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 Texas Administrative Code (Last Updated: March 27,2024)
 TITLE 1. ADMINISTRATION
 PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION
 CHAPTER 354. MEDICAID HEALTH SERVICES
 SUBCHAPTER D. TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM
 DIVISION 2. REGIONAL HEALTHCARE PARTNERSHIPS

SECTION 354.1611. Organization  

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  • (a) Each Regional Healthcare Partnership (RHP) has geographic boundaries as prescribed by HHSC.

    (b) An RHP is composed of one anchor and other participants, which may include IGT entities, performers, and other regional stakeholders. A single entity may act in multiple roles.

    (c) An IGT entity may participate in more than one RHP contingent upon HHSC approval.

    (d) A performer may only participate in DSRIP in the RHP where it is physically located. However, a physician group practice affiliated with an academic health science center, major cancer hospital, or children's hospital may participate in DSRIP in another region if it receives a DSRIP allocation from that region.

    (e) Only providers participating in an RHP are eligible to receive a UC payment, although exceptions may be approved by CMS on a case by case basis.

    (f) Each RHP is categorized into a tier as follows:

    (1) Tier 1 consists of any RHP that contains at least 15% of the state's total population under 200% of the federal poverty level as determined by the 2006-2010 American Community Survey for Texas.

    (2) Tier 2 consists of any RHP that contains at least 7% and less than 15% of the state's total population under 200% of the federal poverty level as determined by the 2006-2010 American Community Survey for Texas.

    (3) Tier 3 consists of any RHP that contains at least 3% and less than 7% of the state's total population under 200% of the federal poverty level as determined by the 2006-2010 American Community Survey for Texas.

    (4) Tier 4 consists of any RHP that:

    (A) contains less than 3% of the state's total population under 200% of the federal poverty level as determined by the 2006-2010 American Community Survey for Texas;

    (B) does not have a public hospital; or

    (C) has one or more public hospitals that, when combined, provide less than 1% of the region's uncompensated care.

Source Note: The provisions of this §354.1611 adopted to be effective October 31, 2012, 37 TexReg 8453; amended to be effective September 1, 2013, 38 TexReg 5431