1. May 24, 2012

2.  Input on issues with UC and IGT calculations  Understanding of proposed waiver funding and mechanics protocol  Waiver progress  Updated timelines 2

3.  Issues filling out the templates?  How to find data?  General revenue issues 3

4.  HHSC draft for discussion  Comments by May 31  HHSC submitting to CMS by June 15 4

5.  Clarified that MHMRs qualify for participation in DSRIP  2012 allocation of DSRIP funds between regions ◦ Statewide - $500 million ◦ Region 10 – approximately $60 million ◦ May use the same allocation for DY2 – DY5  Allocation of region dollars among participating providers ◦ Based on value of provider’s DSRIP projects ◦ There is no valuation methodology yet 5

6.  Project requirements ◦ Categories and number of projects required for participation  RHP level and provider level  Different for urban and rural ◦ DSRIP participation requirement – relationship to UC payments  Plan modification  Partial payment policy  Carry forward policy 6

7.  Outstanding issues ◦ DY1 and after DSRIP allocation  Between regions  Between providers within a region ◦ Allocation between UC and DSRIP  State, RHP, and provider level ◦ DSRIP requirements to participate in the UC pool ◦ Project categories required for DSRIP participation ◦ Funding allocation between DSRIP categories ◦ Project pricing  Process for comments 7

8.  UC tool ◦ Submit to CMS by June 15 ◦ Once approved – 3 months to first payment  IGT funding issues 8

9.  June 15 ◦ Finalize UC and IGT numbers for Region 10  June 30 ◦ Finalize DSRIP pricing strategy ◦ Plan for 2012 DSRIP  September 1 ◦ RHP plan due to HHSC ◦ UC tools submitted 9

10.  October 31 ◦ RHP plan to CMS ◦ Begin processing DSRIP DY1 payments ◦ Tentative receipt of UC funding  February 1 ◦ Expected approval of plans from CMS 10

11.  Get UC and IGT numbers to JPS  Comments to HHSC on funding and mechanics protocol  Continue to monitor and impact waiver issues with HHSC and CMS 11

12.  RHP e-mail for comments on funding and mechanics protocol ◦ RHP@jpshealth.orgRHP@jpshealth.org  JPS waiver website ◦ http://www.jpshealthnet.org/rhp.aspx http://www.jpshealthnet.org/rhp.aspx  Deb Anderson ◦ debra.anderson@andersonroers.com debra.anderson@andersonroers.com ◦ 612-272-2407  Brian Roers ◦ brian.roers@andersonroers.com brian.roers@andersonroers.com ◦ 952-210-7460 12