[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-245305-105":53,"doc-detail-245305-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","attachment-j-program-funding-and-mechanics-protocol-dy-7-10","Attachment J Program Funding and Mechanics Protocol - DY 7-10","","Defines the Delivery System Reform Incentive Payment (DSRIP) program framework for Texas Medicaid demonstration years 7 through 10, describing how incentive payments support hospital and performing provider investments in delivery system reforms. Explains Regional Healthcare Partnerships (RHPs), anchoring entities, and RHP Plan Updates, emphasizing CMS triple aims and required focus on the Medicaid and Low-income or Uninsured (MLIU) target population. Clarifies how DY9-10 enables performing providers to update outcome and Core Activity selections and how Category B and C system definitions support system-level reporting.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/attachment-j-program-funding-and-mechanics-protocol-dy-7-10/245305/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/attachment-j-program-funding-and-mechanics-protocol-dy-7-10/245305.png","ImageObject",442,249,{"name":88,"@type":89},"Skyler","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-25","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What timeframe does this protocol cover for the DSRIP demonstration?","Question",{"text":109,"@type":110},"It applies to demonstration years (DY) 7 through 10. Policies for DY 1 through 6 are provided in an addendum.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How are incentives under DSRIP structured?",{"text":114,"@type":110},"DSRIP provides incentive payments to hospitals and performing providers for investments in delivery system reforms that increase access, improve quality, and enhance patient outcomes.",{"name":116,"@type":107,"acceptedAnswer":117},"What is the purpose of Category B and Category C system definitions in DY7-10?",{"text":118,"@type":110},"Performing providers define and update their system definitions for Category B and Category C measurements. The approach ensures continued focus on serving the MLIU target population as reporting shifts from project-level to system-level.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},245305,1790217315,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":25},2336464648746,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Attachment J Program Funding and Mechanics Protocol  \nI. PREFACE  \nOn December 12, 2011, the Centers for Medicare and Medicaid Services (CMS) approved Texas' request for a new Medicaid demonstration waiver (\"Demonstration\") entitled “Texas Healthcare Transformation and Quality Improvement Program” (Project \\# 11-W-00278/6) in accordance with section 1115 of the Social Security Act. This waiver authorized the establishment of the Delivery System Reform Incentive Payment (DSRIP) program. The initial waiver was approved through September 30, 2016, and an initial extension was granted through December 31, 2017. An additional 5 year extension was granted on December 21, 2017. This section of the DSRIP Program Funding and Mechanics Protocol applies to demonstration years (DY) 7 through 10. Policies for DY 1 through 6 are provided in the Addendum.  \n1. Delivery System Reform Incentive Payment (DSRIP) Program  \nSpecial Terms and Conditions (STC) 34 of the Demonstration authorizes Texas to establish a Delivery System Reform Incentive Payment (DSRIP) program. The DSRIP program is designed to provide incentive payments to hospitals and other Performing Providers for investments in delivery system reforms that increase access to health care, improve the quality of care, and enhance the health of patients and families they serve.  \nActivities funded by DSRIP shall be based on Regional Healthcare Partnerships (RHPs) . Each RHP shall have geographic boundaries and will be coordinated by a public hospital or local governmental entity (the Anchoring Entity) . The Anchoring Entity shall collaborate with Performing Providers and other stakeholders in the RHPon the RHP Plan Updates (updates of the RHP Plan that was originally developed in 2012 to accelerate meaningful delivery system reforms that improve patient care for low-income populations in the RHP) . The RHP Plan Updates must be consistent with the RHP's mission and quality goals, as well as CMS’s triple aims to: improve care for individuals (including access to care, quality of care, and health outcomes); improve health for the population; and lower costs through improvements (without any harm whatsoever to individuals, families, or communities) .  \nRHP Plan Updates for DY7-8 will reflect the evolution of the DSRIP program from project-level reporting to provider Core Activities supporting Performing Providerlevel outcomes that measure continued transformation of the Texas healthcare system. RHP Plan Updates for DY9-10 will give Performing Providers an opportunity to update their selections of outcomes and Core Activities.  \nDY7-10 will serve as an opportunity for Performing Providers to move further towards sustainability of their transformed systems, including development of Alternative Payment Models (APMs) to continue services for Medicaid and lowincome or uninsured (MLIU) individuals after the waiver ends.  \nTo that end, Performing Providers will define and update the system they will utilize in DY7-10 for Category B and Category C measurements in the RHP Plan Updates. As DSRIP shifts from project-level reporting to system-level reporting, HHSC wants to ensure that Performing Providers maintain a focus on serving the target population: MLIU patients. Because DSRIP reporting will no longer be projectspecific, HHSC requires that Performing Providers demonstrate that they are maintaining a certain level of service to the MLIU target population. In addition, HHSC does not want Performing Providers to stop serving the MLIU population in an effort to enhance achievement of Category C measures. The Category B system definition and Patient Population by Provider (PPP) is meant to define the universe of patients that will be served by a Performing Provider; Category C measure denominators will naturally be limited by settings of services or measure specifications.  \nA Performing Provider’s system definition should capture all aspects of the Performing Provider’s patient services. There are re","cbCaikZI6JP7InPE","https://ap.wps.com/l/cbCaikZI6JP7InPE","pdf",517130,44,"English","# PREFACE\n## Delivery System Reform Incentive Payment (DSRIP) Program\n## Measure Bundle Protocol and Program Funding and Mechanics Protocol","[{\"question\":\"What timeframe does this protocol cover for the DSRIP demonstration?\",\"answer\":\"It applies to demonstration years (DY) 7 through 10. Policies for DY 1 through 6 are provided in an addendum.\"},{\"question\":\"How are incentives under DSRIP structured?\",\"answer\":\"DSRIP provides incentive payments to hospitals and performing providers for investments in delivery system reforms that increase access, improve quality, and enhance patient outcomes.\"},{\"question\":\"What is the purpose of Category B and Category C system definitions in DY7-10?\",\"answer\":\"Performing providers define and update their system definitions for Category B and Category C measurements. The approach ensures continued focus on serving the MLIU target population as reporting shifts from project-level to system-level.\"}]","Attachment J Program Funding and Mechanics Protocol - DY 7-10 | PDF",1789227314]