Texas Incentives for Physicians and Professional Services (TIPPS) Program

The Texas Incentives for Physicians and Professional 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 TIPPS on March 25, 2022.

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

Background

TIPPS is a DPP for certain physician groups providing health care services to children and adults enrolled in the STAR, STAR+PLUS and STAR Kids Medicaid managed care programs. Eligible physician groups include health-related institutions (HRIs), indirect medical education (IME) physician groups affiliated with hospitals and other physician groups.

SFY 2025 (Y4) Measures and Requirements

SFY 2025 Requirements (PDF) (8/9/2024)
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)
Proposed SFY 2026 Component 2 Achievement Calculator (Excel) (10/22/2024)
Stakeholder Feedback for SFY 2026 (PDF) (9/26/2024)

Rules

TIPPS rules §353.1309 and §353.1311

Contact Information

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

Reporting Portal Access

If you are participating in the TIPPS 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