1. RHP 12 Regional Update Jeff Dane Executive Vice President & Chief Financial Officer

2. 2 Region 12 Anchor: UMC 47 Counties 38 Participating Providers: 4 Community Mental Health Centers 1 Local Health Department 2 Physician Practices (HSC) 1 Physician Practice (Non HSC) 1 Psychiatric Hospital 22 Rural Hospitals 6 Urban Hospitals 99 CAT 1 & 2 Projects 151 CAT 3 Outcomes

3.  DY4 & DY5 Reporting  Multiple Regional Events  Compliance Monitoring ◦ CAT 1 & 2 Validation Audits ◦ CAT 3 Baseline Audits  Last but not Least – CMS Approval 3

4.  Reported achievement on 468 metrics (Cat 1&2), Milestones (Cat 3), and Reporting domains (Cat 4) with an acceptance rate of 99.15%.  Total DY3 Carry Forward and DY 4 funds received by RHP 12 in January: 4 DY3 CFDY4Total CAT 1&2 11.83M 66.68M 78.51M CAT 3.17M 10.79M 10.96M CAT 4.84 6.40M 7.24M Total$12.84M$83.87M$96.71M

5. CAT 1 & 2 Metrics o DY 3 Carry Forward  45 metrics approved out of 48 reported achieved o DY4  171 metrics approved out of 171 reported achieved CAT 3 Milestones o DY 3 Carry Forward  14 milestones approved out of 15 reported achieved o DY4  178 milestones approved out of 178 reported achieved CAT 4 Reporting Domains o DY4  56 reporting domains approved out of 56 reported achieved

6.  May 4 th – April Reporting Due  May 5 th – HHSC begins Review  May 12 th – HHSC will post estimated IGT due for April Reporting  May 27 th – IGT changes due  June 8 th – HHSC will complete the initial reporting review & distribute results  July 1 st – IGT settlement date for April DSRIP payments  July 6 th – NMI requests due  July 15 th - July 29 th – October DY4 CF & April DY5 approved metric payments processed  August 5 th – HHSC will complete NMI review 6

7.  DSRIP in Action ◦ February 2016 – Department of Public Health in Amarillo  ARAD project  Amarillo Mobile Health Clinic Project  18 attendees ◦ March 2016 – West Texas Centers in Big Spring  Behavioral Health and Primary Care Integration  Tele-Medicine  16 attendees  Reporting Workshops  April 11 & 12, 2016 - Amarillo – TTUHSC (Amarillo)  19 Attendees  April 15, 2016 - Lubbock – TTUHSC (Lubbock)  10 Attendees 7

8. RHP 12 Specifics  Round 1  20 outcomes from 14 providers 17 completed  3 still under review  Round 2  3 outcomes from 3 providers All 3 completed  Round 3  9 outcomes from 9 providers  All nine are still under review 8

9. RHP 12 Specifics  Round 1  18 projects from 11 providers  All projects are still under review  16 projects have submitted validation information to Meyers & Stauffer  More validation audits are forthcoming and will start after April Reporting. 9

10.  CMS has granted our request for a 15- month temporary extension ◦ October 1, 2016-December 31, 2017  $6.2 billion (all funds) for DY6 and a prorated amount for Oct 2017-Dec 2017 ◦ UC = 3.1 billion for DY 6 ◦ DSRIP = 3.1 billion for DY6  CMS is confident that we will reach an agreement on UC & DSRIP for the additional extension years. 10

11.  Peer to Peer Discussions  Networking Lunch  Guest Speaker- Amanda Broden-HHSC  Provider Presentations  Focused Cohort Kick-Offs 11

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