Rural Access to Primary and Preventive Services (RAPPS) Program

The Rural Access to Primary and Preventive Services 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 RAPPS on March 25, 2022.


RAPPS is a DPP for rural health clinics (RHCs) that incentivizes the provision of primary and preventive services to individuals enrolled in the STAR, STAR+PLUS, and STAR Kids Medicaid managed care programs.

SFY 2024 (Y3) Measures and Requirements

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.

SFY 2023 (Y2) Measures and Requirements

SFY 2022 (Y1) Measures and Requirements


Contact Information

Reporting Portal Access

If you are participating in the RAPPS 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.