An official State of Texas website.
HHSC has published the following two lists of Nursing Facilities (NFs) that have not yet met the conditions of participation (CoP) for the Quality Incentive Payment Program (QIPP) SFY 2023 program year. These lists are also available for download from the LTSS Provider Finance QIPP webpage under the “QIPP Year 6 (SFY23)” dropdown:
SFY 2023 CoP requirements include submission of one or more Performance Improve Project (PIP) reporting templates twice a year. Submissions for the initial reporting period were due to HHSC on Dec. 6, 2022, and required NFs to complete tabs 1 through 3 of the applicable MS Excel template, which covered data and information constituting the PIP charter.
HHSC has notified the current registered NF ownership representatives (on record in the QIPP Data Submission Portal), if the facility has not met the required CoPs via email. All NFs on the list must submit the required documentation by replying to the appliable email as soon as possible, and no later than Friday, June 2, 2023.
Provider Performance Review
HHSC conducted a review of PIP submissions received for the initial SFY 2023 reporting period. A total of 595 NFs (from the 715 eligible NFs) have met Component One requirements, and a total of 677 NFs (from the 951 eligible NFs) have met Component Two requirements.
Many NFs were marked as non-compliant due to a failure to submit templates for the required components. For those NFs that submitted a template that was determined to be non-compliant, the specific reason for the non-compliance is included on the notification lists linked above.
To verify that your NF has met the CoP requirements, review the notification lists linked above. If your facility is on a list, to meet all conditions of participation, you must submit one Component One PIP Reporting Template (MS Excel) and/or one Component Two PIP Reporting Template (MS Excel) with tabs 1 through 3 completed and all supporting documentation required for the initial SFY 2023 submission period.
Requirements and Recoupment
In accordance with a 1 Tex. Admin. Code § 353.1302(e)(6), failure to submit the required information in the required format will result in the nursing facility’s removal from the program and recoupment of all funds previously paid during the SFY 2023 program period. For questions, please email QIPP@hhs.texas.gov.