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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
SECTION/RULE §354.1647 - Requests for Adjustments to Certain DSRIP Projects
Chapter Review Date 11/08/2024

(a) Certain DSRIP projects are eligible for an adjustment to the DSRIP project's transition year MLIU QPI goal. These DSRIP projects include:(1) a DSRIP project that HHSC identifies as underperforming on MLIU in the initial demonstration period;(2) a DSRIP project that is reporting on individuals or encounters that meet the MLIU definition for the initial demonstration period, but will not meet the MLIU definition for the extension period; and(3) any other DSRIP project that HHSC determines has a strong justification for an adjustment.(b) Performers of a DSRIP project as described in subsection (a) of this section may, by a date to be determined by HHSC, request an adjustment to the DSRIP project's transition year MLIU QPI goal.(c) Performers with a total value less than $250,000 in demonstration year (DY) 5 may increase their total value to up to $250,000 for each subsequent DY across Categories 1-4. Categories 1-4 are each increased proportionately if a performer chooses this option. Performers eligible for such an option must make this choice by a date to be determined by HHSC.

Source Note: The provisions of this §354.1647 adopted to be effective June 16, 2016, 41 TexReg 4241.

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