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.

Background

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.

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) (2/21/2025)
Getting Ready for Quality Reporting (PDF) (7/30/2024)
Stakeholder Feedback for SFY 2025 (PDF) (2/7/2024)

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) (2/21/2025)
Stakeholder Feedback for SFY 2026 (PDF) (2/21/2025)

Rules

RAPPS rules §353.1315 and §353.1317

Contact Information

For information on enrollment, eligibility, payment information and preprints for RAPPS, visit the HHSC Provider Finance Department.
For eligibility and financial questions, email PFD RAPPS.
For questions on RAPPS quality requirements and reporting, email HHSC DPP Quality.
To add, change or remove a contact from the RAPPS contact list, submit a contact change form.

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.

History