Tsev Cov Kev Pabcuam Kev Pab Cuam Txhawb Nqa Cov Neeg Ua Haujlwm Saib Xyuas Neeg Mob thiab Zoo​​ 

Kev Pabcuam Saib Xyuas Kev Ua Haujlwm Kev Ua Haujlwm Zoo thiab Kev Pabcuam Zoo​​ 

Raws li Lub Xeev California Txoj Cai Lij Choj Nyiaj Txiag Rau Lub Xeev Xyoo 2025-26, Lub Chaw Pabcuam Saib Xyuas Neeg Mob (SNF) Kev Ua Haujlwm thiab Kev Pabcuam Zoo (WQIP) yuav xaus rau lub Kaum Ob Hlis 31, 2025. DHCS yuav hloov kho lub vev xaib no nrog cov ntsiab lus ntxiv yav tom ntej.​​ 

Rov qab mus rau: Kev Them Nyiaj Ncaj Qha​​ 

Lub Chaw Saib Xyuas Neeg Mob Txawj (SNF) Cov Neeg Ua Haujlwm & Kev Txhawb Nqa Zoo (WQIP) txhawb nqa cov chaw kom txhim kho qhov zoo ntawm kev saib xyuas, ua kom muaj kev ncaj ncees hauv cov txiaj ntsig kev kho mob, thiab nqis peev rau hauv cov neeg ua haujlwm. SNF WQIP ua haujlwm ua ib qho kev pab cuam them nqi uas tau taw qhia hauv Medi-Cal Managed Care delivery system rau cov neeg muab kev pabcuam hauv network uas tsim nyog. SNF WQIP tau txais kev tso cai los ntawm Welfare & Institutions Code Section 14126.024 (ntxiv los ntawm Assembly Bill (AB)186 (Tshooj 46, Statutes of 2022)) rau hnub ua haujlwm txij lub Ib Hlis 1, 2023 txog rau lub Kaum Ob Hlis 31, 2026. SNF WQIP ua tiav qhov kev pab cuam SNF Quality and Accountability Supplemental Payment (QASP) yav dhau los.​​ 

Yog xav paub ntxiv txog lwm yam Kev Pabcuam Saib Xyuas Kev Khomob Nyiaj Txiag tau tso cai los ntawm AB 186, thov mus saib Nursing Facility Financing Reform AB 186.​​ 

Hloov tshiab tseem ceeb​​ 

DHCS yuav tshaj tawm cov kev hloov tshiab tseem ceeb thaum lawv muaj.​​ 

Qhov Kawg: Daim Ntawv Teev Npe Tsim Nyog ntawm SNF WQIP CY2025 suav nrog Cov Cim Qhia Txog Tus Muab Kev Pabcuam Hauv Tebchaws (NPIs) thiab Cov Ntaub Ntawv Nkag Mus Rau Kev Kho Mob (HCAI) rau cov chaw tsim nyog hauv SNF WQIP rau CY 2025 (PY3). Cov kev hloov tshiab NPI yog vim SNF WQIP Inbox thaum Lub Ob Hlis 4, 2026.​​ 

DHCS thiab nws tus neeg cog lus, Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv (HSAG), siv Cov Ntaub Ntawv Tsawg Kawg Nkaus (MDS) los ntawm Lub Chaw rau Medicare thiab Medicaid Services (CMS) rau SNF WQIP. Thaum lub Cuaj Hlis 2024, CMS tau tshem tawm HSAG txoj kev nkag mus rau cov ntaub ntawv MDS. DHCS thiab HSAG tau pib ua cov txheej txheem tam sim ntawd kom tau txais kev nkag mus rau cov ntaub ntawv MDS los ntawm lwm txoj kev sib txawv.​​ 

Txoj haujlwm nrog CMS kom tau txais cov ntaub ntawv MDS txuas ntxiv mus, tab sis cov txheej txheem siv sijhawm ntev dua li qhov xav tau vim muaj ntau yam uas tsis yog DHCS tswj hwm.​​ 

Cov NewsFlash tshiab tshaj plaws thiab NewsFlash uas tau khaws cia rau hauv thaj chaw Xov Xwm ntawm lub vev xaib Medi-Cal tau txuas rau hauv qab no.​​ 

Archived NewsFlashes suav nrog cov xov xwm NewsFlash yav dhau los uas tuaj yeem raug xa mus, yog tias xav tau.​​ 

Cov ntaub ntawv tseem ceeb​​ 

Cov Ntaub Ntawv Tseem Ceeb, suav nrog SNF WQIP Cov Lus Qhia Txog Kev Pabcuam Txuj Ci.​​ 

SNF WQIP Txoj Cai Kev Pabcuam thiab Cov Ntawv Ceeb Toom los ntawm 2023 txog rau hnub tam sim no. Sau los ntawm qhov teeb meem hnub tim thiab lub npe (kev kawm).​​ 

Cov ntaub ntawv sib qhia​​ 

Cov Ntawv Qhia Txog Kev Them Nyiaj suav nrog cov ntawv qhia txog kev them nyiaj SNF WQIP, xws li Daim Ntawv Qhia Txog Kev Them Nyiaj Zaum Kawg ntawm CY2023 WQIP, Daim Ntawv Qhia Txog Kev Them Nyiaj Ib Nrab ntawm CY2023 SNF WQIP, thiab Daim Ntawv Teev Cov Chaw Tsim Nyog ntawm CY2023 SNF WQIP. Sau raws li lub npe ntawm daim ntawv tshaj tawm thiab hnub tim tshaj tawm. Kuj suav nrog lub sijhawm ntsuas, Xyoo Kev Pabcuam (PY) uas cuam tshuam, thiab cov ntsiab lus thiab kev taw qhia txog txhua daim ntawv qhia.​​ 

Thov mus saib CalHHS Open Data Portal rau SNF WQIP Quarterly Performance Report thiab cov sijhawm ua tau zoo sib xws.​​ 

Pursuant to DHCS’s Data De-identification Guidelines, DHCS is not able to publicly release any member-level rates that have a denominator less than 11. In the attached report, any rates with a denominator less than 11 are not shown for privacy reasons (i.e. to prevent the identification of individual member’s data). This is called “suppression” for privacy reasons. The suppression of these rates does not affect a facility’s ability to get payment for performance in SNF WQIP. Calculation of performance for payment will be based on the methodology in the SNF WQIP Technical Program Guide.​​ 

Cov Kws Saib Xyuas Haujlwm​​ 

Program Authorities from 2023 to the current date. Listed by issue date and title (subject).​​ 

WQIP Webinars​​ 

Lub rooj sib tham tom ntej:​​ 

Yuav tsum tshaj tawm​​ 

Cov Lus Qhia Txog Kev Sib Tham:​​ 

Yuav Ua Li Cas Tsa Tes Thaum Lub Rooj Sib Tham
Tsa koj txhais tes hauv lub rooj sib tham Teams - Kev Txhawb Nqa Microsoft​​ 

Koom nrog hauv xov tooj (suab nkaus xwb)​​ 

Thov hu rau (279) 895-6425 thiab sau lub rooj sib tham hauv xov tooj ID: 186 957 983#​​ 

Txhawm rau thov kom hais lus thaum lub sijhawm tawm tswv yim rau pej xeem, thov nias *5.​​ 

WQIP Webinars suav nrog cov ntaub ntawv nthuav qhia tshwj xeeb ntawm WQIP yav dhau los. Cov kev sib tham hauv web rau cov neeg koom nrog SNF yav tom ntej yuav muaj thiab yuav muab lub sijhawm rau cov neeg koom nrog tawm tswv yim.​​ 

Cov rooj sib tham yav dhau los nthuav tawm cov ntaub ntawv hais txog SNF WQIP, Workforce Standards Program (WSP), thiab Lub Koom Haum Saib Xyuas Kev Ua Txhaum Cai (ASP) tuaj yeem nrhiav pom nyob rau ntawm Lub Tsev Haujlwm Saib Xyuas Nyiaj Txiag Kho Mob Webpage.​​ 

AB 186 E-mail Distribution List​​ 

Qhov kev pabcuam e-mail no (ListServ) tau tsim los kom cov neeg muaj feem txaus siab tuaj yeem tau txais cov kev hloov tshiab cuam tshuam ntawm AB 186 cov kev pabcuam.​​ 

Sau npe rau e-mail tis npe.​​ 

Tiv tauj peb​​ 

For SNF WQIP program-related questions or concerns, please reach out to SNF WQIP support staff at SNFWQIP@dhcs.ca.gov.​​ 

Thov saib daim ntawv teev cov neeg hu rau SNF WQIP MCP hauv qab no txij li lub Cuaj Hli 15, 2026.​​ 

Txoj Kev Npaj Kho Mob​​ LUB NPE​​ LUB XEEM​​ Title​​ Email​​ SNF WQIP TIV TAUJ​​ 
Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv AIDS (AHF)​​ Sandy​​ Johansson​​ Tus Thawj Saib Xyuas Kev Cog Lus MediCal Qib Siab​​ PHC-Compliance@ahf.org​​ Yog lawm​​ 
Alameda Alliance​​ Laura​​ Grossman-Hicks​​ Tus Thawj Coj Qib Siab, Kev Pabcuam Kev Noj Qab Haus Huv Tus cwj pwm​​  lgrossmann@alamedaalliance.org​​  Yog lawm​​ 
Alameda Alliance​​ Carleton​​  Booker​​ Kev Pabcuam thiab Kev Txhawb Nqa Mus Ntev (LTSS) Tus Neeg Sib Txuas Lus​​ cbooker@alamedaalliance.org​​  Yog lawm​​ 
Anthem Blue Cross (Elevance)​​ Christina​​ Ma​​ GBD Finance Director​​ christina.ma@elevancehealth.com​​ Yog lawm​​ 
Anthem Blue Cross (Elevance)​​ anthemliaison@anthem.com​​ Yog lawm​​ 
Anthem Blue Cross (Elevance)​​ Mina​​ Farag​​ Tus Thawj Saib Xyuas Cov Kev Pabcuam Tshwj Xeeb​​ Mina.Farag@Anthem.com​​ Yog lawm​​ 
Anthem Blue Cross (Elevance)​​ Courtney​​ Matsushima-Razo​​  Tus Thawj Coj II - Kev Ua Raws Cai​​ Courtney.Matsushima@anthem.com​​ Yog lawm​​ 
Anthem Blue Cross (Elevance)​​ Teresa​​ Cortez​​ Tus Thawj Saib Xyuas Kev Ua Raws Cai​​ Teresa.Cortez@anthem.com​​ Yog lawm​​ 
Daim Npog Xiav (Care1st)​​ Gyan​​ Sharma​​ Tus Thawj Coj Qib Siab, Promise LOB Finance​​ Gyan.Sharma@Blueshieldca.com​​ Yog lawm​​ 
Daim Npog Xiav (Care1st)​​ Lori​​ Toj roob hauv pes​​ Senior Manager​​ Lori.Hill@blueshieldca.com​​ Yog lawm​​ 
Daim Npog Xiav (Care1st)​​ HDPPInquiries@blueshieldca.com​​ Yog lawm​​ 
California Kev Noj Qab Haus Huv & Kev Noj Qab Haus Huv​​ Edward​​  Mariscal​​ EDWARD.MARISCAL@HEALTHNET.COM​​ Yog lawm​​ 
CalOptima yog​​ Michael​​ Ntoo​​ Manager, Regulatory Affairs & Ua raws​​ mwood@caloptima.org​​ Yog lawm​​ 
CalViva​​ Daniel​​ Maychen​​ Chief Financial Officer​​ Dmaychen@calvivahealth.org​​ Yog lawm​​ 
CenCal Health​​ Cathy​​ Kev tua tsiaj​​ Tus Thawj Coj Kev Sib Raug Zoo ntawm Cov Neeg Muab Kev Pabcuam​​ cslaughter@cencalhealth.org​​  Yog lawm​​ 
Central California Alliance for Health​​ Daim Ntawv Teev Npe Faib Khoom​​ Daim Ntawv Teev Npe Faib Khoom​​ dhpp@ccah-alliance.org​​ Yog lawm​​ 
Pawg Saib Xyuas Kev Noj Qab Haus Huv​​ Scott​​  Carroll​​ Chief Financial Officer​​ SCarro@chgsd.com​​ Yog lawm​​ 
Contra Costa Health Plan​​ Chanda​​ Gonzalez​​ Tub ceev xwm ua raws cai​​ Chanda.Gonzales@cchealth.org​​ Yog lawm​​ 
Contra Costa Health Plan​​ Matt​​ Verdier​​ Tus Thawj Coj Saib Xyuas Kev Ua Raws Cai​​ matthew.verdier@cchealth.org​​ Yog lawm​​ 
Contra Costa Health Plan​​ Shulin​​  Lin​​ Tus Lwm Thawj Coj - Nyiaj Txiag​​ shulin.lin@cchealth.org​​ Yog lawm​​ 
Contra Costa Health Plan​​ Compliance@cchealth.org​​ Yog lawm​​ 
Gold Coast Health Plan​​ Vicki​​ Wrightster​​ Tus Thawj Coj Qib Siab, Kev Ua Haujlwm Hauv Network​​ vwrighster@goldchp.org​​ Yog lawm​​ 
Gold Coast Health Plan​​ Robert​​  Franco​​ Tus Thawj Coj Saib Xyuas Kev Ua Raws Cai​​  rfranco@goldchp.org​​ Yog lawm​​ 
Gold Coast Health Plan​​ Jeffrey​​ Yarges​​  Tus Thawj Coj Qib Siab, Kev Ua Raws Cai​​  jyarges@goldchp.org​​ Yog lawm​​ 
Health Net​​ Edward​​  Mariscal​​ EDWARD.MARISCAL@HEALTHNET.COM​​ Yog lawm​​ 
Health Plan ntawm San Joaquin​​ Christina​​ Villar​​ Tus Neeg Sawv Cev rau Kev Pabcuam Muab Kev Pabcuam II​​ CVillar@hpsj.com​​ Yog lawm​​ 
Health Plan ntawm San Joaquin​​ Patti​​ Jasso​​ Tus Thawj Saib Xyuas Haujlwm​​ pjasso@hpsj.com​​ Yog lawm​​ 
Health Plan ntawm San Mateo​​ Daim Ntawv Teev Npe Faib Khoom​​ Kev Ua Haujlwm Txog Cov Ntaub Ntawv Txog Cov Nyiaj Tau Los​​  RAProgram@hpsm.org​​ Yog lawm​​ 
Inland Empire Health Plan​​ Veronica​​ Gomez​​ Tus Thawj Coj, Cov Kev Pabcuam Kho Mob - Kev Sib Raug Zoo Hauv Tsev Kho Mob​​ ancillaryrelationsserviceteam@iehp.org​​ Yog lawm​​ 
Inland Empire Health Plan​​ Vivianne​​  Vega​​  Tus Kws Tshawb Fawb Txog Kev Kho Mob II​​ vivianne.vega@iehp.org​​  Yog lawm​​ 
Kaiser Foundation​​ SNF QIB​​ Inbox​​ Email rau Pawg Neeg​​ SNF-WQIP-PAYMENT-INQUIRIES@kp.org​​ Yog lawm​​ 
Kern Health System​​ Yakaunpau​​ Winfrey​​ Tus Lwm Thawj Coj ntawm Lub Koom Haum Muab Kev Pabcuam​​  SNFWQIP@khs-net.com​​ Yog lawm​​ 
LA Care Health Plan​​ Kerstin​​  Minassian​​ Tus Thawj Coj, Cov Ntawv Cog Lus Muab Kev Pabcuam thiab Kev Tswj Xyuas Kev Sib Raug Zoo​​ kminass@lacare.org​​ Yog lawm​​ 
LA Care Health Plan​​ Kimberly​​  Ko​​ Tus Thawj Coj, Kev Tswj Xyuas Kev Cai Lij Choj​​ kko@lacare.org​​ Yog lawm​​ 
LA Care Health Plan​​ Cov Lus Qhia Txog Kev Ua Raws Cai ntawm L.A. Care​​ LACareComplianceOfficer@lacare.org​​ Yog lawm​​ 
LA Care Health Plan​​ Norma​​ Carrillo​​ Tus Thawj Coj Qib Siab, Cov Ntawv Cog Lus Muab Kev Pabcuam thiab Kev Tswj Xyuas Kev Sib Raug Zoo​​ ncarillo@lacare.org​​  Yog lawm​​ 
Molina Healthcare​​ Matt​​ Arthur​​ Tus Thawj Coj, Cov Ntaub Ntawv & Kev Tshawb Fawb​​ matthew.arthur@molinahealthcare.com​​ Yog lawm​​ 
Kev Koom Tes Hauv Kev Npaj Kho Mob ntawm CA​​ Matt​​ Kerlin​​ Tus Thawj Saib Xyuas Kev Lag Luam Kev Txiav Txim & Kev Ntsuam Xyuas​​ MattKerlin@partnershiphp.org​​ Yog lawm​​ 
Kev Koom Tes Hauv Kev Npaj Kho Mob ntawm CA​​ Melanie​​  Lam​​ mlam@partnershiphp.org​​ Yog lawm​​ 
Kev Koom Tes Hauv Kev Npaj Kho Mob ntawm CA​​ Robert​​  Ducay​​ rducay@partnershiphp.org​​ Yog lawm​​ 
Kev Koom Tes Hauv Kev Npaj Kho Mob ntawm CA​​ Jennifer​​ Lopez​​ Tus Lwm Thawj Coj Saib Xyuas Nyiaj Txiag​​ JeLopez@partnershiphp.org​​ Yog lawm​​ 
San Francisco Health Plan​​ Shania​​ Dupanga​​ LTSS Liaison​​ LTSSLiaison@sfhp.org​​ Yog lawm​​ 
Santa Clara Family Health Plan​​ Eric​​ McKeeman​​ Tus Thawj Coj, Kev Tshawb Fawb & Kev Kho Kom Haum Xeeb​​ EMcKeeman@scfhp.com​​ Yog lawm​​ 
Santa Clara Family Health Plan​​ Barbara​​  Granieri​​  Tus tswj​​ BGranieri@scfhp.com​​ Yog lawm​​ 
Santa Clara Family Health Plan​​ Daniel​​  Welch​​ Tus Thawj Coj, Kev Koom Tes Ua Lag Luam IT​​  DWelch@scfhp.com​​ Yog lawm​​ 
Santa Clara Family Health Plan​​ Paj yeeb​​ Nguyen​​ RNguyen@scfhp.com​​  Yog lawm​​ 
SCAN Health Plan​​ Sharrah​​  Dawb​​ Director, Regulatory Affairs​​ swb@scanhealthplan.com​​ Yog lawm​​ 
SCAN Health Plan​​ Hiram​​  Rivera​​ Tus Kws Tshwj Xeeb Ua Raws Cai Sr.​​  hrivera@scanhealthplan.com​​ Yog lawm​​ 
SCAN Health Plan​​ SAffairs@scanhealthplan.com​​ Yog lawm​​ 
*Hloov kho tshiab txij li hnub tim 9/15/2026​​