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Preparing for Your DSRIP 2.0 Audit

  • M. Johnson

By Mallory Johnson Cole and Alexandra Milutin

On December 16, 2019, Texas Health and Human Services Commission (HHSC) announced that Myers & Stauffer has been selected as the compliance monitor for the Delivery System Reform Incentive Payment (DSRIP) program in Texas for current reporting years – Demonstration Year (DY) 7-9. Myers & Stauffer previously held the role as the compliance monitor under the first DSRIP period (DY1-6A) in Texas.

Audit reviews are expected to begin in early 2020; HHSC is expected to provide additional information about audit reviews and requirements in the coming weeks. In preparation for compliance monitoring to resume, HHSC has asked providers to confirm the list of staff who will receive compliance monitoring communication for their organizations by Wednesday, December 18, 2019. Updates should be sent to:
TXHealthcareTransformationDSRIP_Compliance@hhsc.state.tx.us.

DSRIP participating organizations should expect a detailed review of previously submitted background information including but not limited to Category C baselines, numerators, denominators and processes used for medical record review, if conducted. In addition to background information, organizations should also compile any emails with HHSC regarding technical assistance (TA) resolutions and any information regarding individual communications and decisions surrounding reporting modifications and approvals. Organizations are encouraged to begin organizing these types of files in preparation for audit reviews in order to support and quickly respond to upcoming audit requests.

 

COPE Health Solutions has an expert team with experience assisting clients in audit preparation, technical assistance and in responding to audit requests for organizations across Texas, New York and California for both DSRIP and other large scale audits. If you had challenges under the previous DSRIP program with either completing audit requests or freeing up the capacity to respond to requests in a timely manner you may benefit from targeted and timely support.

Our team is ready to support you with your audit, as well as with DY9 and DY10 reporting and the current DY8 NMI/TA requests.

If you’d like to know more about our team, audit experience, or discuss how we can best add value to you for your audit preparation and response we’d be happy to talk with you!

 

Contact Alexandra Milutin at amilutin@copehealthsolutions.com to learn more.

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