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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 5ACTIONS IN PREPARATION FOR EXTENSION OF THE DSRIP PROGRAM
RULE §354.1647Requests for Adjustments to Certain DSRIP Projects

(a) Certain DSRIP projects are eligible for an adjustment to the DSRIP project's transition year MLIU QPI goal. These DSRIP projects include:

  (1) a DSRIP project that HHSC identifies as underperforming on MLIU in the initial demonstration period;

  (2) a DSRIP project that is reporting on individuals or encounters that meet the MLIU definition for the initial demonstration period, but will not meet the MLIU definition for the extension period; and

  (3) any other DSRIP project that HHSC determines has a strong justification for an adjustment.

(b) Performers of a DSRIP project as described in subsection (a) of this section may, by a date to be determined by HHSC, request an adjustment to the DSRIP project's transition year MLIU QPI goal.

(c) Performers with a total value less than $250,000 in demonstration year (DY) 5 may increase their total value to up to $250,000 for each subsequent DY across Categories 1-4. Categories 1-4 are each increased proportionately if a performer chooses this option. Performers eligible for such an option must make this choice by a date to be determined by HHSC.


Source Note: The provisions of this §354.1647 adopted to be effective June 16, 2016, 41 TexReg 4241

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