State Fiscal Year (SFY) 2026 enrollment for participation in the following directed payment programs (DPPs) opened Feb. 3, 2025 (CST), and will close on Feb. 24, 2025, at 11:59 p.m.
- Comprehensive Hospital Increase Reimbursement Program (CHIRP).
- Texas Incentives for Physicians and Professional Services (TIPPS).
- Rural Access to Primary and Preventive Services Program (RAPPS).
- Directed Payment Program for Behavioral Health Services (DPP BHS).
No Intergovernmental Transfers (IGT) are requested at this time.
Links for each DPP application are below:
- CHIRP Application
- 1 Texas Administrative Code (TAC) Section 353.1306
- CHIRP Application Fee: HHSC will be collecting an application fee of $15,000 for SFY 2026 for CHIRP to cover the cost of administering the program. This application fee will apply to all non-public hospitals that choose to participate in the program. As outlined in 1 TAC Section 353.1301(l), “To the extent authorized under state and federal law, HHSC will collect the state’s cost of administering a program authorized under this subchapter from participants in the program generating the costs.”
- The application fee from participating non-public hospitals is due at the time of the submission of the enrollment application. The deadline to submit the application fee is no later than Feb. 24, 2025. If no payment is received by the deadline, your hospital’s application will be removed, and you will not be eligible to participate in CHIRP.
- Payment must be made in the manner determined by HHSC and in compliance with payment instructions that will be posted on the HHSC Provider Finance Department website.
- TIPPS Application
- RAPPS Application
- DPP BHS Application
Here is a list of data items you will need to apply for CHIRP.
Enrollment is open, and applications will be accepted for 21 calendar days. For more information on these programs, contact us at the appropriate email address provided below:
- CHIRP: PFD_hospitals@hhsc.state.tx.us
- TIPPS: PFD_TIPPS@hhs.texas.gov
- RAPPS: PFD_hospitals@hhsc.state.tx.us
- DPP BHS: PFD_DPPBHS@hhs.texas.gov
If you are a private hospital, the CHIRP application fee has been increased to $15,000 (previously $8,500). The fee MUST be received prior to the application deadline. Instructions will be included on the CHIRP provider finance website.
Additionally, there are several important upcoming dates to note:
- February 12th at 1 PM CHIRP webinar by HHSC
- Link to register: Registration
- Focused on enrollment and quality reporting
- February 26th, 2-3 PM HHSC Measure Spotlight for CHIRP and RAPPS
- Link to register: Registration
- Focused on reporting for 3 specific measures- These measures are anticipated to have changes that will impact data collection.
- CHIRP C2-104 Tobacco Screening & Cessation Intervention
- CHIRP C2-115 Depression and Follow-Up Plan
- RAPPS R1-103 Influenza Immunization
- April 2nd Tentative date for HHSC’s RAPPS, TIPPS, DPP BHS Reporting Webinar
- April 3rd Tentative date for HHSC’s CHIRP Reporting Webinar