Please find links below to 1115 Waiver reporting templates and instructions.

Demonstration Year (DY) 6 Reporting

DY6 Sustainability Planning Milestone Template

Estimated IGT for DY6 Round 1

  • Estimated IGT for DY6 Round 1 (XLSX) (5/19/17)
    Please review the yellow highlighted columns for DY6 Round 1 estimated DSRIP payments and DY6 Monitoring IGT due. The estimated payments are based on the assumption that all milestones/metrics reported as achieved in DY6 Round 1 will be approved by HHSC. These estimates are provided to inform any needed IGT changes in entities or proportion due to HHSC by June 1, 2017, 5 p.m. using the IGT Entity Change Form located online. Do not use these estimates to submit IGT. Rate Analysis will notify IGT Entities and Anchors of the actual IGT due the week of June 19, 2017.

April DY6 Reporting

Quantifiable Patient Impact (QPI)

Category 3

Category 4

Webinar Presentations

Demonstration Year (DY) 6

DY6 DSRIP Participation Template (Summer 2016 Form)

The links below are to the DY6 Delivery System Reform Incentive Payment (DSRIP) Participation Template and instructions.

DSRIP - Anchor and Provider Resources

DSRIP Project Payment Summaries

The links below are to the project payment summaries. Note that these are the official payment files and may not match the amounts included in the DSRIP Online Reporting System.

DSRIP Provider and Project Reporting Summaries

Please find links below to the provider and project reporting summaries. The Provider Summaries provide a high-level narrative overview of the status of all of a provider's DSRIP projects. The Project Summaries provide project-level status information related to a specific project's accomplishments, challenges, lessons learned, etc. Both summary files contain information from the October DY2 through April DY6 reporting periods.

Updated DSRIP Protocols

DSRIP Allocation

Anchor Administrative Cost Claiming

The documents below will assist in claiming Anchor administrative costs.

Category 3

The documents below relate to Category 3 outcome measures. Category 3 outcome specific information can be found in the Compendium of Category 3 Measures.

Forms

Regional Healthcare Partnership (RHP) Planning - Historical Information

Planning Protocol

The Centers for Medicare & Medicaid Services (CMS) has granted final approval (PDF) of this Regional Healthcare Partnership (RHP) Planning Protocol document (PDF). This document was updated Oct. 1, 2012, to include minor technical corrections (PDF). The protocol provides the menu of project options approved by HHSC and the CMS that contribute to delivery transformation and quality improvement. The only projects eligible for payments from the DSRIP pool are those contained in this menu that are implemented as outlined in an RHP Plan approved by HHSC and CMS, with corresponding measures, milestones and performance improvement targets. The links below open individual sections of the approved protocol and include the Oct. 1, 2012, technical corrections.

RHP Plan Template

RHP Information

Other Planning Tools

Each regional healthcare partnership must submit a plan to HHSC. The following documents are intended to help with the planning process.

Other HHSC Guidelines

Evaluation