Quality Incentive Payment Program (QIPP)

General Information

During the 83rd Legislative Session, the Texas Legislature outlined its goals for adding managed care to nursing facilities. The Texas Health and Human Services Commission was directed to encourage transformative efforts in the delivery of nursing facility services, including "efforts to promote a resident-centered care culture through facility design and services provided."

In 2014, HHSC established the Minimum Payment Amount Program, which became effective in 2015. MPAP establishes minimum payment amounts for qualified nursing facilities in STAR+PLUS. The STAR+PLUS managed care organizations pay the minimum payment amounts to qualified nursing facilities based on state direction. The program was intended to be a short-term program that would ultimately transition to a performance-based initiative.

HHSC Budget Rider 97 in the 2016-2017 budget directs HHSC to transition the Minimum Payment Amount Program to the Quality Incentive Payment Program (QIPP).

The Quality Incentive Payment Program encourages nursing facilities to improve the quality and innovation of their services, using the Centers for Medicare & Medicaid five star rating system as its measure of success.

Methodology / Rules

The General Provision for QIPP Year 1 & 2 is located at Title 1 of the Texas Administrative Code, Part 15, Chapter 353, Subchapter O, Rule §353.1301. Additional information on Quality Incentive Payment Program for Nursing Facilities before September 1, 2019 is located at Title 1 of the Texas Administrative Code, Part 15, Chapter 353, Subchapter O, Rule §353.1303.
The General Provision for QIPP Year 3 is located at Title 1 of the Texas Administrative Code, Part 15, Chapter 353, Subchapter O, Rule §353.1301. Additional information on Quality Incentive Payment Program for Nursing Facilities after September 1, 2019 is located at Title 1 of the Texas Administrative Code, Part 15, Chapter 353, Subchapter O, Rule §353.1302

Quality Incentive Payment Program Scorecards

QIPP Year 1

QIPP Year 2

Quarterly Payments

Adjustment Periods

QIPP Year 3

View QIPP Year 3 Enrollment and Component Values (.xlsx) (Updated January 2020)

Quarterly Payments

View Quarter 1 QIPP Year 3 Scorecard (.xlsx)  (Updated 01/27/2020)

QIPP Year 4

The annual QIPP enrollment/application process has been delayed until Monday, March 23, 2020 and will run through April 22, 2020. An email with detailed instructions will be sent on the morning of March 23, 2020. IGT dates will be updated in accordance with the Texas Administrative Code §353.1302.

View QIPP Year 4 Eligibility List (.xlsx)

Resources

View Quality Incentive Payment Program for Nursing Homes website for information on eligibility, enrollment and news

View QIPP FAQs

If you have questions for HHSC, email: QIPP@hhsc.state.tx.us