| (a) Anchors.
(1) An anchor must:
(A) serve as the RHP's single point of contact with
HHSC, except as specified in rule;
(B) facilitate transparent and inclusive meetings among
participants to discuss RHP activities;
(C) coordinate RHP activities to help ensure that participants
properly address both the needs of the region and the requirements
placed upon the RHP;
(D) coordinate the update of the community needs assessment
included in the RHP plan and submit the updated community needs assessment
to HHSC, as prescribed by HHSC;
(E) coordinate with the RHP participants to update
the RHP plan in accordance with §354.1697 of this division (relating
to RHP Plan Update), the Program Funding and Mechanics Protocol, the
Measure Bundle Protocol, and all other state or waiver requirements;
(F) submit the RHP plan update to HHSC, as prescribed
by HHSC;
(G) post the approved RHP plan update to the RHP website;
(H) develop and submit an annual progress report on
behalf of the RHP, in accordance with the Program Funding and Mechanics
Protocol and HHSC requirements;
(I) develop and submit a learning collaborative plan,
in accordance with the Program Funding and Mechanics Protocol and
HHSC requirements;
(J) ensure that all confidential information obtained
through its role as an anchor remains confidential as required by
state and federal laws and regulations;
(K) ensure that all waiver information provided to
it in its capacity as anchor is distributed to the RHP participants;
and
(L) meet all other requirements as specified in the
Program Funding and Mechanics Protocol.
(2) An anchor must not:
(A) request reimbursement from a Medicaid provider
for the discharge of the anchor's responsibilities, although an anchor
and other governmental entities within the RHP may agree to share
such costs;
(B) delegate decision-making responsibilities concerning
the interpretation of the waiver, HHSC policy, or actions or decisions
that involve the exercise of discretion or judgment;
(C) require any IGT entity to provide DSRIP funds to
any performers;
(D) require any participant to act as a DSRIP performer;
or
(E) prevent or in any way prohibit the collaboration
between an IGT entity and a performer.
(3) An anchor may delegate ministerial functions such
as data collection and reporting. Any entity to which ministerial
functions are delegated under this subchapter must comply with the
roles, responsibilities, and limitations of an anchor.
(4) In addition to any funds received under §354.1707
of this division (relating to Performer Valuations), an anchor may
be reimbursed for the cost of its administrative duties conducted
on behalf of the RHP. The anchor must provide an IGT to HHSC for the
purpose of obtaining federal matching funds in accordance with the
Administrative Cost Claiming Protocol so that it can be reimbursed
for such costs. An anchor may not recover more than the anchor's actual
costs.
(b) IGT entities. An IGT entity:
(1) determines the allocation of its IGT funding consistent
with state and federal requirements;
(2) participates in RHP planning;
(3) if the IGT entity is itself acting as a performer,
selects Category C Measure Bundles or measures in accordance with
§354.1713 of this division (relating to Category C Requirements
for Performers);
(4) if the IGT entity is not acting as a performer,
cooperates with a performer to select Category C Measure Bundles or
measures in accordance with §354.1713 of this division;
(5) provides the non-federal share of DSRIP pool payments
for the entities with which it collaborates; and
(6) may review DSRIP data submitted by associated performers.
(c) Performers. A performer:
(1) is one of the following provider types:
(A) hospital;
(B) physician practice;
(C) community mental health center; or
(D) local health department;
(2) submits to the anchor the information required
for the RHP plan update, including the performer's selected Category
C Measure Bundles or measures and other required information as described
in §354.1697 of this division, the Program Funding and Mechanics
Protocol, and the Measure Bundle Protocol;
(3) implements core activities to achieve the Category
C measure goals in the RHP plan update;
(4) prepares and submits DSRIP data on a semi-annual
basis;
(5) prepares and submits reports as required by HHSC
and the Centers for Medicare & Medicaid Services;
(6) participates in RHP planning; and
(7) receives DSRIP.
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