I. Preface 2 A. DSRIP Planning Protocol and Funding and Mechanics Protocol 2 High Level Organization of H: Program Funding and Mechanics “Attachment B. 2 Protocol” DSRIP Eligibility Criteria C. 2 Table I. Participating Hospitals Eligible for DSRIP Payments 3 II. Hospital DSRIP Plans Applicable for Demonstration Years 6-8 4 Hospital DSRIP Plans A. 4 B. NJ Pre-Determined Menu of Areas 4 Table II. Participating DSRIP Hospitals, Focus Areas, and Projects 5 PPProjectsPProjectsProjects 6 III. Reporting Requirements 7 7 Participating Hospital Reporting for Payment in DY6-DY8 A. 77 77 State Reporting and Communications with CMS B. 11 IV. Hospital’s Target Funding Amount 12 Demonstration Years 6-8 A. 12 Table III. Participating Hospitals Funding Target B. 12 V. Allocation of a Hospital’s Adjusted DSRIP Target Funding Amount to 13 Stages IV. Total DSRIP Funding Distributable to Demonstration Years 14 YeYerIs………………………….. Table V. DSRIP Stage Funding Distribution 14 VI. DSRIP Payment Based on Achievement of Milestones and Metrics 15 General Requirements A. 15 Milestone and Measure Valuation B. 15 Experience Period C. 18 Table VI. DSRIP Experience Time Periods, By Demonstration Year 18 Reporting Completion of Measures/Milestones D. 19 VII. DSRIP Payment Calculations: DY6-DY8 19 Calculating Payments for Stages 1 and 2 A. 21 Calculating Payments for Quality Improvement Stage Project-Specific Metrics B. 22 Table VII. DSRIP Pay for Performance Improvement Calculation 25 Calculating DSRIP Payments for Population Focused Improvement Stage: C. 27 Performance Indicators (i.e. Universal Metrics) D. Forfeiture of DSRIP Payments and Appeals 33 VIII. Mergers, Acquisitions, and Business Combinations 34 IX. Program Management and Modification 36
I. Preface 2 A. DSRIP Planning Protocol and Funding and Mechanics Protocol 2 B. High Level Organization of “Attachment H: Program Funding and Mechanics Protocol” 2 C. DSRIP Eligibility Criteria 2 Table I. Participating Hospitals Eligible for DSRIP Payments 3 II. Hospital DSRIP Plans Applicable for Demonstration Years 6-8 4 A. Hospital DSRIP Plans 4 B. NJ Pre-Determined Menu of Areas 4 Table II. Participating DSRIP Hospitals, Focus Areas, and Projects PPProjectsPProjectsProjects 5 III. Reporting Requirements 6 7 77 A. Participating Hospital Reporting for Payment in DY6-DY8 7 77 B. State Reporting and Communications with CMS 11 IV. Hospital’s Target Funding Amount 12 A. Demonstration Years 6-8 12 B. Table III. Participating Hospitals Funding Target 12 V. Allocation of a Hospital’s Adjusted DSRIP Target Funding Amount to Stages 13 IV. Total DSRIP Funding Distributable to Demonstration Years YeYerIs………………………….. 14 Table V. DSRIP Stage Funding Distribution 14 VI. DSRIP Payment Based on Achievement of Milestones and Metrics 15 A. General Requirements 15 B. Milestone and Measure Valuation 15 C. Experience Period 18 Table VI. DSRIP Experience Time Periods, By Demonstration Year 18 D. Reporting Completion of Measures/Milestones 19 VII. DSRIP Payment Calculations: DY6-DY8 19 A. Calculating Payments for Stages 1 and 2 21 B. Calculating Payments for Quality Improvement Stage Project-Specific Metrics 22 Table VII. DSRIP Pay for Performance Improvement Calculation 25 C. Calculating DSRIP Payments for Population Focused Improvement Stage: Performance Indicators (i.e. Universal Metrics) 27 D. Forfeiture of DSRIP Payments and Appeals 33 VIII. Mergers, Acquisitions, and Business Combinations 34 IX. Program Management and Modification 36
NJ%20DSRIP%20DY6-DY8%20Funding%20and%20Mechanics%20Protocol_v1.1%2005.31.2018_DRAFT%20PENDING%20CMS%20APPROVAL.DOCX