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

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

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)

QIPP Year 3

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

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 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) 

QIPP Year 4

View QIPP Year 4 Eligibility List (.xlsx)

IGT

View QIPP Year 4 Enrollment, Component Values, and IGT Recommendations (.xlsx)

To assist stakeholders during the coronavirus (COVID-19) emergency, the Health and Human Service Commission (HHSC) is changing the schedule for intergovernmental transfers (IGT) for the Quality Improvement Payment Program (QIPP). HHSC will allow units of government to make the first half of their QIPP IGT commitments in two quarterly payments. The first IGT is due to HHSC by June 3, 2020 and the second is due August 10, 2020. The IGT commitments for the second half of fiscal year 2021 will follow a normal timeline and be due in December.

Timeline and associated dates:

03/23/20

QIPP Year 4 enrollment begins

04/22/20

QIPP Year 4 enrollment ends

04/24/20

IGT Notification of suggested IGT responsibilities shared with eligible providers

05/12/20

IGT Declaration of Intent due

06/03/20

First IGT deposit due

08/10/20

Second IGT deposit due

11/12/20

IGT Notification of suggested IGT responsibilities, for second half of eligibility year, shared with eligible providers

12/03/20

Second half of IGT due

If you have questions regarding the IGT, please email QIPP@hhsc.state.tx.us.

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