D.C. Mun. Regs. r. 29-6525

Current through Register Vol. 71, No. 33, August 16, 2024

Rule 29-6525 - PARTICIPATION IN THE NURSING FACILITY QUALITY IMPROVEMENT PROGRAM

6525.1

To participate in the NFQIR track, the nursing facility must:

(a) Be located in the District of Columbia;

(b) Be enrolled in and seek reimbursement from the District's Medicaid Program as a nursing facility; and

(c) Report data pursuant to § 6524.3.

6525.2

To participate in the NFQII track, the nursing facility must:

(a) Meet requirements pursuant to § 6525.1;

(b) Submit a letter indicating intent to participate in the NFQII track by September 1, 2018 and annually thereafter; and

(c) Beginning fiscal year 2020 and annually thereafter, submit a quality improvement plan on the nursing facility plans to address improved transition of care and optimize its workflow to achieve optimal performance on performance measures set forth in § 6524.3.

6525.3

DHCF shall notify the nursing facilities if all participation requirements have been met no later than thirty (30) business days after the receipt of the required materials.

6525.4

Measures specifications for the performance payment shall consist of a set of guidelines set forth by DHCF. Measure specifications for the baseline period and first performance measurement period are set forth in § 6524.3.

6525.5

DHCF reserves the right to change performance measures, measure specifications, and participation requirements. DHCF will notify nursing facilities of the performance measures, measure specifications, and any changes through transmittals issued to the nursing facilities no later than sixty (60) calendar days prior to October 1st of each measurement year (MY).

6525.6

Data from the following periods will be used to determine the initial performance payment in fiscal year 2020:

(a) The baseline period shall begin on February 1, 2018 and end on September 30, 2018; and

(b) Fiscal year 2019, the period beginning October 1, 2018 and ending September 30, 2019, is the first performance measurement period.

D.C. Mun. Regs. r. 29-6525

Final Rulemaking published at 66 DCR 13664 (10/18/2019)