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)

View QIPP Adjustment Period 3 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)

View QIPP Adjustment Period 2 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 April QIPP Year 4 Scorecard (.xlsx)

View May QIPP Year 4 Scorecard (.xlsx)

View June QIPP Year 4 Scorecard (.xslx)

View July QIPP Year 4 Scorecard (.xslx) (Updated 08/19/2021)

View August 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)

View Quarter 3 QIPP Year 4 Scorecard (.xslx)

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 06/25/2021)

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)

Related Documents

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

QIPP Year 5 Estimated Component Values and Suggested IGT (.xslx) (Posted 04/27/2021) The non-federal share of all QIPP payments is funded through Intergovernmental Transfers (IGT) from sponsoring non-state government-owned (NSGO) entities. The estimated component values and suggested IGT provide NSGO NFs with information they can use to determine the amount of IGT they wish to transfer.

QIPP Year 5 Dates to Remember (.pdf)This document is a quick reference for important dates throughout the program year. (updated 06/25/2021)

QIPP Year 5 Component Values (.xlsx)- This document provides the final enrollment list and the maximum estimated values of the components based on funds available after the June 2021 IGT. (Posted 06/08/2021)

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@hhs.texas.gov.