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Interim Payment for SNF Workforce and Quality Incentive Program
| The Department of Health Care Services (DHCS) has published the Medi-Cal Managed Care Plan (MCP) payment instructions for the Skilled Nursing Facility (SNF) Workforce and Quality Incentive Program (WQIP) Calendar Year (CY) 2023 interim payment. For additional context, please review NewsFlash article.
| 4/5/2024
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Validate NPI for SNF Workforce and Quality Incentive Program
| The Department of Health Care Services (DHCS) requests that SNF stakeholders validate facility details for SNF Workforce and Quality Incentive Program. Providers should verify that the NPIs and Health Care Access and Information (HCAI) ID listed for their facility in the WQIP Qualifying List spreadsheet are correct for 2023 dates of service.
| 5/1/2024
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June 2024 Update: Interim Payments for SNF WQIP
| The Department of Health Care Services (DHCS) has published the second interim payment for the Skilled Nursing Facility (SNF) Workforce and Quality Incentive Program (WQIP) for calendar year 2023.
The interim payments have been adjusted based on AA/A citation data from the California Department of Public Health for any dates of violation that occurred in part or wholly in calendar year 2023. If a facility has an open or closed AA citation, the interim payment will be zero. If the facility has an open or closed A citation, the payment is reduced by 40 percent after all other calculations have been performed. Payment amounts and additional information for each facility are available on the Skilled Nursing Facility Workforce and Quality Incentive Program web page. Managed care plans (MCPs) are required to distribute all payments to SNFs no later than 45 days after receiving payment exhibits from DHCS. | 6/28/2024
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SNF WQIP Data Release Notification and Days Summary
| On May 24, 2024, the Department of Health Care Services (DHCS) released the latest calendar year 2023 Skilled Nursing Facility (SNF) Workforce and Quality Incentive Program (WQIP) bed day data set to Medi-Cal Managed Care Plans (MCPs). This data will aid MCPs and SNFs in reconciling bed days for calendar year 2023 SNF WQIP scoring and payment purposes.
| 6/7/2024
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Skilled Nursing Facilities to Validate NPI(s) for SNF WQIP Final Payment Report
| The Department of Health Care Services (DHCS) aims to publish the calendar year 2023 final payment report for the Skilled Nursing Facility (SNF) Workforce and Quality Incentive Program (WQIP) at the end of September to early October. Ahead of the next data pull, all facilities should verify that the correct National Provider Identifiers (NPIs) and Health Care Access and Information (HCAI) IDs are listed for their facility for any 2023 dates of service.
| 7/19/2024 |
Last modified date:
12/24/2024 10:22 AM
