<<Prev Rule

Texas Administrative Code

Next Rule>>
TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 354MEDICAID HEALTH SERVICES
SUBCHAPTER DTEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM
DIVISION 6DSRIP PROGRAM DEMONSTRATION YEAR 6
RULE §354.1667Requirements for Continuing DSRIP Projects

      (ii) If a QISMC outcome has a PY3 goal that was determined using the improvement floor, partial payment will be measured over the PY1 equivalent goal. If a higher rate indicates improvement for the outcome, the PY1 equivalent goal is the baseline plus 40 percent of the improvement floor. If a lower rate indicates improvement for the outcome, the PY1 equivalent goal is the baseline minus 40 percent of the improvement floor.

      (iii) If an IOS - Survey outcome is approved to use goal setting Scenario 2 or Scenario 3, partial payment will be measured over a PY1 equivalent goal. The PY1 equivalent goal fill follow the IOS goal calculations for PY1 as approved in the RHP Planning Protocol.

  (12) Performers may carry forward Category 3 milestones from DY6A to DY6B and DY7.

(f) The following Category 4 requirements must be met in DY6A:

  (1) Requirements for Category 4 are the same as the requirements for Category 4 Reporting Domains (RDs) 1-5 in DY5.

  (2) If a performer's Category 4 value is greater than 10 percent of the performer's total value, the funds in excess of the 10 percent will be redistributed to Category 3.

  (3) The optional RD6 will be removed as it was required to value Category 4 at the 15 percent maximum in DYs 3-5.


Source Note: The provisions of this §354.1667 adopted to be effective October 30, 2016, 41 TexReg 8274

Previous Page

Link to Texas Secretary of State Home Page | link to Texas Register home page | link to Texas Administrative Code home page | link to Open Meetings home page