SEPTEMBER 29 Update: In follow-up to the most recent RHP 2 meeting, please find attached the following documents (Please note that the executive overview and summary of community needs were previously posted; they are being posted again with revised file names for your convenience and clarity):
While every effort has been made to assure that everything is correct in these documents, we would appreciate it if you would please contact us if you find any errors.
HHSC has posted a revised UC Tool: http://www.hhsc.state.tx.us/rad/hospital-svcs/index.shtml
Please note that the revised tool is due October 26, 2012.
The Pass 1 workbooks can be found on the HHSC website here: http://www.hhsc.state.tx.us/1115-Pass-1-Workbooks.shtml
On the anchor call Friday afternoon, HHSC indicated that they are aware of the idiosyncrasies in the workbooks (if you move backward in the workbook, you could delete later work). It is very important that you complete the workbook in the steps outlined within the workbook to avoid this issue.
Additionally, step 9 of the electronic workbook contains formatting issues. The dollar amount shows up as a percentage rather than as dollars. Please ignore this formatting issue. HHSC will not be reposting a new workbook.
You will need to send your completed workbook to us at UTMB along with all of your DSRIP proposals for inclusion in the RHP plan.
Please do not hesitate to contact Katrina or Craig with any questions you have as you work to complete your DSRIP proposals and workbooks.
SEPTEMBER 28 Update: If you plan to listen in to this morning’s instructional session on how to complete your DSRIP project according to the new DSRIP template, please note that in addition to the documents I emailed yesterday afternoon, you will also need the new documents referenced below. If you are attending in person, we will have copies of all of these documents available (with the exception of the 430 page RHP Planning Protocol, which you can find on the HHSC website).
Again, the HHSC webinar started today at 9 a.m.
Because the HHSC webinar ended early, we will begin the RHP 2 meeting 15 minutes early. Please dial in at 10:15 a.m.
1.877.226.9790
Participant code: 3020674
(Available at 10:30 a.m.)
SEPTEMBER 27 Update: Yesterday, HHSC received federal approval of the Regional Healthcare Partnership (RHP) Planning Protocol (DSRIP menu) for the Medicaid 1115 Transformation Waiver. The protocol provides the menu of project areas approved by HHSC and the Centers for Medicare & Medicaid Services (CMS), and options that contribute to delivery transformation and quality improvement. Only projects from this menu and performed as outlined in an HHSC- and a CMS-approved RHP Plan with corresponding measures, milestones and performance targets are eligible for payments from the DSRIP pool. The approved RHP Planning Protocol is posted on the HHSC Transformation Website.
The Program Funding and Mechanics (PFM) Protocol and the RHP Planning Protocol (DSRIP menu) serve as the basis for RHP Plan development. The PFM Protocol was approved on August 31, 2012.
HHSC also posted the final RHP Plan Template, a draft Companion document with additional instructions, and the electronic workbooks for Pass 1 Performing Providers as specified in the PFM. The Companion document includes a target timeline for RHP Plan submission for review and approval by HHSC and CMS. A final Checklist will follow later this week.
HHSC is hosting a webinar to assist regions with next steps for RHP Plan development and submission:
RHP Planning Protocol Webinar
Friday, Sept. 28, from 9:00 a.m. – 10:30 a.m.:
1) Go to www.webex.com
2) Click on Attend Meeting
3) Enter Meeting Number: 808 604 246 (no password necessary)
4) Call 1-800-396-3172 (no password necessary)
You can choose to log in online to view the slides and listen to the audio conference OR call in only for the audio portion. If you call in, you should do so 15 minutes prior to the start of the webinar. You will automatically be connected to the meeting room and will hear music until the start of the webinar.
If you experience technical difficulties accessing the webinar or should you have any questions, please email waiver staff at: TXHealthcareTransformation@hhsc.state.tx.us. For updated materials and to sign up for email alerts, please refer to the state's waiver website.
SEPTEMBER 26 Update: Please see the following important information regarding this week’s Region 2 1115 Waiver Meeting.
TIME/TOPICS HAVE CHANGED
RHP2 1115 Waiver Planning Meeting
Friday, September 28, 2012
NEW START TIME: 9 am
For those joining in person at UTMB Specialty Care Center at Victory Lakes (League City, Texas), we will broadcast the HHSC RHP Planning Protocol Webinar beginning at 9 am in the 2nd Floor Conference Room (VL 2.205).
Immediately following the HHSC webinar (approximately 10:30 am), we will:
For those who plan to dial in for Part 2 of the meeting (tutorial and planning/resource discussion), we will open up phone line as soon as the HHSC webinar is over (approximately 10:30 am or sooner). Please use the following to:
Access RHP Planning Protocol Webinar
Friday, September 28, 2012
9:00 am – 10:30 am:
1) Go to www.webex.com
2) Click on Attend Meeting
3) Enter Meeting Number: 808 604 246 (no password necessary)
4) Call 1.800.396.3172 (no password necessary)
Access RHP 2 Post-Webinar Discussion
Audio Conference Option:
1.800.226.9790
Participant Code:
3020674
Thank you in advance, and we look forward to your participation on Friday.
SEPTEMBER 25 Update 1: This Friday, September 28, 2012, RHP 2 will hold a meeting at UTMB Specialty Care Center at Victory Lakes for the ENTIRE region at 8:30 am.
Please note that this Friday’s meeting was originally scheduled as a Regional Steering Committee (RSC) meeting; however, given the newly published 1115 Waiver information provided by HHSC and the number of stakeholders who did not complete today’s HHSC webinar due to the technical difficulties, we feel a region-wide meeting Friday is critical to walk through the new information in detail, discuss timeline/next steps and understand what stakeholders will have active DSRIP programs to move forward (with secured IGT).
While we will offer a call-in option, we strongly suggest those that can attend in person do so for this very important meeting.
Audio Conference Option:
1.800.226.9790
Participant Code:
3020674
Please take time to review the new HHSC documents on either the RHP 2 or HHSC website.
SEPTEMBER 24 Update 2 : HHSC has important updates on two (2) items related to RHP plan development.
RHP Planning Protocol: HHSC is pleased to share that they have just updated the website to include the version of the RHP Planning Protocol for which CMS has indicated it will grant final approval. CMS has indicated that there will not be changes to this document. We have not received the formal approval letter, however. We will post the formally-approved document as soon as we receive it.
Electronic workbooks: The electronic workbooks are undergoing a few technical changes and clarifications. HHSC expects to repost the workbooks by COB Tuesday. The changes/clarifications include:
1. Step 1 – “Opting Out of DSRIP” Notes should state that if selecting “Yes”, then skip to Step 7a.
2. Step 2 – Max Pass 1 DSRIP Allotment will be updated to populate the correct allocations by DY.
3. Step 2 – Allotments will be corrected for a rounding issue.
SEPTEMBER 24 Update: Important updates for performing providers
Since the October 5th deadline for submission of your DSRIP projects to UTMB is drawing near, we wanted to provide the following reminders and updates to help you in that work.
RHP Planning Protocol Webinar (DSRIP)
Tuesday, September 25, 2012 from 9:00 am – 10:30 am:
1) Go to www.webex.com
2) Click on Attend Meeting
3) Enter Meeting Number: 804 935 154 (no password necessary)
4) Call 1-800-396-3172 (no password necessary)
RHP Plan Template Webinar
Wednesday, September 26, 2012 from 10:30 am – 12:00 pm:
1) Go to www.webex.com
2) Click on Attend Meeting
3) Enter Meeting Number: 804 128 626 (no password necessary)
4) Call 1-800-396-3172 (no password necessary)
HHSC has finalized the RHP template, which includes the required template for DSRIP projects. The new DSRIP project template is online, along with instructions. Please be sure to use a minimum of 12 point font in the narrative and a minimum 10 point font in the tables or it will not meet plan guidelines. Also, please note that category 1 & 2 projects are limited to 6 pages for the narrative, and category 3 projects are limited to 3 pages.
[New DSRIP Project template] [Template instructions]
We have updated the valuation criteria guidelines, which is now online. You will notice that the number of categories to score has been reduced. However, there is much more detail within each of these categories to help provide some guidance on how to score within each category. This continues to be a working draft and we will continue to work to refine this as needed.
Also online is the blank valuation worksheet (excel file) that you can use to work through the valuation process for your projects. The spreadsheet is locked so that you can only fill in those areas that are highlighted in yellow.
Going through these steps should begin to fill in the value amounts by demonstration year in the right-hand portion of the spreadsheet. As you become more comfortable with the tool and the criteria, you will be able to adjust and edit accordingly.
[Valuation criteria guidelines] [Blank valuation worksheet]
Just a reminder that if you have not already sent in your response to Craig’s email reminder last week, please let either Craig or myself know by close of business Thursday, September 27th whether you have secured IGT funding, and how much, for all of your DSRIP projects.
Although HHSC has not yet released the final, approved version of the category 3 DSRIP/RHP planning protocol, we do expect it at any time. The HHSC website http://www.hhsc.state.tx.us/1115-Waiver-Guideline.shtml does include:
We are also working on a Community needs assessment grid that will allow you to reference the community need by number, as well as a document that outlines overall regional goals. We plan to have those two documents completed by Friday.
HHSC has finalized and published on their website a pre-populated workbook for each hospital performing provider by RHP and Texas Provider Identifier (TPI). This can be found on the HHSC website, indexed by region here: http://www.hhsc.state.tx.us/1115-Pass-1-Workbooks.shtml
HHSC did not create pre-populated workbooks for non-hospital providers. All non-hospital providers should complete a blank workbook, which can also be found on the HHSC website, indexed by region here: http://www.hhsc.state.tx.us/1115-Pass-1-Workbooks.shtml
Instructions for completing the workbooks is also available on the HHSC website. If you have trouble locating the materials for your organization, please contact me and I’ll help.
Regional Healthcare Partnership (RHP) Plan Submission/Review Timeline
The timeline below targets submission of Pass 1 by October 31 and Pass 2 by November 30, 2012.
However, with regional consensus, RHPs are welcome to submit plans sooner.
As always, if you have any questions, please do not hesitate to contact us.
SEPTEMBER 20 Update: Here are a few updates and important reminders relating to the 1115 Waiver and RHP 2 planning efforts. Please review and feel free to let me know if you have any questions.
1. FINAL DOCUMENTS:
It is our understanding that HHSC is aiming to share approved versions of documents tomorrow, September 21, 2012. Also, we understand they will publish a more detailed timeline to guide regions with the submission of their regional health plans. While we will forward information as we receive it from HHSC, please feel free to check the HHSC Transformation Waiver Website periodically for updates.
Updated material on the HHSC website includes:
2. RHP 2 DEADLINE:
We need to determine which entities will have projects to include in the RHP 2 submission. In order for a project to be included there are two critical components:
3. VALUATION GUIDELINES:
ONLINE is a draft of the RHP 2 Valuation Guidelines. Please note that this is simply an early draft, and we are continuing to refine it over the next few days. Much of it is borrowed directly from other RHP’s, while some portions are a modification of what other regions are doing. Within the next few days, we should be able to send performing providers a clean excel template to work with that will accompany these guidelines.
Please feel free to send any feedback you might have regarding the valuation guidelines directly to Katrina Lambrecht at kmlambre@utmb.edu. As we work to complete a final version of the valuation guidelines, we will strive to incorporate as much of the stakeholder’s feedback as possible. We anticipate that the number of criteria may be reduced, and are also working on some suggested guidelines within each category.
4. UPCOMING WEBINARS:
RHP Planning Protocol Webinar
Tuesday, September 25, 2012 from 9:00 am – 10:30 am:
1) Go to www.webex.com
2) Click on Attend Meeting
3) Enter Meeting Number: 804 935 154 (no password necessary)
4) Call 1-800-396-3172 (no password necessary)
RHP Plan Template Webinar
Wednesday, September 26, 2012 from 10:30 am – 12:00 pm:
1) Go to www.webex.com
2) Click on Attend Meeting
3) Enter Meeting Number: 804 128 626 (no password necessary)
4) Call 1-800-396-3172 (no password necessary)
SEPTEMBER 18 Update: If under the 1115 Waiver you plan to participate as an IGT Entity, Performing Provider or participate in Uncompensated Care (UC)-only hospital, we need to identify you for inclusion in the Regional Health Plan. To help our construction team, please designate one member of your organization to reply with the following:
*Please Note: The lead representative is HHSC’s single point of contact regarding the entity’s participation in the plan.
If you will participate in the 1115 Waiver as a Performing Provider, we need to collect the following:
Please send this information to Cissy Yoes at cyoes@utmb.edu.
SEPTEMBER 17 Update 2: Just a reminder that this week’s RHP 2 Planning Meeting has been cancelled. (Friday, September 21, 2012)
Please note:
We will be back on schedule with the Regional Steering Committee (RSC) meeting on Friday, September 28, 2012 and the next RHP 2 Planning Meeting on Friday, October 5, 2012. Please be on the look-out for meeting announcements if we find it necessary to hold a special meeting/call due to HHSC/CMS updates.
SEPTEMBER 17 Update 1: As anticipated, information on the 1115 Waiver is coming fast. Likewise, we are starting to see various revisions and final drafts being sent to CMS from HHSC. Please keep an eye out for updates both via e-mail and on our RHP 2 website.
Online is a draft document of Category 3 outcome domains and measures for your review. Again, this is only a draft. Please pay special attention to the highlighted change on page 1 of the draft. This change clarifies that if you do not have at least one standalone measure in Category 3 related to each Category 1 and 2 projects, then the requirements of Category 3 can be fulfilled by a combination of at least 3 non-standalone measures. [view Category 3 draft document]
Other items of importance:
Please refer to the draft timeline below based on the HHSC Anchor Call Friday, September 14, 2012:
Draft timeline:
SEPTEMBER 13: Attached are examples of valuation tools from other regions, as well as the UTMB valuation tool. These are the documents that we will use for discussion of valuation during tomorrow morning’s RHP 2 meeting at UTMB’s Specialty Care Center at Victory Lakes. Please keep in mind that these are only examples, not accurate valuations. We will go through the methodology of both the UTMB example as well as the Region 10 principles to examine some different methods that are being used.
[RHP 6 Example] [RHP 10 Example] [Valuation Principles] [UTMB Valuations]
Additionally, please follow the link below to familiarize yourself with the CEA registry. While we will not be reviewing the registry in depth, this tool was shared with us by Region 10 as a resource that is helping to drive their valuation process.
https://research.tufts-nemc.org/cear4/Home.aspx
CEVR's goals in constructing and maintaining this database are threefold:
The CEA Registry is a comprehensive database of 3,067 cost-utility analyses on a wide variety of diseases and treatments. The registry has made an impact in several areas:
SEPTEMBER 13: RHP 2 Stakeholders Important Action Item: Please Respond by COB Friday, September 21, 2012
Please provide a list and description of any initiatives that you are participating in that are funded by the U.S. Department of Health and Human Services. Also, please provide a explanation of any delivery system reform initiatives (other than the 1115 waiver) in which you are currently engaged and indicate the sources of funding and collaboration for these initiatives.
Please e-mail me at: cskovace@utmb.edu with a copy to Ms. Cissy Yoes at: cyoes@utmb.edu by close of business Friday, September 21, 2012. This information is a requirement of our regional Community Needs Assessment (CNA).
SEPTEMBER 12 UPDATE: The agenda for this week’s RHP 2 Regional Steering Committee (RSC) meeting is now online.
PLEASE NOTE: This week’s meeting is open to all stakeholders since the main topic of discussion is DSRIP Valuation Methodology.
We encourage the participation of your CFO (or the financial liaison to the 1115 Waiver planning process), as well as anyone involved in setting/tracking the metrics/milestones of your DSRIP Projects.
Meeting Details:
Friday, September 14, 2012
8:30 am
UTMB Specialty Care Center at Victory Lakes
2240 Gulf Freeway (I-45) South
League City, Texas 77573
If unable to join in person, please use the dial-in option:
1.877.226.9790
Access Code: 3020674
SEPTEMBER 12 UPDATE: Below are a few 1115 Waiver related updates from HHSC based on the last Anchor call held on Friday, August 31, 2012. Please note the ACTION REQUIRED bullet. If you are a Performing Provider that is not listed on the Hospital Pass 1 Allocations sheet, but intend to participate in DSRIP and has identified a source of non-federal match, please let me know as soon as possible via e-mail at cskovace@utmb.edu.
SEPTEMBER 10 UPDATE: The two (2) presentations from last Friday’s webinars are posted on the HHSC website for review. If you were unable to be part of the Program Funding Mechanics (PFM) Protocol Webinar or the Regional Healthcare Partnership (RHP) Planning Protocol Webinar please view the information that was presented via the link below:
http://www.hhsc.state.tx.us/1115-Waiver-Deadlines.shtml
NOTES/REMINDERS:
SEPTEMBER 5 UPDATE: The agenda for this Friday’s RHP 2 – 1115 Waiver Planning Meeting is now online. Please note that the agenda reflects an HHSC Webinar beginning at 10:00 am. All RHP stakeholders who are attending in person are welcome to participate in the webinar from the Victory Lakes conference room.
Also, the CMS-approved version of the Program Funding and Mechanics (PFM) Protocol is also online. The PFM Protocol provides DSRIP requirements, including DSRIP eligibility criteria, minimum number of DSRIP projects, organization of the RHP, plan process review, required reporting, allocations of DSRIP funds, project valuation and plan modifications. A webinar to present the final PFM will be held this Friday afternoon (September 7, 2012) at 1:30 pm.
[Access the Sept. 5 Agenda] [Access the PFM Protocol with DSRIP requirements]
SEPTEMBER 5 REMINDER: Notice of Public Meetings. UTMB and Region 2 are conducting a series of public hearings about the Region 2 plan for the Texas Healthcare Transformation and Quality Improvement Program (1115 Medicaid Waiver). The meetings will be on Sept. 5 in Nacogdoches and Beaumont, and Sept. 6 in Galveston. [Get details] [NEW: See Presentation]
Want to know more? Call or email us, and we'll be happy to answer questions, listen to your ideas, or share additional information.
Email: 1115.Info@utmb.edu
Phone: Phone: (409) 772-3116
www.utmb.edu/1115