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The Comprehensive Hospital Increase Reimbursement Program is one of four directed payment programs (DPPs) HHSC submitted to the Centers for Medicare and Medicaid Services (CMS) for approval as part of the Delivery System Reform Incentive Payment Transition Plan. CMS approved on March 25, 2022.
Background
CHIRP is a DPP for hospitals providing healthcare services to adults and children enrolled in the STAR and STAR+PLUS Medicaid managed care programs. Eligible hospitals include children's hospitals, rural hospitals, mental health hospitals, state-owned hospitals, and urban hospitals.
SFY 2024 (Y3) Measures and Requirements
- Y3 Requirements (PDF) (2/23/2023)
- Y3 Measure Specifications and FAQs (Excel) (4/10/2024)
- Y3 CHIRP Data Master (Excel) (2/16/2024)
- Getting Ready for Quality Reporting (PDF) (6/29/2023)
- Webinar recording: Getting Ready for Quality Reporting (6/29/2023)
- Webinar slide deck: Getting Ready for Quality Reporting (PDF) (6/29/2023)
- Stakeholder Feedback for Y3 (PDF) (2/23/2023)
Proposed SFY 2025 (Y4) Measures and Requirements
The proposed quality metrics and requirements are submitted to CMS for annual program review and approval. The final quality metrics and requirements will be posted following CMS’ approval.
- Proposed SFY 2025 Requirements (PDF) (3/5/2024)
- Proposed SFY 2025 Measure Specifications (Excel) (3/5/2024)
- Component 3 Achievement Calculator (Excel) (4/18/2024)
- Webinar recording: Getting Ready for Component 3 Quality Reporting (2/20/2024)
- Webinar slide deck: Getting Ready for Component 3 Quality Reporting (PDF) (2/20/2024)
- Stakeholder Feedback for SFY 2025 (PDF) (12/29/2023)
SFY 2023 (Y2) Measures and Requirements
- Y2 Requirements (PDF) (1/10/2022)
- Y2 Measure Specifications (Excel) (3/23/2023)
- Y2 Measure Specifications FAQs (Excel) (3/23/2023)
- Y2 CHIRP Data Master (Excel) (10/13/2023)
- Data Visualization file (Excel) (10/13/2023)
- Stakeholder Feedback for Y2 (PDF) (3/1/2022)
SFY 2022 (Y1) Measures and Requirements
- Y1 Requirements (PDF)
- Y1 Measure Specifications (Excel) (8/9/2022)
- Y1 Measure Specifications FAQs (Excel) (8/9/2022)
- Y1 Data Master (Excel) (10/27/2022)
- Stakeholder Feedback for Y1 (PDF) (3/8/2021)
Rules
CHIRP rules §353.1306 and §353.1307
Contact Information
- For information on enrollment, eligibility, payment information and preprints for CHIRP, visit the HHSC Provider Finance Department.
- For program eligibility and financial questions, email HHSC PFD Hospitals.
- For questions on CHIRP quality requirements and reporting, email HHSC DPP Quality.
- To add, change or remove a contact from the CHIRP contact list, submit a contact change form.
Reporting Portal Access
If you are participating in the CHIRP program, you will use the reporting portal to access templates, review technical guidance, and submit your quality reporting. Refer to the Reporting Portal User Guide (PDF) for instructions on creating an IAMOnline account, requesting access to the DPP reporting portal, FAQs and additional resources.