| (a) Each Regional Healthcare Partnership (RHP) has
geographic boundaries as prescribed by HHSC.
(b) An RHP is composed of one anchor and other participants,
which may include IGT entities, performers, and other regional stakeholders.
A single entity may act in multiple roles.
(c) An IGT entity may participate in more than one
RHP contingent upon HHSC approval.
(d) A performer may only participate in DSRIP in the
RHP where it is physically located. However, a physician group practice
affiliated with an academic health science center, major cancer hospital,
or children's hospital may participate in DSRIP in another region
if it receives a DSRIP allocation from that region.
(e) Only providers participating in an RHP are eligible
to receive a UC payment, although exceptions may be approved by CMS
on a case by case basis.
(f) Each RHP is categorized into a tier as follows:
(1) Tier 1 consists of any RHP that contains at least
15% of the state's total population under 200% of the federal poverty
level as determined by the 2006-2010 American Community Survey for
Texas.
(2) Tier 2 consists of any RHP that contains at least
7% and less than 15% of the state's total population under 200% of
the federal poverty level as determined by the 2006-2010 American
Community Survey for Texas.
(3) Tier 3 consists of any RHP that contains at least
3% and less than 7% of the state's total population under 200% of
the federal poverty level as determined by the 2006-2010 American
Community Survey for Texas.
(4) Tier 4 consists of any RHP that:
(A) contains less than 3% of the state's total population
under 200% of the federal poverty level as determined by the 2006-2010
American Community Survey for Texas;
(B) does not have a public hospital; or
(C) has one or more public hospitals that, when combined,
provide less than 1% of the region's uncompensated care.
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