Uniform Hospital Rate Increase Program

Overview

The Texas Health and Human Services Commission (HHSC) has approval from the Centers for Medicare and Medicaid Services (CMS) to implement the Uniform Hospital Rate Increase Program (UHRIP) for hospital services.  At this time, only STAR and STAR+PLUS Medicaid Managed Care Programs participate in UHRIP. HHSC rolled out a pilot UHRIP program on December 1, 2017, in the El Paso and Bexar managed care service delivery areas (SDA).  A rollout of UHRIP across the remaining SDAs is planned to be implemented with effect from March 1, 2018. The rate increases for each SDA and each class of hospitals can be viewed here.

Please refer to the UHRIP Information and Checklist (.pdf) for more information on the March 1, 2018 statewide rollout of UHRIP.

The applications for the September 1, 2018 rollout of UHRIP have been sent to SDA liaisons and are due to HHSC by March 1, 2018. The CMS-approved ranges for the each hospital class can be viewed here.

Each SDA has nominated one governmental IGT entity to act as the primary conduit of communications between HHSC and the hospitals and MCOs in each SDA.  This liaison is responsible for disseminating information on the program to all stakeholders in the SDA, in concert with HHSC as necessary. 

HHSC will be working through the nominated governmental IGT entity in rolling out UHRIP. Please see the current list of SDA liaisons here.

Methodology / Rules

Rules governing the operation of UHRIP are at Title 1 of the Texas Administrative Code, Part 15, Chapter 353, SubChapter O, Rules 1301 and 1305.

RULE §353.1301 General Provisions

RULE §353.1305 Regional Uniform Rate Increases for Hospital Services