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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 §354.1665Demonstration Year 6 DSRIP Pool Funding and Distribution

(a) The DSRIP pool for demonstration year (DY) 6 is $3.875 billion.

  (1) The DSRIP pool for DY6A is $3.1 billion.

  (2) The DSRIP pool for DY6B is $775 million.

(b) A performer's total value for DY6A is equal to the performer's total value for DY5, unless otherwise specified in §354.1667 of this division (relating to Requirements for Continuing DSRIP Projects).

(c) The DSRIP funding distribution among categories for a hospital performer in DY6A is as follows:

  (1) Categories 1 and 2 must comprise no more than 57 percent of the performer's total value with the following exceptions:

    (A) If the performer is a hospital that does not participate in Category 4, Categories 1 and 2 must comprise no more than 67 percent of the performer's total value.

    (B) If the performer met the 57 percent threshold at the time of initial RHP plan submission, but later exceeded it due to HHSC and CMS approval of a three-year project or withdrawal of Category 4 Reporting Domain 6, Categories 1 & 2 must comprise no more than 62 percent of the performer's total value.

  (2) Category 3 must comprise at least 33 percent of the performer's total value.

  (3) Category 4 must comprise no more than 10 percent of the performer's total value.

(d) The DSRIP funding distribution among categories for a non-hospital performer in DY6A is as follows:

  (1) Categories 1 and 2 must comprise no more than 80 percent of the performer's total value.

  (2) Category 3 must comprise at least 20 percent of the performer's total value.


Source Note: The provisions of this §354.1665 adopted to be effective October 30, 2016, 41 TexReg 8274

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