HHSC conducted an online public hearing on December 10, 2025, at 10:00 a.m. CDT to review and receive public comment on proposed quality metrics and requirements for SFY 2027 of RAPPS.
Summary
Overview of Proposed SFY 2027 Quality Changes
There are minimal changes proposed for SFY 2027; more significant updates may occur for SFYs 2028-2030. The program continues to advance existing quality goals, with process and outcome measures unchanged, and there is no pay-for-performance.
Main changes include:
- Using the same measure specifications for SFY 2027 as for SFY 2026, rather than updating annually.
- Removing structure measure R1-105 (Health Information Exchange Participation) to reduce administrative burden.
- Adjusting reporting periods: October reporting now requires an intent to report certification; all measures will be reported in March.
The new quality strategy omits one goal due to the removal of the structure measure, focusing now on promoting optimal health for Texans and effective practices for those with chronic, complex, and serious conditions.
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