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 (SFY18)

Monthly Payments

View January Component 1 QIPP Year 1 Scorecard(.xlsx)

View February Component 1 QIPP Year 1 Scorecard(.xlsx)

View March Component 1 QIPP Year 1 Scorecard(.xlsx)

View April Component 1 QIPP Year 1 Scorecard(.xlsx)

View May Component 1 QIPP Year 1 Scorecard(.xlsx)

View June Component 1 QIPP Year 1 Scorecard(.xlsx)

View July Component 1 QIPP Year 1 Scorecard(.xlsx)

View August Component 1 QIPP Year 1 Scorecard(.xlsx)

View September Component 1 QIPP Year 1 Scorecard(.xlsx)

View October Component 1 QIPP Year 1 Scorecard(.xlsx)

View November Component 1 QIPP Year 1 Scorecard(.xlsx)

View December Component 1 QIPP Year 1 Scorecard(.xlsx)

Quarterly Payments

View Quarter 1 QIPP Year 1 Scorecard (.xlsx)

View Quarter 2 QIPP Year 1 Scorecard (.xlsx)

View Quarter 3 QIPP Year 1 Scorecard (.xlsx)

View Quarter 4 QIPP Year 1 Scorecard  (.xlsx)

Adjustment Periods

View QIPP Adjustment Period 1 Year 1 Scorecard (.xlsx)

View QIPP Adjustment  Period 2 Year 1 Scorecard (.xlsx)

View QIPP Adjustment  Period 3 Year 1 Scorecard (.xlsx)

QIPP Year 2 (SFY19)

Monthly Payments 

View January Component 1 QIPP Year 2 Scorecard (.xlsx)

View February Component 1 QIPP Year 2 Scorecard (.xlsx)

View March Component 1 QIPP Year 2 Scorecard (.xlsx)

View April Component 1 QIPP Year 2 Scorecard (.xlsx)

View May Component 1 QIPP Year 2 Scorecard (.xlsx)

View June Component 1 QIPP Year 2 Scorecard (.xlsx)

View July Component 1 QIPP Year 2 Scorecard (.xlsx)

View August Component 1 QIPP Year 2 Scorecard(.xlsx)

View September Component 1 QIPP Year 2 Scorecard (.xlsx)

View October Component 1 QIPP Year 2 Scorecard (.xlsx)

View November Component 1 QIPP Year 2 Scorecard (.xlsx)

View December Component 1 QIPP Year 2 Scorecard (.xlsx)

Quarterly Payments

View Quarter 1 QIPP Year 2 Scorecard (.xlsx)

View Quarter 2 QIPP Year 2 Scorecard (.xlsx)

View Quarter 3 QIPP Year 2 Scorecard (.xlsx)

View Quarter 4 QIPP Year 2 Scorecard  (Revised) (.xlsx)

Adjustment Periods

View QIPP Adjustment Period 1 Year 2 Scorecard (.xlsx)

View QIPP Adjustment Period 2 Year 2 Scorecard (.xlsx)

QIPP Year 3 (SFY20)

Monthly Payments 

View January QIPP Year 3 Scorecard (.xlsx)

View February QIPP Year 3 Scorecard (.xlsx)

View March QIPP Year 3 Scorecard (.xlsx)

View April QIPP Year 3 Scorecard (.xlsx)

View May QIPP Year 3 Scorecard (.xlsx)

View June QIPP Year 3 Scorecard (.xlsx)

View July QIPP Year 3 Scorecard (.xlsx)

View August QIPP Year 3 Scorecard (.xlsx)

View September QIPP Year 3 Scorecard (.xlsx)

View October QIPP Year 3 Scorecard (.xlsx)

View November QIPP Year 3 Scorecard (.xlsx)

View December QIPP Year 3 Scorecard (.xlsx)

Quarterly Payments

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

View Quarter 2 QIPP Year 3 Scorecard (.xlsx)

View Quarter 3 QIPP Year 3 Scorecard (.xlsx)

View Quarter 4 QIPP Year 3 Scorecard (.xlsx) 

Adjustment Periods

View QIPP Adjustment Period 1 Year 3 Scorecard (.xlsx)

Related Documents

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

QIPP Year 4 (SFY21)

Monthly Payments 

View January QIPP Year 4 Scorecard (.xlsx)

View February QIPP Year 4 Scorecard (.xlsx)

View March QIPP Year 4 Scorecard (.xlsx)

View September QIPP Year 4 Scorecard (.xlsx)

View October QIPP Year 4 Scorecard (.xlsx)

View November QIPP Year 4 Scorecard (.xlsx)

View December QIPP Year 4 Scorecard (.xlsx)

Quarterly Payments

View Quarter 1 QIPP Year 4 Scorecard (.xlsx)

View Quarter 2 QIPP Year 4 Scorecard (.xlsx)

Related Documents

QIPP Year 4 Eligibility List (.xlsx)- This document provided stakeholders with individual nursing facility Medicaid utilization rates. QIPP Year 4 required a 65% Medicaid utilization to participate as a privately-owned facility. (Posted January 2020)

QIPP Year 4 Enrollment, Component Values, and IGT Recommendations (.xlsx)- This document provided the list of enrolled facilities, the maximum estimated values of the components based on a fully funded year, and the IGT recommendations for the non-state governmental entities. (Posted May 2020)

QIPP Year 4 Component Values and Metric Goals (.xlsx)- This document provides the final enrollment list and the maximum estimated values of the components based on funds available after the IGT. (Updated 04/19/2021)

QIPP Year 4 Dates to Remember (.pdf)- This document is a quick reference for due dates throughout the program year. (Updated 01/25/2021)

QIPP Year 4 Webinar Slides (.pdf)- This is a PDF version of the slides used in the August 23, 2020 Webinar.

QIPP Year 4 Webinar Video (.wmv)- A recording of the live webinar held on August 23, 2020.

QIPP Year 5 (SFY22)

View the Instructions for QIPP Year 5 Application (.pdf) (Updated 03/15/2021)

QIPP Year 5 Eligibility List (Updated 03/12/2021) (.xlsx) QIPP Year 5 (SFY22) requires a 65% Medicaid utilization to participate as a privately-owned facility. (Posted January 2021)

Planning has started for nursing facility enrollment in the Quality Incentive Payment Program Year Five. The eligibility period is September 1, 2021 to August 31, 2022. Use the following information and deadlines to guide your participation decision and enrollment process:

  • To enroll in QIPP under a new ownership or new class, changes of ownership must be received by February 12, 2021. The effective date must be 30 days or more after submission of the CHOW application.
  • A list of eligible private facilities for enrollment in QIPP Year Five (SFY22) will be posted no later than January 15, 2021.
  • The enrollment period for QIPP Year Five is March 15, 2021 to April 15, 2021. More enrollment details will be provided as the enrollment window approaches.
  • Non-state government-owned facilities participating in QIPP Year Five will receive suggested inter-governmental transfer responsibilities on April 27, 2021.
  • NSGOs participating in the IGT QIPP funding process must make their IGT declaration of intent by May 12, 2021. The expected settlement dates are: 
    • First half due by June 2, 2021 for settlement on June 3, 2021
    • Second half due by December 1, 2021 for settlement on December 2, 2021.

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