Texas Incentives for Physicians and Professional Services (TIPPS) Program

Hearing. HHSC conducted a public hearing on January 13, 2022, beginning at 2:00 p.m. CST, to review proposed measures and reporting requirements for year 2 of the Texas Incentives for Physicians and Professional Services (TIPPS). Please note that TIPPS program year 1 is pending Centers for Medicare & Medicaid Services (CMS) approval. Background TIPPS is a value-based directed payment program for certain physician groups providing health care services to children and adults enrolled in the STAR, STAR+PLUS and STAR Kids Medicaid programs. Eligible physician groups include health-related institutions, indirect medical education physician groups affiliated with hospitals and other physician groups. The program would include the three components: Component 1 would be paid as a per-member-per-month payment tied to requirements to implement quality improvement activities. HRIs and IMEs are eligible for Component 1. Component 2 would serve as a uniform rate enhancement based