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) (8/16/2024)
SFY 2025 Measure Specifications (Excel) (9/24/2024)
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

HHSC will conduct an online public hearing on December 19, 2024, at 10:00 a.m. Central Standard Time (CST) to review and receive public comment on proposed quality metrics and requirements for SFY 2026 of RAPPS. Additional information on the hearing is available on the HHS Meetings & Events Page.

This hearing will be conducted online only and will not have a physical location. Please register for this hearing at this link.

Briefing Packet

Proposed SFY 2026 Requirements (PDF) (12/10/2024)
Proposed SFY 2026 Measure Specifications (Excel) (12/10/2024)

Written Public Comments

Written public comments regarding the proposed quality metrics and requirements may be submitted until 11:59 p.m. on January 10, 2025, at this link.

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