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.

Proposed Year 2 Metrics and Associated Reporting Requirements

HHSC will conduct a public hearing on January 13, 2022, beginning at 9:30 a.m. CST, to review proposed measures and reporting requirements for year 2 of the Comprehensive Hospital Increased Reimbursement Program (CHIRP). Please note that CHIRP program year 1 is pending Centers for Medicare & Medicaid Services (CMS) approval.

Additional information on the hearing is available on the HHS Events Page.

Due to the COVID-19 pandemic, this hearing will be conducted online only. There is not a physical location for this hearing. Please register for the hearing here.

Briefing Packet:

Proposed Program Year 1 Rules and Requirements

Contact Information


DPP Contact Change Form (PDF)