Provider Alert! CMS Approves Multiple Allowances to Support Providers with Improving Performances and Incentive Payments Alike due to COVID-19 Pandemic
Attention: All Providers
Effective Date: August 27, 2020
Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.
Call to action: Texas Children’s Health Plan (TCHP) would like to inform you of the following notice from Health and Human Services Commission (HHSC).
The COVID-19 pandemic has resulted in significant changes in care delivery that may prevent Delivery System Reform Incentive Payment (DSRIP) program providers from achieving Category B goals for Medicaid and Low-Income or Uninsured (MLIU) Patient Population by Provider (PPP), improving Category C measures (pay-for-performance measures) of health care quality, and earning related incentive payments. In recognition of these challenges, CMS has approved multiple allowances that support providers in improving performance and earning incentive payments for calendar year 2020.
How this impacts providers: Providers should reference these supporting documents available on the HHSC Waiver Renewal website.
- Summary of Stakeholder Feedback on Proposed DY9-10 PFM Changes
- Category C Estimated Average Achievement Values by Measure or Bundle
Next steps for providers: Inform their staff of this information.
If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.
For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.
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