Rural Access to Primary and Preventive Services

Overview

The Rural Access to Primary and Preventive Services (RAPPS) is a directed payment program that incentivizes primary and preventive services for persons with Medicaid in rural areas of the state enrolled in STAR, STAR+PLUS, and STAR Kids. The program focuses on the management of chronic conditions. Two types of rural health clinics (RHC) are eligible to participate: (1) hospital-based RHCs, which include non-state government-owned and private RHCs, and (2) freestanding RHCs. Eligible RHCs must provide at least 30 Medicaid managed care encounters per year.  

The Rural Access to Primary and Preventive Services (RAPPS) is a directed payment program that incentivizes primary and preventive services for persons with Medicaid in rural areas of the state enrolled in STAR, STAR+PLUS, and STAR Kids. The program focuses on the management of chronic conditions. Two types of rural health clinics (RHC) are eligible to participate: (1) hospital-based RHCs, which include non-state government-owned and private RHCs, and (2) freestanding RHCs. Eligible RHCs must provide at least 30 Medicaid managed care encounters per year.  

Enrollment

The Texas Health and Human Services Commission (HHSC) collected enrollment applications for RAPPS from March 24, 2021, through April 13, 2021. The enrollment period is now closed. 

Methodology/Rules

HHSC is adopting new §353.1315, concerning Rural Access to Primary and Preventive Services Program; and new §353.1317, concerning Quality Metrics for Rural Access to Primary and Preventive Services Program. The new rules were published in the April 23, 2021 issue of the Texas Register and became effective April 25, 2021. 
RAPPS rules §353.1315 and §353.1317.

Modeling

To assist potential applicants, HHSC has drafted a model of the potential earnings of RHCs under the RAPPS program. Please note: the modeling is only an example and does not reflect the final program values. The program values in the model are subject to changes based on the actual enrollment, data changes, and approval issued by CMS. The proposed RAPPS modeling is available here (.pdf) (excel version of the file here (.xslx)).

Suggested IGT 

Suggested Intergovernmental Transfer (IGT) amounts per provider is available here (.pdf), and excel file can be located here (.xlsx). The modeling is available here (.pdf), and the excel can be located here (.xlsx) (Updated 05/06/2021)

IGT Commitment form is available here (.pdf), and excel file can be located here (.xlsx).