HHSC Announces Updated Program Funding and Mechanics (PFM) Protocol Webinar

Updated Program Funding and Mechanics (PFM) Protocol Webinar – June 25, 3:30-5pm Central:

Thank you also to those who submitted feedback on the draft PFM Protocol. During this webinar, HHSC will provide an update on the protocol, review comments submitted, and cover next steps. HHSC is continuing to negotiate the details of the PFM Protocol with CMS through June and July. Participants can choose to login online or to only call-in.

To access the webinar, on June 25 at 3:30pm:

1) Go to www.webex.com

2) Click on Attend Meeting

3) Enter Meeting Number: 804 694 814 (no password necessary)

4) Call 1-888-884-2150

HHSC Announces Updated DSRIP Menu Webinar

Updated DSRIP Menu Webinar – June 21, 11am-12:30pm Central:

Thank you to all who submitted feedback on the draft DSRIP menu. HHSC received hundreds of comments and incorporated suggestions that are reasonable, meet the goals of the waiver, and have data available. During the webinar, HHSC and the Texas Medical Foundation will review the new document, the process used in updating it, and next steps. HHSC currently is finalizing the document to be shared with the Centers for Medicare and Medicaid Services (CMS) and stakeholders by early July. Participants can choose to login online or to only call-in. All participants will receive the same information and can participate in the Questions-and-Answers session.

To access the webinar, on June 21 at 11am:

1) Go to www.webex.com

2) Click on Attend Meeting

3) Enter Meeting Number: 804 346 786 (no password necessary)

4) Call 1-888-884-2150

June 4th - Final RHP Map and Anchor list

In developing the RHP map and anchor list, HHSC worked with the regions in contention and held a public hearing on May 17, 2012. Please note that to reflect patient flow, an IGT entity may fund a performing provider in a contiguous RHP based on certain principles. For instance, total computable payment must stay with the recipient, and the project must be included in the performing provider’s RHP plan.

In order to meet the September 1, 2012 RHP plan submission deadline, HHSC encourages all RHPs to begin or continue developing plans—including assessing community needs, reviewing the draft Delivery System Reform Incentive Payment (DSRIP) project menu and draft Program Funding and Mechanics (PFM) Protocol, and estimating possible funding levels. In June and July, HHSC plans to negotiate with our federal partner, the Centers for Medicare and Medicaid Services, detailed waiver requirements including both the DSRIP menu and PFM Protocol. Because CMS approval of RHP plans is contingent on these protocols, HHSC will continue to update stakeholders on a regular basis regarding the CMS negotiations.

HHSC recognizes the timeline for implementing the 1115 Transformation waiver is very tight and very much appreciates your patience in this new process.

May 25th - RHP Planning Summit Rescheduled for August

RHP Planning Summit to be held in August: In order to better utilize attendees’ time at the RHP Planning Summit, HHSC has postponed the conference until early August rather than holding it in late June as originally planned. At the summit, HHSC will provide technical assistance to directly help those RHP participants developing a regional plan. In June and July, HHSC plans to negotiate with our federal partner, the Centers for Medicare and Medicaid Services, detailed waiver requirements including the DSRIP menu and Program and Funding and Mechanics Protocol. By postponing the summit, HHSC hopes to provide more complete information to RHPs to enable them to develop and submit their plans. Prior to the summit, HHSC will continue to update stakeholders on a regular basis regarding the CMS negotiations.

Summit Registration: HHSC is working to finalize the details—including dates, times, and location—of the RHP Planning Summit. Once those details are confirmed, registration will open for a limited number of individuals. Because space at the conference will be limited, HHSC will send invitations in waves and those receiving an invitation will have up to one week to accept before additional invitations will be sent. Each Regional Healthcare Partnership (RHP) will have a certain number of in-person slots for the summit, so that the anchor along with key IGT entities and performing providers will be able to attend to receive information about how to complete and submit the RHP plan. HHSC will broadcast the conference online so that individuals not able to attend in-person can watch presentations, hear discussions, and submit questions through an online chat function.

May 24th – Update on DSRIP Project Valuation

Per HHSC the details on the valuation are being discussed with CMS. We will work to provide guidance as soon as we have more information, expected in mid to late June at the earliest.