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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.

Texas Response to CMS Round 1 Questions for SFY 2023 QIPP (04/21/2022) (.pdf)
Texas Response to CMS Round 2 Questions for SFY 2023 QIPP (05/16/2022) (.pdf)
Texas Response to CMS Round 3 Questions for SFY 2023 QIPP (06/08/2022) (.pdf)
Texas Response to CMS Round 4 Questions for SFY 2023 QIPP (07/07/2022) (.pdf)
CMS Renewal Approval Letter for SFY 2023 QIPP (08/01/2022) (.pdf)
QIPP Approval Letter (11/15/2021) (.pdf)

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

New TAC updates effective January 2024: see preamble and rule text here. (.pdf)

Pre-Print Packages

View Updated SFY 2022 QIPP Pre-Print Package of 10/13/2021 (.zip)
View Updated SFY 2022 QIPP Pre-Print Package as of 9/29/2021 (.zip)
View Updated SFY 2022 QIPP Pre-Print Package as of 9/15/2021 (.pdf)
Reconciliation Visual Applicable to all pre-prints SFY 2022 as of 9/15/2021 (.pdf)
View Proposed SFY 2022 QIPP Pre-Print Package as of 07/13/2021 (.zip)
View Approved SFY 2023 QIPP Pre-Print Package as of 8/1/2022 (.zip)
View Approved SFY 2022 QIPP Pre-Print Package as of 4/21/2022 (.zip)
View Proposed SFY 2023 QIPP Pre-Print Package of 03/01/2022 (.zip)
View Proposed SFY 2024 QIPP Pre-Print Package as of 6/1/2023 (.zip)
Approved Pre-print for SFY 2024 QIPP

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)

Related Documents

View QIPP Year 1 - IGT Summary (pdf): This document provides the total funds transferred from participating nursing facilities, including refunds, via intergovernmental transfers (IGT) for QIPP Year 1 (SFY18).

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)

Related Documents

View QIPP Year 2 - IGT Summary (pdf): This document provides the total funds transferred from participating nursing facilities, including refunds, via intergovernmental transfers (IGT) for QIPP Year 2 (SFY19).

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)

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

View QIPP Adjustment Period 3 Year 4 Scorecard (.xlsx)

Related Documents

View QIPP Year 3 - IGT Summary (pdf): This document provides the total funds transferred from participating nursing facilities via intergovernmental transfers (IGT) for QIPP Year 3 (SFY20). IGT refunds will be updated upon reconciliation.

View 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 (.xlsx)

Adjustment Periods

View QIPP Adjustment Period 1 Year 4 Scorecard (.xlsx)

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

View QIPP Adjustment Period 3 Year 4 Scorecard (.xlsx)

Related Documents

View QIPP Year 4 - IGT Summary (pdf): This document provides the total funds transferred from participating nursing facilities via intergovernmental transfers (IGT) for QIPP Year 4 (SFY21). IGT refunds will be updated upon reconciliation.

View 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 01/2020)

View 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 05/2020)

View 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)

View QIPP Year 4 Dates to Remember (.pdf): This document is a quick reference for due dates throughout the program year. (Updated 06/25/2021)

View QIPP Year 4 Webinar Slides (.pdf): This is a PDF version of the slides used in the 08/23/2020 Webinar.

View QIPP Year 4 Webinar Video (.wmv): A recording of the live webinar held on 08/23/2020.

View QIPP Year 4 Interim Allocation (.pdf)

View QIPP Year 4 Final IGT Reconciliation (.xlsx)

QIPP Year 5 (SFY22)

Monthly Payments 

View January QIPP Year 5 Scorecard (.xlsx)

View February QIPP Year 5 Scorecard (.xlsx)

View March QIPP Year 5 Scorecard (.xlsx)

View April QIPP Year 5 Scorecard (.xlsx)

View May QIPP Year 5 Scorecard (.xlsx)

View June QIPP Year 5 Scorecard (.xlsx)

View July QIPP Year 5 Scorecard (.xlsx)

View September QIPP Year 5 Scorecard (.xlsx)

View August QIPP Year 5 Scorecard (.xlsx)

View October QIPP Year 5 Scorecard (.xlsx)

View November QIPP Year 5 Scorecard (.xlsx)

View December QIPP Year 5 Scorecard (.xlsx)

Quarterly Payments

View Quarter 1 QIPP Year 5 Scorecard (.xlsx)

View Quarter 2 QIPP Year 5 Scorecard (.xlsx)

View Quarter 3 QIPP Year 5 Scorecard (.xlsx)

View Quarter 4 QIPP Year 5 Scorecard (.xlsx)

Adjustment Periods

View QIPP Adjustment Period 1 Year 5 Scorecard (.xlsx)

View QIPP Adjustment Period 2 Year 5 Scorecard (.xlsx)

Related Documents

View QIPP SFY 2022 Component 1 Condition of Participation Remediation List (.xlsx) (Posted 10/20/2022)

View QIPP SFY 2022 Component 2 Condition of Participation Remediation List (.xlsx) (Posted 10/20/2022)

View 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)

View 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.

View QIPP Year 5 Dates to Remember (.pdf): This document is a quick reference for important dates throughout the program year. (Updated 08/12/2022)

View 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)

View QIPP Primary Contacts for Submission Portal (.xlsx): This list contains the contact names and email addresses of the NF primary contacts for the QIPP data submission portal. (Updated 10/26/21)

View QIPP Year 5 Scorecard Training Video (.wmv): The QIPP Year 5 Scorecard Training video focuses on the "Scorecard" tab and is most useful for stakeholders who are new to the program.

View QIPP Year 5 IGT Call – December 2021 (.xlsx) (Updated 12/09/2021)

View QIPP Year 5 IGT Information (.pdf)

View QIPP Year 5 SFY22 Component One Interim Allocation Reconciliation here (.pdf) and here (.xlsx)

QIPP Year 6 (SFY23)

Monthly Payments

View August QIPP Year 6 Scorecard (.xlsx) 

View September QIPP Year 6 Scorecard (.xlsx) 

View October QIPP Year 6 Scorecard (.xlsx)

View November QIPP Year 6 Scorecard (.xlsx)

View December QIPP Year 6 Scorecard (.xlsx)

View January QIPP Year 6 Scorecard (.xlsx)

View February QIPP Year 6 Scorecard (.xlsx)

View March QIPP Year 6 Scorecard (.xlsx)

View April QIPP Year 6 Scorecard (.xlsx)

View May QIPP Year 6 Scorecard (.xlsx)

View June QIPP Year 6 Scorecard (.xlsx) (Updated 08/04/2023)

View July QIPP Year 6 Scorecard (.xlsx) (Updated 09/01/2023)

Quarterly Payments

View Quarter 1 QIPP Year 6 Scorecard (.xlsx)

View Quarter 2 QIPP Year 6 Scorecard (.xlsx)

View Quarter 3 QIPP Year 6 Scorecard (.xlsx) (Posted 08/02/2023)

View Quarter 4 QIPP Year 6 Scorecard (.xlsx) (Posted 10/30/2023)

Adjustment Period

View QIPP Adjustment Period 1 Year 6 Scorecard (.xlsx)

Related Documents

View QIPP Year 6 Estimated Component Values and Suggested IGT (.xslx) (Updated 05/10/2023): 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.

View QIPP Year 6 Dates to Remember (.pdf): This document is a quick reference for important dates throughout the program year. (Updated 04/07/2023)

View QIPP Year 6 Eligibility List (.xlsx): QIPP Year 6 (SFY23) requires a 65% Medicaid utilization to participate as a privately-owned facility. (Updated 05/03/2022)

View QIPP Year 6 IGT Call – December 2022 (.xlsx) (Updated 11/17/2022)

View QIPP Year 6 IGT Call – May 2022(.xlsx) (Updated 5/16/2022)

View QIPP Application Fee Voucher (.pdf)

View QIPP Year 6 Application Instructions (.pdf)

View QIPP SFY 2023 Component 1 Condition of Participation Remediation List (.xlsx) (Updated 12/12/2023)

View QIPP SFY 2023 Component 2 Condition of Participation Remediation List (.xlsx) (Updated 12/12/2023)

View QIPP Year 6 First IGT Reconciliation

View QIPP Year 6 SFY23 Component One Interim Allocation Reconciliation (.xlsx) View PDF version here (.pdf).

QIPP Year 7 (SFY24)

Monthly Payments

View September QIPP Year 7 Scorecard (.xlsx)

View October QIPP Year 7 Scorecard (.xlsx)

View November QIPP Year 7 Scorecard (.xlsx)

View December QIPP Year 7 Scorecard (.xlsx)

Quarterly Payments

View Quarter 1 QIPP Year 7 Scorecard (.xlsx)

Related Documents

SFY24 QIPP Program Eligibility Initial Notice Letter_Sample.pdf: This document is a sample of the correspondence sent to all SFY24 QIPP Non-State Government Owned (NSGO) Nursing Facilities pertaining to program eligibility and active partnerships.

View QIPP Year 7 Estimated Component Values Suggested IGT (.xslx) (Updated April 24, 2023): 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.

View QIPP Year 7 Enrollment Tracking (.xlsx): This document provides enrollment information to reflect if a nursing facility has submitted a QIPP Year 7 application and certification – both of which are required to complete the application process. All certified applications received by the QIPP Year 7 enrollment deadline of March 31, 2023 at 5pm will be validated before finalizing enrollment. (Updated through 03/31/2023 at 5pm).

View QIPP Year 7 Dates to Remember (.pdf): This document is a quick reference for due dates throughout the program year. (Updated 12/2023)

View QIPP Year 7 Eligibility List (.xlsx): QIPP Year 7 (SFY24) requires a 65% Medicaid utilization to participate as a privately-owned facility. (Updated 02/27/2023)

View QIPP Application Fee Voucher (.pdf)

View QIPP Year 7 Application Instructions (.pdf)

QIPP Year 7 IGT Call - May 2023 & December 2023 (.xlsx)

Year 7 QIPP Primary Contacts for Submission Portal (.xlsx) Posted (09/18/2023)

QIPP Year 8 (SFY25)

Related Documents

View the Non-Disbursed Funds Measure (.pdf)

View QIPP Year 8 Dates to Remember (.pdf)

View QIPP Year 8 Eligibility List (.xlsx) (Updated 01/19/2024)

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.