Supplemental Quality Incentive Payments

Two unidentified people in business clothes reviewing paperwork.

In SFY 2022, the Georgia Legislators with support from Governor Brian Kemp appropriated $115 million dollars for a nursing home supplemental quality incentive payment.

The Centers for Medicare and Medicaid Services (CMS) accepted Georgia State Plan Amendment (SPA) GA 21-0009. The SPA allows DCH to pay a supplemental quality incentive payment to skilled nursing facilities that meet one of the following four quality metrics set by DCH. 

Quality Metrics:

  • Percentage of high risk long-stay residents with pressure ulcers.
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication.
  • Percentage of long-stay residents who received an antipsychotic medication.
  • Percentage of long-stay residents with a urinary tract infection.

SFY 2023 Payment

Supplemental Quality Incentive Payment made on the June 22, 2023 via MMIS remittance.

SFY 2022 Payment

Supplemental Quality Incentive Payment made on the June 2, 2022 via MMIS remittance.

The Department revised the nursing home Quality Incentive Supplemental Payment file to include nursing homes not previously included in the original file.  The CMS decile per nursing did not change, however the reallocation of state appropriated funds resulted in increases and/or decreases in the amount of supplemental payments for some nursing homes.

For additional information regarding the long-stay resident quality metrics, see the Download this pdf file. Frequently Asked Questions  - Updated 06/22/23.

Contact

Director of Reimbursement Kim Morris