Discuss, consider and take appropriate action on Interlocal Agreement between Williamson County and Williamson County and Cities Health District regarding Delivery System Reform Incentive Payment Program (DSRIP) program.

Williamson County participated in the DSRIP program during the original Medicaid 1115 Transformation Waiver.  New program protocols were determined for the five-year Waiver extension of DSRIP, requiring initiatives to make improvements to systems and not being project oriented.  Performance measures also required a percent of improvement each year to reach incentive payments.  After lengthy due diligence and planning with Williamson County and Cities Health District (WCCHD), it was determined that the jail diversion initiative being planned would not be feasible and performance measures could not be met. This agreement allows the County as Performing Provider to receive 3 points of the 7 points available of the incentive payment, for its participation in DSRIP program planning. The ILA was written by Hall Hawes and revisions were approved by Stan Springerley.