Twenty regional partnerships continue work on plans to transform health care delivery in Texas.
Each partnership is made up of local organizations involved in health-care delivery in their region and anchored by a public hospital or other public entity. The partnerships have until the end of October to identify and coordinate projects designed to improve access and quality of health-care services. Those projects, if approved, will be eligible for Medicaid incentive payments. Examples of the types of projects expected in the plans are:
- Expansion of primary care options (new locations and expansion of hours)
- Expansion of behavioral health capacity (mental health and substance abuse services)
- Patient care navigator models
- Telemedicine options for specialty care and behavioral health
- Crisis stabilization unit for behavioral health as an alternative to hospitalization
- Expansion of dental care capacity
- Increase training of the primary care workforce
- Expansion of the medical home concept
- Models for better management of chronic diseases
HHSC and the U.S. Centers for Medicare and Medicaid Services must approve each regional partnership plan.
Meanwhile, the first uncompensated care payments for hospitals under the waiver are set to be distributed in January, but some hospitals will be able to received advance uncompensated care payments in late 2012. Those include hospitals that receive Disproportionate Share Hospital payments in 2012 and hospitals that are receiving transition payments under the waiver. By Oct. 1, 2012, hospitals and other providers must participate in a regional healthcare partnership to receive uncompensated care payments and qualify for incentive payments under the waiver.
Providers can send questions regarding the uncompensated care tools to email@example.com. The subject line should indicate whether the email contains a "UC tool question" regarding Schedules 1, 2 or 3, or a "DSH question." Certain hospital providers will be required to submit disproportionate share hospital data as part of their uncompensated care tool.
Questions regarding incentive payments or other parts of the waiver should be emailed to TxHealthcareTransformation@hhsc.state.tx.us.
HHSC is hosting webinars on Friday, Sept. 7 to provide information on two protocols that are critical for regional healthcare partnership planning: the Program Funding and Mechanics Protocol and the Regional Healthcare Partnership Planning Protocol (DSRIP menu). Visit the Dates and Deadlines page of the Texas Medicaid Transformation website for information on these two webinars.