TMP-1066 - RHP18 agenda placement.pdfApproval Flow
Grouping: Other DepartmentsCounty JudgeDepartment:
RHP 18 Approval within 1115 WaiverShort Title: Agenda Number: 13.
C.
Discussion and approval of Denton County participation in the
Regional Health Partnership 18
within the Texas Transformation and Quality Improvement Program
(1115 Waiver), and any
appropriate action.
Page 164 of 224
SUBJECT: Regional Health Partnership letter
REQUESTED ACTION/RECOMMENDATION
Discussion and approval of Denton County participation in the
Regional Health Partnership
18 within the Texas Transformation and Quality Improvement Program
(1115 Waiver), and
any appropriate action.
BACKGROUND
Texas Health and Human Services Commission received federal
approval of a waiver
(1115 Waiver) that allows the state to expand Medicaid managed care
while preserving
hospital funding, provides incentive payments for health care
improvements, and directs
more funding to hospitals that serve large numbers of uninsured
patients. HHSC sent a
letter providing an overview of the program, who will be affected,
and how to prepare for
changes from the former Upper Payment Limit program. HHSC has
organized meetings
and calls with public hospitals, hospital districts, county
commissioners and judges, and
other governmental entities concerning the preliminary development
of regional healthcare
partnerships.
After discussion with various North Texas counties elected
officials, hospital
representatives, and Texas HHSC staff, a new map was proposed and
Denton County was
added to the RHP 18, along with Collin County, Grayson County,
Cooke County, and
Rockwall County. The anchor for the RHP will be the University of
North Texas Health
Science Center. Judge Keith Self asked that all County Judges of
the above named
counties send a letter to Commissioner Thomas Suehs acknowledging
and confirming their
county’s acceptance of placement in the RHP 18 with the anchor
assigned.
OPERATIONS AND MAINTENANCE
Page 165 of 224
Page 166 of 224
THE ORDER:
Discussion and approval of Denton County participation in the
Regional Health Partnership 18 within
the Texas Transformation and Quality Improvement Program (1115
Waiver), and any appropriate
action.
No ___ Absent ___
Commissioner Pct No 1 Yes Commissioner Pct No 2 Yes ____ Hugh
Coleman Abstain Ron Marchant Abstain ____
No No ____ Absent Absent ____
Commissioner Pct No 3 Yes Commissioner Pct No 4 Yes ____ Bobbie J.
Mitchell Abstain Andy Eads Abstain ____
No ___ No ____ Absent Absent ____
Motion Carried ____________ Other Action: Pulled from Consent No
Action Postponed BY ORDER OF THE COMMISSIONERS COURT: ATTEST:
Cynthia Mitchell, County Clerk and Ex-Officio Clerk of the
Presiding Officer Commissioners Court of
Denton County, Texas APPROVED AS TO FORM: BY: Assistant District
Attorney Deputy County Clerk
Page 4 of 4Denton County Printed on 5/17/2012
Page 167 of 224
From: HHSC Texas Healthcare Transformation and Quality Improvement
Program To: HHSC Texas Healthcare Transformation and Quality
Improvement Program Subject: 1115 Transformation Waiver RHP
development update: NEW MAP & PUBLIC HEARING Date: Friday, May
11, 2012 4:50:04 PM Attachments: Proposed RHP Map
05.11.12.pdf
Anchor list 5.11.12.pdf RHP Public Hearing_Agenda_5_17_12.doc RHP
Hearing Notice.doc
UPDATED ANCHOR LIST & RHP MAP: Attached to this email are an
updated anchor list and Regional Healthcare Partnership (RHP) map
dated May 11, 2012—both of which are based on RHP confirmation
forms submitted to HHSC in April. HHSC attempted to incorporate all
submitted requests into the new map but could not in all cases due
to geographic proximity and conflicting submissions. In updating
the map, HHSC considered the RHP principles (dated April 2, 2012
& available at http://www.hhsc.state.tx.us/1115-
docs/RHP-Principles.pdf). HHSC was only able to incorporate
requests submitted in an RHP Confirmation Form via the waiver email
address or fax by April 24, 2012. Any additional requests for
changes to the map or to the anchor list should be provided via
in-person testimony at the May 17, 2012 public hearing. MAY 17,
2012 RHP PUBLIC HEARING: Also attached to this email are the notice
and agenda for the May 17, 2012 RHP public hearing as published in
the May 11, 2012 Texas Register. Please note: the public hearing
will discuss the May 11, 2012 map, not the March 30, 2012 map. **A
few important items not included in the attached notices that HHSC
would like to share with stakeholders include:
The public hearing will start promptly at 1:30 p.m. HHSC will hear
public testimony until each person who wishes to speak has an
opportunity to present. If testimony ends before 4:30 p.m., the
hearing will end early. Those interested in speaking at the public
hearing should plan to arrive by 1:30. The purpose of the hearing
is for Executive Commissioner Tom Suehs to hear from entities in
RHPs that are still in contention (either counties disagreeing with
RHP placement on the May 11, 2012 map or an RHP anchor still in
question) in order to finalize RHP region development. HHSC
requests those counties and anchors in question to please attend
the public hearing to voice concerns to the Executive Commissioner.
The Executive Commissioner will take these public hearing comments
into consideration when developing the final RHP geography and
anchors. HHSC will issue the final RHP map shortly following the
public hearing based on the Executive Commissioner’s final
recommendations and submit to CMS for federal approval. HHSC
encourages RHP participants to work together prior to the public
hearing to determine RHP geography and anchors. During the public
hearing, HHSC intends to accept comments in response to the May 11,
2012 RHP map, not the March 30, 2012 RHP map. Depending on the
amount of public comment during the hearing, the 3-minute
presentation rule may be invoked. HHSC continues to work with CMS
to determine how an IGT entity can fund a performing provider in a
different RHP based on certain principles. For instance, total
computable payment must stay with the recipient. HHSC recognizes
that IGT crossing regions is particularly important for specialty
providers—such as children’s hospitals or burn care—that may serve
more than one RHP.
Page 168 of 224
TEXAS
Map Prepared by: Strategic Decision Support Department, Texas
Health and Human Services Commission.
April 27, 2012
RHP 1
1. Anderson
2. Bowie
3. Camp
4. Cass
5. Cherokee
6. Delta
7. Fannin
8. Franklin
9. Freestone
10. Gregg
11. Harrison
12. Henderson
13. Hopkins
14. Houston
15. Hunt
16. Lamar
17. Marion
18. Morris
19. Panola
20. Rains
Contact Information of Anchors
by Regional Healthcare Partnership (RHP) Region
May 11, 2012
This list of anchoring entities is based on RHP Confirmation Forms submitted to HHSC by April 24, 2012. Those RHPs that had
more than one entity submit a confirmation form identifying itself as the anchor are highlighted in yellow. Should those RHPs not
be able to reach a consensus, representatives from each entity in contention should attend the HHSC public hearing on May 17,
2012. The purpose of the hearing is for Executive Commissioner Tom Suehs to hear the concerns of entities in RHPs that are still
in contention (either counties disagreeing with RHP placement on the May 11, 2012 map or an RHP anchor still in question) in
order to finalize RHP region development. The public hearing will be held on May 17, 2012 at 1:30pm in the BrownHeatly
Building Public Hearing Room at 4900 North Lamar Blvd., Austin, Texas. Any questions can be directed to
[email protected].
RHP 1 Contact Name: Richard Carter
Organization: Hunt Memorial Hospital District
Type of Organization: Hospital District
Phone Number: 9034081600
Email:
[email protected]
Contact Name: Kimberly Ashley
Organization: The University of Texas Health Science
Center at Tyler (UTHSCT)
Type of Organization: Academic Health Science Center
Phone Number: 903/8775739
Email:
[email protected]
RHP 2
Contact Name: Katrina Lambrecht
Organization: University of Texas Medical Branch
Type of Organization: Governmental Entity (Stateowned
hospital) Phone Number: 4097721909
Email:
[email protected]
RHP 3
Contact Name: Beth Cloyd
Organization: Harris County Hospital District
Type of Organization: Hospital District
Phone Number: 7135666821
Email:
[email protected]
RHP 4
Contact Name: Jonny F. Hipp
Organization: Nueces County Hospital District
Type of Organization: Hospital District
Phone Number: (361) 8083300
Email:
[email protected]
RHP 5
Contact Name: Yvette Salinas, Health Administrator or
Pedro Hinojosa, Operations Director
Organization: Cameron County
Type of Organization: County
Phone Number: 9562473685
Email:
[email protected] or
[email protected]
Contact Name: Eddie Olivarez
Organization: Hidalgo County
Type of Organization: County
Phone Number: 9563838858
Email:
[email protected]
RHP 6
Contact Name: George B. Hernandez; Bryan J. Alsip
Organization: Unversity Health System
Type of Organization: Hospital District
Phone Number: 2103582000; 2103581036
Email:
[email protected]; bryan.alsip@uhs
sa.com
RHP 7 Contact Name: John Stephens
Organization: Travis County Healthcare District, dba
Central Health
Type of Organization: Hospital District
Phone Number: (512) 9788174
Email:
[email protected]
RHP 8
Contact Name: Judge Donna Klaeger, by Carole Ellis
Organization: Burnet County, Texas
Type of Organization: County
Phone Number: 5127565404
Email:
[email protected]
Contact Name: David K. Byrom, C.P.A.
Organization: Coryell County Memorial Hospital Authority
Type of Organization: Hospital Authority
Phone Number: 2542486300; 2542486301
Email:
[email protected]
Contact Name: Dr. Lee Ann Ray
Organization: Texas A&M Health Science Center
Type of Organization: Academic Health Science Center
Phone Number: 9794369105
Email:
[email protected]
RHP 11 Contact Name: Harris Brooks
Organization: Palo Pinto General Hospital District
Type of Organization: Hospital District
Phone Number: 9403286400
Email:
[email protected]
RHP 12
Contact Name: Jeffrey Dane
Organization: Lubbock County Hospital District University
Medical Center
Type of Organization: Hospital District
Phone Number: (806)7758505
Email:
[email protected]
RHP 13 Contact Name: Tim Jones
Organization: McCulloch County Hospital District
Type of Organization: Hospital District
Phone Number: 3255972901; 3257923940
Email:
[email protected]
RHP 14 Contact Name: John O'Hearn
Organization: Ector County Hospital District dba Medical
Center Health System
Type of Organization: Hospital District
Phone Number: 4326402429
Email:
[email protected]
RHP 15
Contact Name: Cathy Gibson, Corporate Compliance
Officer
Organization: University Medical Center of El Paso (El Paso
Hospital District)
Type of Organization: Hospital District
Phone Number: 915.521.7523
Email:
[email protected]
RHP 16 Contact Name: Jeff Turner
Organization: Moore County Hospital District
Type of Organization: County
Phone Number: 8069347800
Email:
[email protected]
RHP 17
Contact Name: Dr. Monica Wendel; Dr. Lee Ann Ray
Organization: Texas A&M Health Science Center
Type of Organization: Academic Health Science Center
Phone Number: 9794580937; 9794369105
Email:
[email protected];
[email protected]
RHP 18
Contact Name: des Anges Cruser
Organization: University of North Texas Health Science
Center
Type of Organization: Academic Health Science Center
Phone Number: 8177352009
Email:
[email protected]
May 17, 2012
Meeting Site:
Texas Health and Human Services Commission, Brown-Heatly Building
Public Hearing Room 4900 North Lamar Blvd. Austin, Texas
1. Welcome and Introductions
2. General Hearing Guidelines
3. Overview of proposed RHP map
4. Comments from stakeholders regarding changes to the proposed RHP
map
5. Adjourn
Contact: Laela Estus, Medicaid CHIP, Health and Human Services
Commission,
[email protected] ; (512)
491-1128
This meeting is open to the public. No reservations are required
and there is no cost to attend this meeting.
People with disabilities, who wish to attend the meeting and
require auxiliary aids or services, should contact Shanece Collins
at 512-491-1323 at least 72 hours before the meeting so appropriate
arrangements can be made.
PUBLIC HEARING NOTICE:
Proposed changes to Health and Human Services Commission’s Texas
Health Care Transformation and Quality Improvement Program 1115
Waiver Proposed Regional Healthcare Partnership Map May 17,
2012 1:30 p.m. – 4:30 p.m.
Meeting Site: Texas Health and Human Services Commission,
Brown-Heatly Building Public Hearing Room 4900 North Lamar Blvd.
Austin, Texas
The Texas Health and Human Services Commission (HHSC) will conduct
a public hearing to receive comments on the proposed regional
healthcare partnership (RHP) map that will be released in May. In
early April 2012, HHSC issued a map dated March 30, 2012, outlining
proposed RHP boundaries under the Texas Healthcare Transformation
and Quality Improvement 1115 waiver. The updated May map
incorporates feedback HHSC received from proposed anchor entities
and counties on the proposed March 30, 2012 map.
HHSC is finalizing the map and anchors to ensure regions will have
sufficient time for participants to work together to develop the
RHP regional plans. This public hearing is the final opportunity to
voice proposed changes to the RHP map.
Contact: Laela Estus, Medicaid CHIP, Health and Human Services
Commission,
[email protected] ; (512)
491-1128
This meeting is open to the public. No reservations are required
and there is no cost to attend this meeting.
People with disabilities, who wish to attend the meeting and
require auxiliary aids or services, should contact Shanece Collins
at 512-491-1323 at least 72 hours before the meeting so appropriate
arrangements can be made.
P. O. Box 13247 SYMBOL 183 \f "Symbol" Austin, Texas 78711 SYMBOL
183 \f "Symbol" 4900 North Lamar, Austin, Texas 78751
A conference call line is available for out-of-town stakeholders
interested in listening to the hearing. Please note: stakeholders
wishing to testify need to attend the hearing in person. Testimony
will not be allowed over the conference call line.
Conference Call Number – 1-877-226-9790 Access Code – 8317345
Thank you for your continued interest in the 1115 Transformation
Waiver. Should you have any questions on RHP development, please
contact HHSC at
[email protected].
Page 169 of 224
Contact Information of Anchors
by Regional Healthcare Partnership (RHP) Region
May 11, 2012
This list of anchoring entities is based on RHP Confirmation Forms submitted to HHSC by April 24, 2012. Those RHPs that had
more than one entity submit a confirmation form identifying itself as the anchor are highlighted in yellow. Should those RHPs not
be able to reach a consensus, representatives from each entity in contention should attend the HHSC public hearing on May 17,
2012. The purpose of the hearing is for Executive Commissioner Tom Suehs to hear the concerns of entities in RHPs that are still
in contention (either counties disagreeing with RHP placement on the May 11, 2012 map or an RHP anchor still in question) in
order to finalize RHP region development. The public hearing will be held on May 17, 2012 at 1:30pm in the BrownHeatly
Building Public Hearing Room at 4900 North Lamar Blvd., Austin, Texas. Any questions can be directed to
[email protected].
RHP 1 Contact Name: Richard Carter
Organization: Hunt Memorial Hospital District
Type of Organization: Hospital District
Phone Number: 9034081600
Email:
[email protected]
Contact Name: Kimberly Ashley
Organization: The University of Texas Health Science
Center at Tyler (UTHSCT)
Type of Organization: Academic Health Science Center
Phone Number: 903/8775739
Email:
[email protected]
RHP 2
Contact Name: Katrina Lambrecht
Organization: University of Texas Medical Branch
Type of Organization: Governmental Entity (Stateowned
hospital) Phone Number: 4097721909
Email:
[email protected]
RHP 3
Contact Name: Beth Cloyd
Organization: Harris County Hospital District
Type of Organization: Hospital District
Phone Number: 7135666821
Email:
[email protected]
RHP 4
Contact Name: Jonny F. Hipp
Organization: Nueces County Hospital District
Type of Organization: Hospital District
Phone Number: (361) 8083300
Email:
[email protected]
RHP 5
Contact Name: Yvette Salinas, Health Administrator or
Pedro Hinojosa, Operations Director
Organization: Cameron County
Type of Organization: County
Phone Number: 9562473685
Email:
[email protected] or
[email protected]
Contact Name: Eddie Olivarez
Organization: Hidalgo County
Type of Organization: County
Phone Number: 9563838858
Email:
[email protected]
RHP 6
Contact Name: George B. Hernandez; Bryan J. Alsip
Organization: Unversity Health System
Type of Organization: Hospital District
Phone Number: 2103582000; 2103581036
Email:
[email protected]; bryan.alsip@uhs
sa.com
RHP 7 Contact Name: John Stephens
Organization: Travis County Healthcare District, dba
Central Health
Type of Organization: Hospital District
Phone Number: (512) 9788174
Email:
[email protected]
RHP 8
Contact Name: Judge Donna Klaeger, by Carole Ellis
Organization: Burnet County, Texas
Type of Organization: County
Phone Number: 5127565404
Email:
[email protected]
Contact Name: David K. Byrom, C.P.A.
Organization: Coryell County Memorial Hospital Authority
Type of Organization: Hospital Authority
Phone Number: 2542486300; 2542486301
Email:
[email protected]
Contact Name: Dr. Lee Ann Ray
Organization: Texas A&M Health Science Center
Type of Organization: Academic Health Science Center
Phone Number: 9794369105
Email:
[email protected]
Page 172 of 224
RHP 11 Contact Name: Harris Brooks
Organization: Palo Pinto General Hospital District
Type of Organization: Hospital District
Phone Number: 9403286400
Email:
[email protected]
RHP 12
Contact Name: Jeffrey Dane
Organization: Lubbock County Hospital District University
Medical Center
Type of Organization: Hospital District
Phone Number: (806)7758505
Email:
[email protected]
RHP 13 Contact Name: Tim Jones
Organization: McCulloch County Hospital District
Type of Organization: Hospital District
Phone Number: 3255972901; 3257923940
Email:
[email protected]
RHP 14 Contact Name: John O'Hearn
Organization: Ector County Hospital District dba Medical
Center Health System
Type of Organization: Hospital District
Phone Number: 4326402429
Email:
[email protected]
RHP 15
Contact Name: Cathy Gibson, Corporate Compliance
Officer
Organization: University Medical Center of El Paso (El Paso
Hospital District)
Type of Organization: Hospital District
Phone Number: 915.521.7523
Email:
[email protected]
RHP 16 Contact Name: Jeff Turner
Organization: Moore County Hospital District
Type of Organization: County
Phone Number: 8069347800
Email:
[email protected]
RHP 17
Contact Name: Dr. Monica Wendel; Dr. Lee Ann Ray
Organization: Texas A&M Health Science Center
Type of Organization: Academic Health Science Center
Phone Number: 9794580937; 9794369105
Email:
[email protected];
[email protected]
RHP 18
Contact Name: des Anges Cruser
Organization: University of North Texas Health Science
Center
Type of Organization: Academic Health Science Center
Phone Number: 8177352009
Email:
[email protected]
PUBLIC HEARING NOTICE:
Proposed changes to Health and Human Services Commission’s Texas
Health Care Transformation and Quality Improvement Program 1115
Waiver Proposed Regional
Healthcare Partnership Map
Meeting Site: Texas Health and Human Services Commission,
Brown-Heatly Building
Public Hearing Room 4900 North Lamar Blvd.
Austin, Texas
The Texas Health and Human Services Commission (HHSC) will conduct
a public hearing to receive comments on the proposed regional
healthcare partnership (RHP) map that will be released in May. In
early April 2012, HHSC issued a map dated March 30, 2012, outlining
proposed RHP boundaries under the Texas Healthcare Transformation
and Quality Improvement 1115 waiver. The updated May map
incorporates feedback HHSC received from proposed anchor entities
and counties on the proposed March 30, 2012 map. HHSC is finalizing
the map and anchors to ensure regions will have sufficient time for
participants to work together to develop the RHP regional plans.
This public hearing is the final opportunity to voice proposed
changes to the RHP map. Contact: Laela Estus, Medicaid CHIP, Health
and Human Services Commission,
[email protected]; (512) 491-1128 This
meeting is open to the public. No reservations are required and
there is no cost to attend this meeting. People with disabilities,
who wish to attend the meeting and require auxiliary aids or
services, should contact Shanece Collins at 512-491-1323 at least
72 hours before the meeting so appropriate arrangements can be
made.
Page 174 of 224
Proposed Regional Healthcare Partnership Map
May 17, 2012 1:30 p.m. to 4:30 p.m.
Meeting Site: Texas Health and Human Services Commission,
Brown-Heatly Building
Public Hearing Room 4900 North Lamar Blvd.
Austin, Texas
3. Overview of proposed RHP map
4. Comments from stakeholders regarding changes to the proposed RHP
map
5. Adjourn
Contact: Laela Estus, Medicaid CHIP, Health and Human Services
Commission,
[email protected]; (512)
491-1128 This meeting is open to the public. No reservations are
required and there is no cost to attend this meeting.
People with disabilities, who wish to attend the meeting and
require auxiliary aids or services, should contact Shanece Collins
at 512-491-1323 at least 72 hours before the meeting so appropriate
arrangements can be made.
Page 175 of 224
Sincerely, Mary Horn, County Judge
Page 176 of 224
