate in the survey described above. You understand that you can discontinue participation at any time. Your consent also indicates that you are at least 18 years of age.

Survey link:  CLICK HERE

Permanent link to this article: https://blogs.utmb.edu/1115/2016/07/27/population-health-improvement-initiative/

Jul 11

RHP 2 — Learning Collaborative survey link (please complete by July 22nd)

Good morning,

As I mentioned during the Regional meeting last week, we are asking for feedback from all of our Performing Providers on the Learning Collaborative structure (including what you’d like to see us focus on in the future).

The 10-question survey (https://www.surveymonkey.com/r/7Z7B5HZ) will allow us to help plan for DY6 and beyond; we do ask that at least one response per Performing Provider be submitted by Friday, July 22nd.  If you have any questions, please contact me and I’ll be glad to discuss them with you.

 

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

Permanent link to this article: https://blogs.utmb.edu/1115/2016/07/11/rhp-2-learning-collaborative-survey-link-please-complete-by-july-22nd-2/

Jun 29

RHP 2 – DY6 Participation Template

Good afternoon,

HHSC has just wrapped up their webinar on the DY6 Participation Template.  As noted there, this is an ANCHOR-level submission, so the deadline for you to return the completed template to our team is COB on Tuesday, July 19th.  Jennifer Woodard (jnwoodar@utmb.edu) will be coordinating the Regional submission, so please send the completed files to her. This will give us enough time to ensure that any questions about the content have a chance to be addressed prior to submitting to HHSC.

As a reminder, we will be hosting a Regional supplemental webinar on the HHSC-mandated DY6 Participation Template process on Thursday, July 7th at 10:00am CT.  Please come with your questions!

Call-In:                   877.226.9790
Access Code:       3020674

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

Permanent link to this article: https://blogs.utmb.edu/1115/2016/06/29/rhp-2-dy6-participation-template/

May 26

RHP 2 Meeting Agenda-Friday, July 8, 2016

Dear RHP 2 Providers & Stakeholders:

We will hold a regional meeting on Friday, July 8, 2016, from 9:30 am-2:15 pm (CST) in the Research Building 6 on UTMB’s main campus located at 301 University Boulevard, Galveston, Texas, 1st floor Research Building 6, 1.206.  Please note, the Administrative garage is now closed to public parking.  Public parking is available in the garage labeled Hospital Garage, located off 6th and Harborside Drive.  Below is the link for the UTMB campus map.  For viewing the link, it is recommended that you use Google Chrome or Mozilla Firefox.

During this meeting, we will be discussing several different topics related to the DY6 transition year and the opportunities for renewal/extension of the 1115 Waiver.  We are pleased to have Ardas Khalsa, the Deputy Medicaid CHIP Director, Healthcare Transformation Waiver, joining us for this meeting.  Ardas is a key player in Texas’ negotiations with CMS for DSRIP and UC.

For catering purposes, please RSVP your attendance to Bobbie Guyton at bjguyton@utmb.edu by COB on Wednesday, June 29th.  The agenda is attached.  Thanks.

http://www.utmb.edu/map

 

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/1115/2016/05/26/rhp-2-meeting-agenda-friday-july-8-2016/

Apr 22

RHP 2: Reminder of Key DSRIP Reporting Dates

RHP 2,

Please be reminded that today Friday, April 22nd is the HHSC deadline to submit April DY5 general reporting questions to the HHSC mailbox: TXHealthcareTransformation@hhsc.state.tx.us

The deadline for submission of Category 3 questions has passed.

If you have not done so already, the Anchor Office encourages you to review your information as soon as possible so that you can get any questions in to HHSC ahead of their deadlines.

Thank you,

Andrew Herndon

Permanent link to this article: https://blogs.utmb.edu/1115/2016/04/22/rhp-2-reminder-of-key-dsrip-reporting-dates-2/

Apr 12

DSRIP – revised Category 3 template now available on the HHSC website

Good morning,

HHSC has uploaded the replacement Category 3 template.  For those of you opting in to the Anchor Office’s reporting webinar at 10:00am, please feel free to ask us questions about it then.

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

Permanent link to this article: https://blogs.utmb.edu/1115/2016/04/12/dsrip-revised-category-3-template-now-available-on-the-hhsc-website/

Apr 08

DSRIP – April DY5 Reporting

Good morning RHP2!

HHSC has finally uploaded the last of the April DY5 documents to their website.

As a reminder, the Anchor office will be offering an additional Reporting webinar/Q&A on Tuesday, April 12th at 10:00am.

Call-In:                    877.226.9790
Access Code:        3020674

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

Permanent link to this article: https://blogs.utmb.edu/1115/2016/04/08/dsrip-april-dy5-reporting/

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