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 Tus lej tsawg kawg nkaus ntawm cov rooj plaub.pdf (TSHOOJ LOS NTAWM QPL-19-001; Thov saib QPL-19-001)
Txoj Cai Kev Ncaj Ncees ntawm Cov Ntaub Ntawv QIP.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 PY 3 (Lub Xya Hli 1, 2019 – Lub Rau Hli 30, 2020).
QPL-19-003 Kev Tshaj Tawm PY 2 - QPL no muab cov lus qhia tshaj tawm PY 2 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 PY 3.5 kev tshaj tawm thiab kev ua tau zoo.
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 PRIME Kev Ntsuas 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
Cov Cai ntawm Qhov Kev Pabcuam {cph0}PY 4 Cov Lus Qhia
Dav Dav rau Kev Sau thiab Tshaj Tawm
Cov Ntaub Ntawv QIP { PY 4 Cov Txheej Txheem
Ntsuas QPL-21-005 – QPL no qhia rau cov chaw QIP thiab Medi-Cal Managed Care Health Plans txog kev hloov tshiab thiab kev piav qhia rau cov lus qhia txog kev 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 Neeg thiab Haiv 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 Kev Hloov Kho Tshiab
PY 5 Cov Cai Tswjfwm
{cph0}QPL-22-003 – Cov Cai Tshawb Xyuas Cov Ntaub Ntawv
QPL-22-004 – Kev Koom Tes Hauv Zej Zog Uas Tau Pom Zoo Rau PY 5
PY 6 Cov Cai Tswjfwm
PY6Cov Lus Qhia Dav Dav
QPL-23-001 – PY 5 thiab PY 6 Kev Faib Pawg Neeg thiab Haiv Neeg
QPL-23-002 – PY 5 Kev Hloov Kho Tshiab
QPL-23-003 – Kev Koom Tes Hauv Zej Zog Uas Tau Pom Zoo Rau PY 6
PY 5 Cov Chaw Koom Tes
QPL 24-001 PY6 Kev Tshaj Tawm Tshiab
QPL 24-002 Kev Kho Dua Txoj Cai Kev Ncaj Ncees ntawm Cov Ntaub Ntawv
PY5 Kev Ntsuas
Teeb {cph0}PY6 Kev Ntsuas Teeb
}PY7 Kev Ntsuas Teeb {cph0} QPL 24-003 PY7 Kev Tshaj Tawm Tshiab{
PY7 Cov Caintawm Qhov Kev Pabcuam
PY7 Cov Lus Qhia Dav Dav
{cph0}QPL 24-004 Cov Ntaub Ntawv Txoj Cai QIP rau Kev Tshawb Fawb Txog Kev Cog Lus ntawm DMPH Kev Ntsuas 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
24-007 QIP PY7 FUx Kev Ntsuas Hloov Tshiab
QPL 24-008 PY6 thiab PY7 Kev Tshawb Xyuas Hloov Tshiab
QPL 24-009 QIP DMPH Cov Nyiaj Txiag PY8 Mus rau pem hauv ntej
PY6 Cov Chaw Koom Tes (mus rau pem hauv ntej)
QPL 24-010 DMPH Kev Ntsuas Kev Cog Lus rau PY8
QPL 24-011 PY7 FUx Cov Lus Qhia Txog Kev Siv Tshuab
QPL 25-001 Yuav tsum tau MCP-tsim Baseline rau Kev Tshaj Tawm FUx Kev Ntsuas
} QPL25-002 CY 2024 Kev Hloov Kho Tshiab Kev Tshaj Tawm {cph0} CY2025
Cov Caintawm Cov Kev Pabcuam
CY2025 Cov Lus Qhia Dav Dav {
QPL 25-003 CY 2025 Q-BCS-E Kev Hloov Kho Tshiab Kev Tshaj Tawm {cph0}
QPL 25-004 CY 2025 FUx, CCS, CIS, IMA, thiab CHL Cov Lus Qhia Txog Kev Siv Tshuab
QPL 25-005 CY 2025 Q-DSF-E Kev Hloov Kho Tshiab Kev Tshaj Tawm
QPL 25-006 CY 2025 Cov Kev Ntsuas Sib Txawv
CY 2025 Cov TxheejTxheem Ntsuas
CY 2026 CovTxheej Txheem Ntsuas
QPL 25-007 Kev Koom Tes Hauv Zej Zog Pom Zoo Rau Xyoo (CY) 2025
} QPL26-001 Cov Ntaub Ntawv Txoj Cai QIP rau Kev Ntsuam Xyuas Kev Cog Lus ntawm DMPH Kev Ntsuas thiab Daim Ntawv Thov Koom Tes Hauv Zej Zog
QPL 26-002 Kev Koom Tes Hauv Zej Zog Pom Zoo Rau Xyoo (CY) 2026
CY2026 Cov Cai ntawm Cov Kev Pabcuam
CY2026 Cov Lus Qhia Dav Dav
Cov ntaub ntawv sib qhia
Kev Sib Koom Cov Ntaub Ntawv rau SFY 17-18 QIP Memorandum (9/10/2018)
QIP Value Sets by Measure for MCPs for DPH Reporting (9/18/2018)
QIP Reporting Manual PY1: for general guidance only (9/17/18)
QIP_PY2_Value Sets_by_Measure_for_MCPs_for_DPH_Reporting_04_04_2019.xls
QIP DATA SHARING FILE TEMPLATEv1.xls – This template is based on Inland Empire Health Plan’s (IEHP) PRIME Data Sharing File Template to provide IEHP’s County partners with PRIME data.
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 Data Sharing (SUPERCEDED BY QPL-21-004)
QPL-21-004 Data Sharing (NEW-SUPERCEDES QPL-20-002)
QIP PY4 Value Sets by Measure for QIP Entity/MCP Data Sharing – MCPs should provide the minimum necessary data to QIP entities by April 30, 2022.
QPL-22-001 Data Sharing (SUPERCEDES QPL-21-004)
QIP PY5 Value Sets by Measure for QIP Entity/MCP Data Sharing -MCPs should provide the minimum necessary data to QIP entities by April 30, 2023.
QPL-22-005 Data Sharing (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.