The Department of Healthcare Services Skilled Nursing Facilities Workforce and Quality Improvement Program

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Date: April 17, 2024
From: Health Plan
To: All Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Skilled Nursing Facilities
Type: Regulatory
Subject: The Department of Healthcare Services Skilled Nursing Facilities Workforce and Quality Improvement Program
Business: Medi-Cal Managed Care

The Department of Healthcare Services (DHCS) Skilled Nursing Facilities (SNF) Workforce and Quality Improvement Program (WQIP) incentivizes facilities to improve quality of care, advance equity in healthcare outcomes, and invest in workforce.  WQIP functions as a directed payment program in Medi-Cal Managed Care delivery systems for eligible network providers.

For more information visit the DHCS website at:

https://www.dhcs.ca.gov/services/Pages/SNF-WQIP.aspx#:~:text=The%20Skilled%20Nursing%20Facility%20(SNF,system%20for%20eligible%20network%20providers

DHCS will calculate the final payments based on data received as of June 30, 2024.

Deadline for Claims Submission to Health Plan

To ensure that your claims are included in the data set and final measurement scores for the second SNF WQIP phase, please submit all claims by May 30, 2024. Timely submission of claims is crucial for accurate processing and payment calculation.


If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan and our services is always available on our website WWW.HPSJ-MVHP.ORG

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