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 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.

HHSC has included dates after each file below to indicate when they were last updated.

SFY 2025 (Y4) Measures and Requirements

SFY 2025 Requirements (PDF) (2/21/2025)
SFY 2025 Measure Specifications (Excel) (4/7/2025)
SFY 2025 Component 3 Achievement Calculator (Excel) (7/29/2024)
Getting Ready for Quality Reporting (PDF) (7/29/2024)
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)

Proposed SFY 2026 (Y5) Measures and Requirements

The proposed quality metrics and requirements will be submitted to CMS for annual program review and approval in spring 2025. The final quality metrics and requirements will be posted following CMS’ approval.

Proposed SFY 2026 Requirements (PDF) (2/21/2025)
Proposed SFY 2026 Measure Specifications (Excel) (4/7/2025)
Proposed SFY 2026 Component 3 Achievement Calculator (Excel) (2/21/2025)
Stakeholder Feedback for SFY 2026 (PDF) (9/26/2024)

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.

History