DSRIP Transition

The Special Terms and Conditions (STCs) of the Texas 1115 Healthcare Transformation and Quality Improvement Program Waiver include a requirement to submit a draft DSRIP Transition Plan to CMS by October 1, 2019 and finalized by March 31, 2020. This Transition Plan must describe how the state will further develop its delivery system reform efforts without DSRIP funding after DY10, which ends on September 30, 2021. The Transition Plan will include milestones for HHSC for DY9-10 as the state prepares for DSRIP to end.

DSRIP Transition Plan

Transition Milestone Updates

Milestone 1

In March 2021, under the milestone to advance alternative payment models and promote healthcare quality, HHSC submitted the updated Value-Based Payment Roadmap and the Alternative Payment Models in Texas Medicaid reports to CMS as required by the DSRIP Transition Plan.

Milestone 3 – DY11 Program Options

HHSC is proposing the following directed payment programs (DPP) to begin September 1, 2021. All programs are subject to CMS approval.

Comprehensive Hospital Increased Reimbursement Program (CHIRP)

Texas Incentives for Physicians and Professional Services (TIPPS)

Rural Access to Primary and Preventive Services Program (RAPPS)

Directed Payment Program for Behavioral Health Services (DPP BHS)

Milestone 4 – DSRIP DYs 7-8 Quality Data Analysis

In December 2020, HHSC submitted to CMS the analysis of DY 7-8 DSRIP quality data required by the DSRIP Transition Plan.

Milestone 8 – Assessment of Social Factors Impacting Health Care Quality in Texas Medicaid

In March 2021, HHSC submitted the assessment of social factors to CMS, as required by the DSRIP Transition Plan.

Milestone 10

In February 2020, DSRIP Anchors and providers submitted feedback on the existing Regional Healthcare Partnership (RHP) structure as part of the transition to post-DSRIP programs. The summaries of responses to the two surveys are below. HHSC will consider all responses as the agency develops post-DSRIP programs and operations framework.

Partner Engagement Plan

Best Practices Workgroup