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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 7DSRIP PROGRAM DEMONSTRATION YEARS 7-8
RULE §354.1721Remaining Funds for Demonstration Years (DYs) 7-8

(a) The total remaining funds for DY7 are equal to the DY7 DSRIP pool allocation described in the Program Funding and Mechanics Protocol minus the sum of the DY7 performer valuations described in §354.1707 of this division (relating to Performer Valuations).

(b) The total remaining funds for DY8 are equal to the DY8 DSRIP pool allocation described in the Program Funding and Mechanics Protocol minus the sum of the DY8 performer valuations described in §354.1707 of this division.

(c) The DY7-8 remaining funds are allocated to RHPs as follows:

Attached Graphic

(d) An RHP allocated DY7-8 remaining funds may determine how to allocate those funds among the performers in the RHP based on the community needs assessment update. The RHP may allocate these funds to providers that did not participate in DSRIP during the initial demonstration period or DY6 and are eligible to be performers as described in §354.1695 of this division (relating to Participants).

(e) An RHP allocated DY7-8 remaining funds must conduct at least two public stakeholder meetings to determine how its DY7-8 remaining funds allocation will be used.

(f) A performer allocated DY7-8 remaining funds must certify that there is a source of intergovernmental transfers for the funds.

(g) The RHP plan update for an RHP allocated DY7-8 remaining funds must include:

  (1) a description of the process used to determine how the RHP's DY7-8 remaining funds allocation will be used;

  (2) the performers in the RHP that were allocated DY7-8 remaining funds and the amount of DY7-8 remaining funds allocated to each performer; and

  (3) the performers or providers in the RHP that expressed interest in receiving DY7-8 remaining funds but were not allocated any DY7-8 remaining funds.

(h) Existing and new performers allocated DY7-8 remaining funds must follow all DSRIP requirements as described in the Program Funding and Mechanics Protocol, the Measure Bundle Protocol, and the Texas Administrative Code.


Source Note: The provisions of this §354.1721 adopted to be effective December 1, 2017, 42 TexReg 6609; amended to be effective April 26, 2018, 43 TexReg 2393

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