Comprehensive Hospital Increase Reimbursement Program (CHIRP)

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 CHIRP for state fiscal year (SFY) 2022 (Year [Y] 1) on March 25, 2022. CMS approved CHIRP for SFY 2023 (Y2) on August 1, 2022.


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.

The program is a change to the previous Uniform Hospital Rate Increase Program (UHRIP).

  • Component 1: UHRIP provides a uniform rate enhancement on all hospital inpatient and outpatient services claims.
  • Component 2: Average Commercial Incentive Award (ACIA) is a uniform rate enhancement above the UHRIP rate, based upon a percentage of the estimated average commercial reimbursement. Participating hospitals may opt into this component.

Proposed SFY 2024 (Y3) Measures and Requirements

The proposed quality requirements and measures are submitted to CMS for annual program review and approval. The final quality measures and reporting requirements will be posted following CMS' approval.

SFY 2023 (Y2) Measures, Requirements, and Evaluation

SFY 2022 (Y1) Measures, Requirements, and Evaluation


CHIRP rules §353.1306 and §353.1307

Contact Information

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. If you need to add a user or change access, submit a contact change form.

DPP Contact Change Form (PDF)