Final RHP 12 Plan Update

Thank you for submitting the NMI responses to HHSC’s feedback on the DY9-10 RHP Plan Update! HHSC has reviewed your responses and provided final approvals and changes in the regional tracker.

You can review that Plan Update at the following link:

Final RHP 12 Plan Update 

The Final DY9-10 RHP Plan Update tracker, Anchor Template, and Provider Templates comprise the full DY9-10 RHP Plan Update. The tracker and Anchor Template will be posted on the waiver website on the RHP Summary Information page and shared with CMS.

The information included in the Final DY9-10 RHP Plan Update is considered final and will only be updated in the following situations:

  • HHSC error - in which an approval of an exemption or change was not properly entered.

  • Category A - Core Activities - providers may update Core Activities during October 2020 reporting with explanation so HHSC is not accepting changes through a separate process.

  • Category B - MLIU PPP and System - If changes are needed, then providers may submit a request to the waiver mailbox at This email address is being protected from spambots. You need JavaScript enabled to view it. by September 1, 2020.

  • Category C - Changes to Category C are limited to the following for newly selected measures as outlined in the Program Funding and Mechanics Protocol.

 

Modification

Eligible Providers

Deadline for Submission

Achievement Milestone Payer Type

All Providers

Prior to reporting baseline & no later than 9/1/20

Reporting Milestone Payer Type

All Providers

Prior to reporting baseline & no later than 10/1/20 

Replace a Measure

CMHCs & LHDs

Prior to reporting baseline & no later than 9/1/20

Remove an Optional Measure

Hospital/Physician Practice

Prior to reporting baseline & no later than 9/1/20

 

    • Once a newly selected measure’s baseline is reported, HHSC will review reported baselines to ensure the measure reported has significant volume for the achievement payer type. If HHSC identifies that a provider has insignificant volume for the achievement payer type, or no volume for any payer type, HHSC will be able to make modifications through the HHSC baseline technical assistance process. HHSC encourages providers to report baselines as early as possible to identify any concerns that might impact the milestones associated with a selected measure or measure bundle.

Thanks!

RHP 12 Team