|(a) A performer may submit an RHP plan modification
request to HHSC to modify elements of an existing DSRIP project prospectively,
including changes to milestones and metrics.
(1) The final opportunity to submit a plan modification
request for the fourth demonstration year will coincide with the end
of the mid-point assessment described in §354.1624 OF THIS DIVISION
(relating to the Independent Assessment of DSRIP Projects). A performer
will have an opportunity to initiate a plan modification for the fourth
and fifth demonstration years by August 2014. Any plan modifications
after August 2014 will be initiated by either HHSC or the independent
assessor as part of the mid-point assessment.
(2) A performer may submit a plan modification request
during the fourth demonstration year for changes during the fifth
demonstration year only for changes to Category 3 outcomes and three-year
(b) If an RHP does not utilize its entire allocation
for the second demonstration year, the remaining allocation can be
utilized by HHSC for state initiatives. These initiatives must be
accomplished through the DSRIP program.
(c) If an RHP does not utilize its entire allocation
for the third, fourth, and fifth demonstration year, that RHP may
propose three-year DSRIP projects. Each RHP must submit a list of
all DSRIP projects from which the three-year DSRIP projects are selected.
(1) Each three-year DSRIP project on the list must
be chosen from a subset of the RHP Planning Protocol as determined
(2) Each three-year DSRIP project on the list must
include at least one implementation milestone in the third demonstration
(3) An RHP must prioritize the three-year DSRIP projects
based on regional needs except that the listed projects must alternate
by affiliated IGT entity.
(4) Each three-year DSRIP project must identify, and
have written confirmation, of the IGT source.
(5) Each three-year DSRIP project must demonstrate
significant benefit to the Medicaid and indigent populations.
(6) An RHP must hold a public meeting to consider the
list of three-year DSRIP projects prior to submitting the list to
HHSC. When submitting the list to HHSC, the RHP must also submit:
(A) a description of the processes used to engage potential
performers, public stakeholders, and consumers;
(B) a description of the regional approach for evaluating
and prioritizing DSRIP projects; and
(C) a list of DSRIP projects that were considered by
the RHP but not included on the list, regardless of whether or not
those DSRIP projects had an identified source of IGT.