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Quality Incentive Payment Program SFY23 MDS Quality Measure Methodology and Quarter 1 Achievement Scorecard

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On Feb. 3, 2023, the Centers for Medicare & Medicaid Services (CMS) approved HHSC to calculate the Long-Stay Minimum Data Set (MDS) quality metric achievement using facility-level data for all providers enrolled in the Quality Incentive Payment Program (QIPP) throughout state fiscal year 2023 (SFY23).

This marks a change from the previously approved and published SFY23 methodology to calculate facility achievement for MDS quality metrics based on Medicaid managed care beneficiaries only.

Facility performance baselines and subsequent quarterly targets for MDS metrics will follow the definitions and incremental improvement requirements as outlined in the QIPP SFY23 Quality Metrics and Associated Performance Requirements document published in September 2022.

HHSC will publish the SFY23 Quarter 1 Scorecard to the LTSS Provider Finance QIPP Webpage as soon as calculations for facility baselines, quarterly targets and performance results are complete.

HHSC intends to implement a methodology to calculate facility targets and achievement, using only Medicaid managed care beneficiaries beginning in SFY24.