Comprehensive Hospital Increased Reimbursement Program (CHIRP)

The Comprehensive Hospital Increased Reimbursement Program is one of four directed payment programs HHSC has submitted for CMS approval as part of the Delivery System Reform Incentive Payment Transition Plan. The proposed start date is September 1, 2021.


CHIRP is a DPP for hospitals providing healthcare services to adults and children enrolled in STAR and STAR+PLUS. Eligible hospitals include children's hospitals, rural hospitals, mental health hospitals, state-owned hospitals, and urban hospitals.

The program is a change to the existing Uniform Hospital Rate Increase Program, currently in its fourth year of operation. Beginning in program year 5, the program would include two components:

  • Component 1: CHIRP will continue to provide a uniform rate enhancement similar to UHRIP.
  • Component 2: CHIRP’s Average Commercial Incentive Award payment component will allow participating providers to earn higher reimbursement rates based upon a percentage of the estimated average commercial reimbursement.

Program Rules and Requirements

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