Medicaid Quality Incentive
Hospitals in Washington State had the opportunity to earn a new one percent Medicaid quality incentive. The incentive was part of the Safety Net Assessment law passed in the 2009-2010 legislative session. Data collection for this program is now complete and attestation letters have been mailed to Chief Financial Officers.
The incentive is built on the base Medicaid payment for PPS, case rate, and per diem services. The payment is funded in part from the hospitals contribution to the Safety Net Assessment and federal matching dollars. The rate increases for qualifying hospitals will begin on July 1, 2012.
| Measure | Target | Submission Date |
| 80% or more |
May 1, 2011 |
|
| 86% or more | 1st Quarter 2011 Data: June 30 | |
| Elective Delivery Prior to 39 Weeks | 7% or less | 1st Quarter 2011 Data: June 30 |
| Reducing Preventable Emergency Room Visits | All 5 sections approved | September 1, 2011 |
| Patients Discharged on Multiple Antipsychotic Medications with Appropriate Justification | 31% or more | 1st Quarter 2011 Data: June 30 |
Resource Documents
- Measure Definitions (Updated 02/17/11)
- Updates to Measure Definitions
- Payment Methodology
- Which Measures Apply to Which Hospitals
- Data Collection: Click on individual measures above
- Frequently Asked Questions
- House Bill 2956
- Quality Incentive Webcast with audio Download slides only
- Medicaid Quality Incentive Data Submission Webcast
For questions, please contact:
Incentive methodology:
Carol Wagner at carolw@wsha.org or (206) 577-1831
Reporting process or definitions:
Ken Rudberg at kenr@wsha.org or (206) 577-1851
Specific financial questions:
Andrew Busz at andrewb@wsha.org or (206) 216-2533
