Delivery System Reform Incentive Payment

What is the Delivery System Reform Incentive Payment (DSRIP) Pool?

CMS Approval of Kansas DSRIP Proposals

The Special Terms and Conditions of the Section 1115 Waiver for the KanCare program require the State of Kansas to create a Delivery System Reform Incentive Payment ( DSRIP) program to support participating hospitals’ efforts to enhance access to care, the quality of care, and the health of the patients and families they serve. The first year of the 1115 waiver will be used to develop the DSRIP program, and participating hospitals will conduct qualifying projects in years two through five. For more information on the DSRIP program, please read the Delivery System Reform Incentive Payment Overview.
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DSRIP Historical Information on Planning and Funding and Mechanics Protocols

KDHE recently submitted a working draft of the DSRIP Planning and Funding and Mechanics Protocols to CMS for review and approval.  The protocols are a requirement for the DSRIP program and define the program goals, structure, a list of potential projects and metrics, and reimbursement guidelines.

The State is seeking input from interested stakeholders on the protocols document and other facets of the DSRIP program.  

To review the draft protocols, please read DSRIP Draft Protocols.

To provide input or feedback to the State regarding the protocols, send an email to

Who Can Participate in the DSRIP Pool?

Currently, there are two hospitals participating in the DSRIP pool: The University of Kansas Hospital, and Children’s Mercy Hospital.   These hospitals are eligible for participation based on their status as a Large Public Teaching Hospital or Border City Children’s Hospital.

DSRIP Timeline


January 1, 2013
March 31, 2013
May 31, 2013
July 31, 2013
September 30, 2013
December 31, 2013
January 1, 2014
April 30, 2014


KanCare launch
State submits DSRIP Pool Focus Areas to CMS
State submits initial drafts of Planning Protocol and Funding & Mechanics Protocol to CMS
Target date for final approval of protocols by CMS
Hospitals submit initial DSRIP plans to CMS
Target date for final approval of hospital plans by CMS
Hospitals with approved DSRIP plans can begin receiving funding from DSRIP pool
If hospital DSRIP plan not approved, hospital may not participate in DSRIP pool in 2014

Proposed Focus Areas

On March 29, 2013, the State submitted the  DSRIP Focus Areas Report for CMS proposing the following focus areas for the DSRIP Pool:

  • Increase access to services, including primary care and preventive services
  • Increase the effective and efficient use of population health management through health information technology (HIT)
  • Increase integration of the health care delivery system, including medical, behavioral health, and social services
  • Promote physical activity through encouraging and marketing the benefits of physical activity and expanding access and opportunities for physical activity
  • Improve health literacy, including nutrition education and tobacco use prevention and control
  • Expand health and wellness programs and develop incentives for participation in these programs
  • Expand chronic and complex care management models
  • Promote healthy communities, including access to clean air and water and healthy food and lifestyle choices

CMS will review the proposed focus areas and provide input or approval to the State.


DSRIP Programs in Other States