QIPP Year Two

The following QIPP resources are specific to Year Two and reflect application materials, final eligibility determinations, national benchmarks, and expected timelines for submissions and payments.

Benchmarks

Below are the National Average Benchmarks for the four quality measures that nursing facilities participating in QIPP year two will have their improvement measured against. Be aware that these benchmarks will remain the same for the entire year (Sept. 1, 2018, through Aug. 31, 2019).

QIPP Year Two Benchmarks
Quality Measure Percent of residents who received an antipsychotic medication (long-stay) (QM419) High-risk residents with pressure ulcers (QM403) Residents who were physically restrained (QM409) Residents experiencing one or more falls with major injury (QM410)
National Average: Benchmarks (date data pulled: 8/1/2018) 15.25 % 5.57 % 0.37 % 3.37 %

QIPP Year Two Component One

The table below provides participating nursing facilities with QIPP Quality Assurance Performance Improvement Validation Report Form submission deadlines (by close of business) to HHSC from the nursing facility providers and the anticipated date they should receive payment. 

Monthly QIPP Submission Deadlines and Payment Timeframes
Month Submission Deadline (Close of Business) Expected Payment Date
September 2018 Oct. 1, 2018 Oct. 31, 2018
October 2018 Nov. 1, 2018 Dec. 2, 2018
November 2018 Dec. 3, 2018 Jan. 2, 2019
December 2018 Jan. 2, 2019 Jan. 31, 2019
January 2019 Feb. 1, 2019 March 3, 2019
February 2019 March 1, 2019 March 31, 2019
March 2019 April 1, 2019 May 1, 2019
April 2019 May 1, 2019 May 30, 2019
May 2019 June 3, 2019 July 2, 2019
June 2019 July 1, 2019 Aug. 1, 2019
July 2019 Aug. 1, 2019 Sept. 1, 2019
August 2019 Sept. 3, 2019 Oct. 1, 2019

Note: The payment dates listed in the table are only expected dates and could change if the data are not available to HHSC on the listed date.

QIPP Year Two Components Two and Three

The table below provides participating nursing facilities with Quarterly QIPP Quality Metric reconciliation period dates, the date HHSC expects to pull the QM data, and the expected date the nursing facilities should receive payment.

Quarterly Payment Timeframes
Quarter Reconciliation Period Expected HHSC Data Pull Expected Payment Date
Quarter 1: Sept. 1, 2018 to Nov. 30, 2018 Dec. 2018 Jan. 2, 2019 Jan. 31, 2019
Quarter 2: Dec. 1, 2018 to Feb. 28, 2019 March 2019 April 2, 2019 May 1, 2019
Quarter 3: March 1, 2019 to May 31, 2019 June 2019 July 2, 2019 Aug. 1, 2019
Quarter 4: June 1, 2019 to Aug. 31, 2019 Sept. 2019 Oct. 2, 2019 Oct. 31, 2019

Note: The payment dates listed in the table are only expected dates and could change if the data are not available to HHSC on the listed date.