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

The program includes two components:

  • Component 1 provides a uniform dollar increase in the form of prospective, monthly payments to all participating RHCs. The amount of the increase varies by RHC class.
  • Component 2 is a uniform percent rate increase for certain services to incentivize preventive care and services to manage individuals' chronic conditions.

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


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

DPP Contact Change Form (PDF)