CY2023 WQIP Final Payment Report
| 12/30/2024
| Acuity Adjusted Staffing Hour Metrics: April 1,2023-September 30, 2023
Staffing Turnover Metric: April 1, 2022– September 30, 2023 MDS Clinical Metrics: July 1, 2022–June 30, 2023 Claims-Based Clinical Metrics: January 1, 2023– December 31, 2023 Medi-Cal Disproportionate Share Metric: January 1, 2023– December 31, 2023 MDS Racial and Ethnic Data Completeness Metric: January 1, 2023– December 31, 2023
| PY1 (2023)
| DHCS disseminated the CY2023 SNF WQIP Final Payment Report to SNF stakeholders on December 30, 2024 and published the report to the webpage. Please note, DHCS sent the CY 2023 SNF WQIP Final Per Diem Exhibits to managed care plans (MCPs) on December 20, 2024. MCPs were instructed to make payments to facilities within 45 calendar days of receiving payment exhibits from DHCS (i.e., February 3, 2025) or within 30 calendar days of receiving a clean claim from the provider, whichever is later. Additionally, the A and AA citations are not reflected in this report. MCPs have access to the A and AA citation information ( CDPH State Enforcement Actions Dashboard) to make payment adjustments, if necessary. Please direct questions regarding SNF WQIP scores or the general program to SNFWQIP@dhcs.ca.gov. Please direct questions regarding SNF WQIP payments to the MCP Contacts. DHCS and its contractor calculated facility rates for the three SNF WQIP Claims-Based Long-Term Care (LTC) Metrics for Program Year (PY) 1 (2023). These data would have been shared in the PY 1 final report, but the data were not ready in time to be tied to payment.
The SNF WQIP PY1 (2023) Claims-Based LTC Metrics- Facility Rates spreadsheet contains the PY 1 facility level rates for the Outpatient ED Visits per 1,000 Long-Stay Resident Days, the Healthcare-Associated Infections Requiring Hospitalization, and Potentially Preventable 30-Day Post-Discharge Readmission metrics and is limited to the facilities present in the WQIP PY 1 facility list.
Please note, the SNF WQIP PY1 (2023) Claims-Based LTC Metrics- Facility Rates spreadsheet is published as a supplemental information report. Additionally noting, DHCS is currently measuring performance for PY 2 (2024) in the SNF WQIP.
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CY2023 SNF WQIP Days Summary SNF WQIP Qualifying Facilities List
| 7/31/2024
| N/A
| PY1 (2023)
| Please refer to the CY2023 SNF WQIP Days Summary SNF WQIP Qualifying Facilities List for (1) NPIs that DHCS has on file for qualifying facilities as of August 1, 2024 for SNF WQIP PY 1 (2023) (see first tab). Please note, this list is finalized and will be included in the upcoming Program Year (PY) 1 (2023) final payment report for SNF WQIP. (2) a list of WQIP contracted and non-contracted days as of May 9, 2024 (see second and third tabs).
The NPIs for the 2023 SNF WQIP Interim Payment were obtained from publicly available CDPH licensing data. All facilities should verify that the correct NPIs and Health Care Access and Information (HCAI) IDs are listed for their facility for any 2023 dates of service. If your current or previous NPI is not listed on the CY2023 SNF WQIP Days Summary SNF WQIP Qualifying Facilities List, please email the DHCS SNFWQIP Inbox at
SNFWQIP@dhcs.ca.gov and complete the form provided in the automatic reply. Note that if an incorrect NPI is listed along with all correct NPIs, there is no reason to reach out to DHCS via email. Please note, only submit one form per facility. |
CY 2023 SNF WQIP Second Interim Payments
| 6/27/2024
| Acuity Adjusted Staffing Metrics:
April 2023-September 2023
Staffing Turnover: April 2022-September 2023 (inclusive of lookback and look-forward quarters)
MDS Clinical Metrics:
July 2022-June 2023
| PY1 (2023)
| The Interim payments are adjusted based on AA/A citation data from the California Department of Public Health (CDPH) for CY 2023 (for any dates of violation that occurred in part or wholly in CY 2023). Adjustments to interim payments have been made based on both open and closed AA/A citations. 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% after all other calculations have been performed. The second interim payment is available at
CY 2023 SNF WQIP Second Interim Payments. DHCS will release guidance to MCPs later in 2024 to issue final payments to SNFs based on CY 2023 SNF WQIP-Eligible Days reported to DHCS's data warehouse by June 30, 2024, and final scores for all SNF WQIP metrics including acuity-adjusted staffing hour metrics, staff turnover metric, MDS clinical metrics, claims-based clinical metrics, Medi-Cal disproportionate share metric, and MDS racial and ethnic data completeness metric.
DHCS is aware that some facilities are working with MCPs to resolve technical discrepancies in days reported to the data warehouse.
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CY 2023 SNF WQIP Interim Payments
| 3/29/2024
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Acuity Adjusted Staffing Metrics:
April 2023-September 2023
Staffing Turnover: April 2022-September 2023 (inclusive of lookback and look-forward quarters)
MDS Clinical Metrics: July 2022-June 2023
| PY1 (2023)
| DHCS has published 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 payments. There are two interim payments being made based on the SNF WQIP-Eligible Days reported by MCPs to DHCS's data warehouse for CY 2023. The first payment is based on the reported data by December 31, 2023, and the second payment is based on the data reported by March 31, 2024. These payments are determined by scores for the acuity-adjusted staffing hour metrics, staff turnover metric, and Minimum Data Set (MDS) clinical metrics. The payment amounts and additional information for each facility are available at
CY 2023 SNF WQIP Interim Payments. MCPs are required to distribute all payments to facilities no later than 45 days after receiving payment exhibits from DHCS; payment exhibits for the first payment were sent on March 29, 2024 and for the second payment on June 21, 2024.
The second payment is occurring to account for updates to SNF WQIP-Eligible bed day data and/or NPI corrections. For the second payment only, MCPs are being directed to issue payments to SNFs, if relative to the first payment (if any), at least $10,000 additional dollars are due to a specific SNF.
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