Directed Payments Quality Incentive Pool Program
Rov qab mus rau Directed Payments
Pib nrog Lub Xeev Lub Xyoo Nyiaj Txiag (SFY) 2017-18 lub sijhawm ntsuas, Lub Tsev Haujlwm yuav ua raws li kev tswj hwm kev saib xyuas Lub Tsev Khomob Saib Xyuas Kev Noj Qab Haus Huv (DPH) Quality Incentive Pool (QIP). Lub Tsev Haujlwm yuav coj Managed Care Plans (MCPs) kom ua QIP cov nyiaj them rau kev ua tau zoo ntawm cov kev ntsuas kev ua tau zoo hauv plaub pawg tswv yim: kev saib xyuas thawj zaug, kev saib xyuas tshwj xeeb, kev saib xyuas neeg mob hauv tsev, thiab kev siv peev txheej. Kev them nyiaj QIP yuav txuas rau kev xa cov kev pabcuam raws li MCP cov ntawv cog lus thiab nce cov nyiaj tau los ntawm cov txiaj ntsig zoo. Yuav kom tau txais QIP them nyiaj DPH thiab University of California (UC) cov txheej txheem yuav tsum ua kom tiav cov hom phiaj kev txhim kho, uas loj hlob nyuaj los ntawm kev txhim kho xyoo dhau ib xyoos lossis ua kom muaj kev ua tau zoo. Tag nrho cov nyiaj uas muaj rau QIP cov nyiaj them yuav raug txwv rau tus nqi uas tau teem tseg (pool).
Pib txij Lub Xya Hli 1, 2020, Lub Tsev Haujlwm tau nthuav dav QIP program thiab ntxiv DMPHs.
MCPs, rau cov lus nug txog kev tswj xyuas txog qhov kev pab cuam no, thov hu rau lub Tsev Kho Mob Directed Payment team PlanDP@dhcs.ca.gov.
Providers, for any managed care questions regarding this program, please reach out to the Hospital Directed Payment team at PublicDP@dhcs.ca.gov.
Cov Kws Saib Xyuas Haujlwm
Tsim Kho Tsev Kho Mob Pej Xeem (DPH)
Lub Xeev Nyiaj Txiag Xyoo 2017/2018 (Lub Xya Hli 1, 2017, Lub Rau Hli 30, 2018)
- SFY 2017/2018 Qhia Them Nyiaj DPH QIP Preprint
- SFY 2017/2018 Uniform nce DPH QIP Qhia Txog Kev Pom Zoo Daim Ntawv Pom Zoo
State Fiscal Year 2018/2019 (July 1, 2018 – June 30, 2019)
- SFY 2018/2019 Qhia Them Nyiaj DPH QIP Preprint
- SFY 2018/2019 Uniform nce DPH QIP Qhia Txog Kev Pom Zoo Daim Ntawv Pom Zoo
Choj Lub Sijhawm (Lub Xya Hli 1, 2019 - Kaum Ob Hlis 31, 2020)
- July 1, 2019 – December 31 2020 DPH QIP 2.0 Directed Payment Approval Letter
- July 1, 2019 – December 31 2020 DPH QIP 2.0 Directed Payment Preprint
- DPH QIP PY 3 Preprint (Hloov kho vim yog COVID-19)
- DPH QIP PY 3 COVID-19 Daim Ntawv Pom Zoo Hloov Kho
- DPH QIP PY 3.5 CMS Daim Ntawv Pom Zoo
- DPH QIP PY 3.5 COVID-19 Hloov Kho CMS Daim Ntawv Pom Zoo
- DPH QIP PY 3.5 Preprint (Hloov kho vim yog COVID-19)
CY 2021 – 2023 (January 1, 2021 – December 31, 2023)
- DPH QIP PY4-6 COVID-19 Revision Approval Letter
- DPH QIP PY4-6 COVID-19 Revision Preprint
- DPH QIP January 1, 2021 – December 31, 2023 Amendment Approval Package
CY 2024 (January 1, 2024 – December 31, 2024)
CY 2025 (January 1, 2025 – December 31, 2025)
District and Municipal Public Hospital (DMPH)
- DMPH QIP January 1, 2025 – December 31, 2025 Approval Package
- DMPH QIP January 1, 2021 – December 31, 2023 Amendment Approval Package
- DMPH QIP PY 3.5 CMS Daim Ntawv Pom Zoo
- DMPH QIP PY 3.5 COVID-19 Hloov Kho CMS Daim Ntawv Pom Zoo
- DMPH QIP PY 3.5 Preprint (Hloov kho vim yog COVID-19)
- DMPH QIP PY4-6 COVID-19 Revision Approval Letter
- DMPH QIP PY4-6 COVID-19 Revision Preprint
- DMPH QIP PY4-6 COVID-19 Kev Hloov Kho (Cov Ntawv Pom Zoo thiab Sau Ua Ntej)
- DMPH QIP PY7 CMS Daim Ntawv Pom Zoo thiab Sau Ua Ntej
- CY 2025 DMPH QIP pom zoo pob
Cov peev txheej
Txoj Cai Kev Pabcuam thiab Cov Ntaub Ntawv
- QPL-18-001 QIP PY 1 Reporting.pdf
- QIP PY 1 Certification Form.pdf
- QPL-18-002 Yam tsawg kawg nkaus.pdf (SUPERSEDED BYQPL-19-001; Thov tshuaj xyuas QPL-19-001)
- QIP Data Integrity Policy.pdf
- QPL-19-001 Cov Kev Cai Tsawg Kawg Nkaus rau Kev Tshaj Tawm.pdf (SUPERSEDES QPL-18-002)
- QPL-19-002 QIP Measure Set PY 3 – QPL no qhia rau txhua lub koom haum QIP txog cov kev ntsuas tshiab thiab cov kev cai rau kev faib pawg rau PY 3 (Lub Xya Hli 1, 2019 – Lub Rau Hli 30, 2020).
- QPL-19-003 PY 2 Kev Tshaj Tawm - QPL no muab cov lus qhia txog PY 2 kev tshaj tawm rau qhov kev pab cuam QIP.
- QPL-20-001 QIP PY 3 Kev Hloov Pauv Kev Tshaj Tawm thiab Kev Them Nyiaj - QPL no qhia rau txhua lub Tsev Kho Mob thiab Cov Txheej Txheem Kev Noj Qab Haus Huv (DPHs) ntawm PY 3 (Lub Xya Hli 1, 2019 - Lub Rau Hli 30, 2020) kev hloov pauv kev tshaj tawm thiab kev them nyiaj rau qhov kev pab cuam QIP.
- QPL-21-001 QIP PY 3.5 Cov Kev Hloov Tshiab Vim Muaj COVID-19 - QPL no qhia rau txhua lub koom haum QIP txog kev hloov pauv rau kev tshaj tawm PY 3.5 thiab cov kev cai ua haujlwm.
- QPL-21-002PY 3.5 PRIME Kev Tshaj Tawm Txog Kab Mob Khaub Thuas Hloov Pauv - QPL no qhia rau QIP Cov Chaw ntawm cov lus qhia ntsuas thiab tshaj tawm uas tsim nyog thiab yuav tsum tau ua rau kev ntsuas PRIME Kev Hloov Pauv1.3.3 - Kev Saib Xyuas thiab Kev Tshuaj Xyuas Tiv Thaiv: Kev Txhaj Tshuaj Tiv Thaiv Kab Mob Khaub Thuas.
- QPL-21-003 Cov Ntaub Ntawv Txoj Cai rau Kev Ntsuam Xyuas Kev Ntsuas DMPH thiab Daim Ntawv Thov Koom Tes Hauv Zej Zog
- PY4 Txoj Cai Kev Pabcuam
- PY 4 Cov Lus Qhia dav dav rau QIP Cov Ntaub Ntawv Sau thiab Tshaj Qhia
- PY 4 Measure Set
- PY 4 Cov Koom HaumKoom Tes
- QPL-21-005 – Daim QPL no qhia rau cov chaw ua haujlwm QIP thiab Medi-Cal Managed Care Health Plans txog kev hloov tshiab thiab kev piav qhia meej rau cov lus qhia ntsuas PY 4 rau xya qhov kev ntsuas: Q-LBP, Q-URI, Q-AAB, Q-PCE, Q-FUA, Q-TRC, thiab Q-CCW.
- QPL-21-006 – PY 4 Kev faib pawg haiv neeg thiab pawg neeg
- QPL-21-007– Kev Koom Tes Hauv Zej Zog Uas Tau Pom Zoo Rau PY 4 thiab PY 5
- QPL-22-002– PY 4 Updates
- PY 5 Program Policy
- QPL-22-003 – Cov Cai Tswj Xyuas Cov Ntaub Ntawv
- QPL-22-004 – Kev Koom Tes Hauv Zej Zog Uas Tau Pom Zoo Rau PY 5
- PY 6 Txoj Cai Kev Pabcuam
- PY6 General Guidelines
- QPL-23-001 – PY 5 thiab PY 6 Kev faib pawg haiv neeg thiab pawg neeg
- QPL-23-002 – PY 5 Updates
- QPL-23-003 – Kev Koom Tes Hauv Zej Zog Uas Tau Pom Zoo Rau PY 6
- PY 5 Cov Koom Haum Koom Tes
- QPL 24-001 PY6 Kev Tshaj Tawm Tshaj Tawm
- QPL 24-002 Data Integrity Policy Revision
- PY5 Measure Set
- PY6 Measure Set
- PY7 Measure Set
- QPL 24-003 PY7 Kev Tshaj Tawm Tshaj Tawm
- PY7 Txoj Cai Kev Pabcuam
- PY7 Cov Lus Qhia dav dav
- QPL 24-004 Cov Ntaub Ntawv Txoj Cai QIP rau Kev Ntsuam Xyuas Kev Cog Lus ntawm DMPH thiab Daim Ntawv Thov Koom Tes Hauv Zej Zog
- QPL 24-005 Kev Koom Tes Hauv Zej Zog Uas Tau Pom Zoo Rau PY7
- QPL 24-006 PY7 Q-DSF-E Kev Hloov Kho Tshiab ntawm Kev Tshaj Tawm
- QPL 24-007 QIP PY7 FUx Kev Ntsuas Hloov Tshiab
- QPL 24-008 PY6 thiab PY7 Kev Tshuaj Xyuas Hloov Tshiab
- QPL 24-009 QIP DMPH Cov Nyiaj Txiag PY8 Mus Ntxiv
- PY6 Cov Koom Haum Koom Tes (mus ntxiv)
- QPL 24-010 DMPH Kev Ntsuam Xyuas Kev Cog Lus rau PY8
- QPL 24-011 PY7 FUx Cov Lus Qhia Txog Kev Siv
- QPL 25-001 Yuav tsum tau MCP-tsim Baseline rau Kev Tshaj Tawm FUx Kev Ntsuas
- QPL 25-002 CY 2024 Kev Tshaj Tawm Tshiab
- Cov Cai ntawm CY2025
- Cov Lus Qhia Dav Dav ntawm CY2025
- QPL 25-003 CY 2025 Q-BCS-E Kev Tshaj Tawm Hloov Tshiab
- QPL 25-004 CY 2025 FUx, CCS, CIS, IMA, thiab CHL Cov Lus Qhia Txog Kev Siv
- QPL 25-005 CY 2025 Q-DSF-E Kev Tshaj Tawm Hloov Tshiab
- QPL 25-006 CY 2025 Kev Ntsuas Kev Tawm Tsam
- CY 2025 Measure Set
- CY 2026 Measure Set
- QPL 25-007 Kev Koom Tes Hauv Zej Zog Tau Pom Zoo Rau Xyoo (CY) 2025
- QPL 26-001 Cov Ntaub Ntawv Txoj Cai QIP rau Kev Ntsuam Xyuas Kev Cog Lus ntawm DMPH thiab Daim Ntawv Thov Koom Tes Hauv Zej Zog
- QPL 26-002 Kev Koom Tes Hauv Zej Zog Tau Pom Zoo Rau Xyoo (CY) 2026
- Cov Cai ntawm CY2026
- Cov Lus Qhia Dav Dav ntawm CY2026
Cov ntaub ntawv sib qhia
- Kev Sib Koom Cov Ntaub Ntawv rau SFY 17-18 QIP Memorandum (9/10/2018)
- Tus Nqi QIP Teeb Los Ntawm Kev Ntsuas Rau MCPs Rau Kev Tshaj Tawm DPH (9/18/2018)
- Phau Ntawv Qhia Txog Kev Tshaj Tawm QIP PY1: tsuas yog rau kev taw qhia dav dav xwb (9/17/18)
- QIP_PY2_Value Sets_by_Measure_for_MCPs_for_DPH_Reporting_04_04_2019.xls
- QIP DATA SHARING FILE TEMPLATEv1.xls – Daim qauv no yog raws li Inland Empire Health Plan's (IEHP) PRIME Data Sharing File Template los muab cov ntaub ntawv PRIME rau cov neeg koom tes hauv IEHP lub nroog.
- QIP_PY3_Value Sets_by_Measure_for_MCPs_for_DPH_Reporting
- QIP-PY3.5-Value-Sets-by-Measure-for-MCPs-for-DPH-Reporting
- QPL-20-002 Kev Sib Koom Cov Ntaub Ntawv (TSIS MUAJ QPL-21-004)
- QPL-21-004 Kev Sib Koom Cov Ntaub Ntawv (NEW-SUPERCEDES QPL-20-002)
- QIP PY4 Tus Nqi Teeb Los Ntawm Kev Ntsuas Rau QIP Entity/MCP Kev Sib Koom Cov Ntaub Ntawv - MCPs yuav tsum muab cov ntaub ntawv tsawg kawg nkaus rau QIP entities thaum Lub Plaub Hlis 30, 2022.
- QPL-22-001 Kev Sib Koom Cov Ntaub Ntawv (SUPERCEDES QPL-21-004)
- QIP PY5 Tus Nqi Teev los ntawm Kev Ntsuas rau QIP Qhov Chaw / MCP Cov Ntaub Ntawv Sib Koom -MCPs yuav tsum muab cov ntaub ntawv tsim nyog tsawg kawg nkaus rau QIP cov chaw ua ntej lub Plaub Hlis 30, 2023.
- QPL-22-005 Kev Sib Koom Cov Ntaub Ntawv (SUPERCEDES QPL-22-001)
QIP Evaluations
- Txoj Haujlwm Xyoo 1: SFY 2017/2018
- Txoj Haujlwm Xyoo 2: SFY 2018/2019
- Program Xyoo 3: SFY 2019/2020
- Program Year 3.5: SFY July 2020 – December 2020
- Program Year 4: SFY January 1, 2021 – December 31, 2021
- Program Year 5: SFY January 1, 2022 – December 31, 2022
- Program Year 6: CY January 1, 2023 – December 31, 2023
Tiv tauj peb
For more information, please contact the QIP team at qip@dhcs.ca.gov.