Quality Incentive Payment Program for Nursing Homes

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The Quality Incentive Payment Program (QIPP) is a state directed payment program (DPP) designed to help nursing facilities achieve transformation in care quality through innovation. QIPP was first implemented on Sept. 1, 2017.

This page includes an overview of QIPP and current and proposed requirements and metrics. For rules, regulations and previous years’ requirements and metrics, visit QIPP Overview and History. For reporting and quality improvement resources, visit QIPP Resources.

For information on enrollment, eligibility and payment, visit the QIPP Provider Finance Department.


Two classes of Texas nursing facility (providers) serving residents enrolled in STAR+PLUS Medicaid are eligible to participate:

  • Non-state governmental owned entities (NSGO).
  • Privately-owned facilities that have a percentage of Medicaid NF days of service that is greater than or equal to 65%.

SFY 2024 (Y7) Metrics and Requirements

Proposed SFY 2025 (Y8) Measures and Associated Reporting Requirements

The revised quality metrics will be published and submitted to CMS for annual program review and approval. Final quality metrics and performance requirements will be announced via GovDelivery alert, following CMS' approval.


QIPP is governed by the following Texas Administrative Code (TAC) rules: 353.1301, 353.1302, 353.1303 and 353.1304.

Federal regulatory authority governing QIPP as a state-directed payment program is contained in 42 CFR §438.6(c).

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