Incentives for Nursing Facilities

HPSM offers bonus payments for quality performance to in-network nursing facilities providing skilled and/or long-term care services to our Medi-Cal and CareAdvantage members. In-network facilities are automatically opted-in to the following upside-only bonuses:

• Nursing Facility Pay-for-Performance ("Nursing Facility P4P") offers bonus payments based on performance in quality metrics designed to improve HPSM member bed access, reduce inpatient and emergency department utilization, and improve care transitions.
• Community Discharge Pay-for-Performance ("Community Discharge P4P") offers long-term care facilities bonus payments for successfully discharging HPSM members with extended institutional stays to a community setting where they remain continuously for six months or more.
• Skilled Nursing Facility Workforce Quality Incentive Program (SNF WQIP) is a Department of Health Care Services initiative that provides bonus payments to eligible SNFs that improve workforce stability and quality of care for Medi-Cal members.