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Category: News

Quality Incentive Pool: Medicaid Managed Care Rule

The April 2016 Medicaid Managed Care Rule required providers, including California’s 21 public health care systems, to restructure their supplemental payments. CAPH members took advantage of an opportunity in the new rules to create the Quality Incentive Pool (QIP). What is the Quality Incentive Pool? The Quality Incentive Pool (QIP) represents a new pay for-performance program for California’s public health

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Changes to Supplemental Payments: Medicaid Managed Care Rule

What are Supplemental Payments? In order to partially bridge the gap between Medi-Cal base rates and the actual cost of providing care, California’s public health care system have for years financed and received supplemental payments for services provided to patients enrolled in Medi-Cal managed care plans. These supplemental payments add up to more than $1 billion in federal funds each

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