Category Archive: Uncategorized

Aug 24

CANCELLED- RHP2 – 1115 Waiver Public Meeting, Friday, August 25, 2017

Good morning RHP 2 Performing Providers & Stakeholders:

Due to the upcoming inclement weather expected to hit the Galveston area, the 1115 Waiver Public Meeting scheduled on Friday, August 25th at 2:00 pm will be postponed until further notice. I will send notification as soon as we have a rescheduled date identified.

Our second public meeting is still set in Beaumont on September 25th, 855 Jim Gilligan Way at 10:00 am. 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/1115/2017/08/24/cancelled-rhp2-1115-waiver-public-meeting-friday-august-25-2017/

May 16

DSRIP 5/12/17 Anchor Update

Good morning Region 2,

HHSC has released the latest feedback report from the Bundle Advisory Teams – please see the attached.  Round 4 of the voting is now in progress.

Also, please see the information below regarding the postpartum depression toolkit that was recently released by HHSC.

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

From: HHSC Texas Healthcare Transformation and Quality Improvement Program

Anchors –

Just a couple of updates for you today.

Clinical Champions – Bundle Advisory Teams

  • This week HHSC had calls with each of the clinical BATs to discuss the latest round (Round 3) of voting on potential measures for hospitals and academic health science centers, and a call is scheduled Monday with the Technical Advisory Team.
  • In Round 3, BAT members were asked to rank each measure on a Likert scale and to rank the most important measures. They were also given the opportunity to submit additional measures – both existing measures with a steward not previously included in their measure bundle and innovative measures.  Additional measures with a measure steward that were submitted with enough information will be added to the roster for Round 4 voting. HHSC will need additional time to review the innovative measure submissions so those may be managed outside of the BAT voting process for now.
  • HHSC will remove some measures with low scores from the voting roster for Round 4 depending on the volume of available measures. HHSC is targeting roughly 3-8 measures for each bundle and we do not intend that all measures will be required.
  • HHSC will be sending the Round 4 voting companion and a summary of all BAT calls held this week to BAT members today, and we will forward these to anchors.  Round 4 voting surveys will be sent to BAT members on Monday May 15th and will close on Sunday May 21st.
  • Attached are the Round 3 voting summaries that were discussed on this week’s BAT calls.

Postpartum Depression Toolkit

  • Texas Health and Human Services has released a new Texas Clinician’s Postpartum Depression Toolkit, which is intended to be a resource for Texas clinicians on screening, diagnosis and treatment of postpartum depression. The toolkit includes coverage and reimbursement options for postpartum depression through Medicaid, CHIP, the Healthy Texas Women Program, the Family Planning Program and other referral options.
  • You can download the toolkit here. Please email womenshealth@hhsc.state.tx.us with any questions.

Have a great weekend!  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/1115/2017/05/16/dsrip-51217-anchor-update/

May 02

CANCELLED-RHP 2 Meeting-Friday, May 19, 2017

Dear RHP 2 Providers & Stakeholders:

The regional meeting scheduled on Friday, May 19, 2017, from 10:00 am-3:30 pm (CST) is cancelled.  A rescheduled date will be announced pending new information from HHSC.  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
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/1115/2017/05/02/cancelled-rhp-2-meeting-friday-may-19-2017/

Feb 16

Reminder: Registration Open for The 2017 Care Transitions Summit, Hosted by UTMB on Friday, March 24, 2017

This summit has been designed to offer an opportunity for providers at all levels, including those working outside of DSRIP, to come together and discuss strategies to strengthen the quality of care provided to patients. We expect participation from a wide variety of regional constituents, including administrative and clinical leaders and front-line staff from hospitals, nursing homes, rehabilitation facilities, skilled nursing facilities, and home health agencies. We also encourage participation from our behavioral healthcare providers and community physician partners, as we all contribute to the concept of “whole person wellness.”

To register for the event, please visit: https://www.surveymonkey.com/r/DDVMBT2. Registration on/before Monday, March 20, 2017 will assist with final preparations, including catering requirements. Please note that efforts are in progress to potentially offer continuing nursing education (CNE) hours for attendees in conjunction with UTMB’s School of Nursing.  If you have additional questions, please contact a member of UTMB’s Care Transitions Summit planning team: Susan Seidensticker (smseiden@utmb.edu), Fred Lopez (felopez@utmb.edu) or Michael Leger (jmleger@utmb.edu).

This cross-organizational outreach has the potential to truly move the needle on readmissions; so, I hope you accept our invitation to participate on March 24th.

 

Permanent link to this article: https://blogs.utmb.edu/1115/2017/02/16/reminder-registration-open-for-the-2017-care-transitions-summit-hosted-by-utmb-on-friday-march-24-2017/

Feb 15

Region 2 DSRIP DY7/8 PFM Discussion

The RHP 2 Anchor team hosted a discussion and Q&A session regarding the HHSC Program Funding Mechanics (PFM) proposal for DY7 and 8 on February 14th, which served as a follow-up for the HHSC webinar conducted on February 9th.  Attached is are the minutes and the PFM.

 

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/1115/2017/02/15/region-2-dsrip-dy78-pfm-discussion/

Dec 20

TIME SENSITIVE INFORMATION: DY5 DSRIP IGT Notification for January 2017 Payment

Dear RHP 2:

It is very important for you or the appropriate person in your organization to review the message below from the HHSC Rate Analysis department regarding your October DY5 IGT notification.

Please see specific instruction below of where to send specific types of questions:

TXHealthcareTransformation@hhsc.state.tx.us or Rate_Analysis_DSRIP_Payments@hhsc.state.tx.us

Additionally, you can always reach out to me personally.

Thanks,
Craig S. Kovacevich, MA
Associate Vice President
Waiver Operations & Community Health Plans
Office of the President
The University of Texas Medical Branch at Galveston
Representing
UTMB Multi-Share, UTMB ChoiceONE Select and UTMB HealthCare Systems
Region 2, 1115 Medicaid Waiver
University of Texas Medical Branch
301 University Blvd., Galveston, TX 77555-0985
P 409.766.4047 M 281.806.0347
F 409.747.0896 E cskovace@utmb.edu
*******************************************************

Government Entities/Providers:

Please carefully review this message in its entirety making note of the information provided which pertains to the DY5 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- DY5 Round 2 Oct 2016 Affiliation Summary and DY5 Round 2 Oct 2016 IGT Summary workbooks. These workbooks include DY5 DSRIP payments for DY5 Reporting (October), DY4 Carry Forward Reporting and DSRIP Monitoring.

The DY5 Round 2 Oct 2016 Affiliation Summary workbook has separate tabs for each Regional Healthcare Partnership (RHP) and contains the Intergovernmental Transfer (IGT) needed, by affiliation, for DY 5 DSRIP payments for DY 5 Reporting (October) and DY 4 Carryforward Reporting.

The DY5 Round 2 Oct 2016 IGT Summary workbook has separate tabs for each RHP and contains the total IGT needed by IGT Entity Name for the DY 5 DSRIP payments for DY 5 Reporting (October), DY4 Carryforward Reporting, and DSRIP Monitoring.

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.

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 January 3rd with a Settlement Date of January 4thNo IGT’s submitted after January 3rd will be accepted. 

HHSC Accounting will request the Comptroller to issue payments according to the following estimated schedule (note that these dates are slightly different from what was previously posted in the October DY5 Reporting Companion Document):

  • January 3, 2017 Last Date For Public Entities to enter TexNet and submit Trace Numbers
  • January 4, 2017 TexNet Sweeps (Settlement Date of funds)
  • January 19, 2017 Payment issue date for Top 20 Entities for DY5 payments (Transferring Hospitals “Big 6”) and remaining entities. *We will not know who the other 14 entities are until the payment is processed*
  • January 31, 2017 Payment issue date for remining DSRIP Providers for DY5 and all providers for DY4

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/1115/2016/12/20/time-sensitive-information-dy5-dsrip-igt-notification-for-january-2017-payment/

Dec 03

SAVE THE DATE: RHP 2 Meeting-Friday, January 8, 2016

Dear RHP 2 Providers & Stakeholders:

We will hold a regional meeting on Friday, January 8, 2016, from 9:30 am-noon (CST) in the Caduceus Room on UTMB’s main campus located at 301 University Boulevard in Galveston.  We will publish the agenda prior to the meeting.

Please save the date.

Thank you,

Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2015/12/03/save-the-date-rhp-2-meeting-friday-january-8-2016/

Oct 28

Stakeholder Feedback

Good afternoon RHP 2:

Please note that HHSC has posted a link to a survey for stakeholder feedback on protocol level proposals for the 1115 Transformation Waiver Extension Application as described during the September 30, 2015 webinar, along with a document showing stakeholder comments already received on the proposed extension elements.  (If you have already responded to a previous survey or provided feedback at one of the public meetings, it is not necessary to make additional comments).  More information can be found on the waiver website’s Waiver Renewal page.

Thank you,

Craig

Permanent link to this article: https://blogs.utmb.edu/1115/2015/10/28/stakeholder-feedback/

Nov 07

REGION 2 UPDATE: DSRIP 1115 Waiver Renewal Survey due 11/26/14

Dear Region 2 Performing Providers and Stakeholders:

You may have received the message below and link to the HHSC waiver renewal survey earlier this week from HHSC.  However, I am sharing once again because it is very important for HHSC to hear from providers/stakeholders, like you.  I strongly encourage you to take a few minutes and participate in the survey which closes on November 26, 2014. 

To access the survey, click on the following link:  http://goo.gl/forms/vDC0RuuY5e.  Once you have completed the survey, click the “submit” button at the end of the survey to submit your responses.  Again, the survey will be available until November 26, 2014

On behalf of HHSC and the Region 2 Waiver Office, thank you in advance for your participation.

Craig

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

Texas’ 1115 demonstration waiver, the Healthcare Transformation and Quality Improvement Program, is a 5-year waiver that goes through September 30, 2016. It includes Texas’ two major Medicaid managed care programs (STAR and STAR+PLUS), children’s dental managed care, an Uncompensated Care (UC) Pool and a Delivery System Reform Incentive Payment (DSRIP) Pool. In order for Texas to continue these Medicaid managed care programs, UC, and DSRIP, Texas must submit a renewal or extension request no later than September 30, 2015.  This survey is specific to DSRIP.

HHSC seeks input from Texas Medicaid stakeholders, including both current Regional Healthcare Partnership (RHP) participants and other interested entities, on the future of the DSRIP program as Texas begins to pull together the renewal/extension (hereafter referred to renewal) request.  HHSC will use this information to help inform an initial plan for the waiver renewal request.

In submitting your responses, please consider the following:

 

  • DSRIP is a substantial federal investment – Texas needs to demonstrate the value of the investment.
  • The need to continue to strengthen care coordination among providers across the continuum of care.
  • Outcomes measurement is important – consider some funding for shared outcomes at the RHP and/or State level?
  • Sustainability going forward – how to take what’s being learned through DSRIP, sustain/disseminate/replicate best practices, and embed these practices into everyday Medicaid business?
  • Texas is at the forefront of DSRIP renewal (California is a year ahead of Texas) – so think what the next phase of DSRIP could look like to build on what we’ve learned so far.

To access the survey, click on the following link:  http://goo.gl/forms/vDC0RuuY5e.  Once you have completed the survey, click the “Submit” button at the end of the survey to submit your responses.  The survey will be available until 11/26/2014.

 

Permanent link to this article: https://blogs.utmb.edu/1115/2014/11/07/region-2-update-dsrip-1115-waiver-renewal-survey-due-112614/

Oct 27

Anchor Call Notes 10/24/14

Dear RHP 2 Performing Providers and Stakeholders:
Attached are the anchor call notes from the call hosted by HHSC on Friday, October 24th.

[Anchor Notes]

Permanent link to this article: https://blogs.utmb.edu/1115/2014/10/27/anchor-call-notes-102414/

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