Pay for performance incentive payments will be made to qualifying county
nursing facilities each quarter of the fiscal year based on the following:
A county nursing facility will qualify for the pay for performance incentive if
both of the following criteria are met:
(A) The facility is a county nursing facility at the time of payment.
(B) The facility’s MA (Medical Assistance) case mix index (CMI) for the
picture date is higher than its facility MA CMI for the previous picture date.
Pay for Performance Previous
Payment Period Picture Date Picture Date
1st Qtr, July 1 - September 30 August 1 May 1
2nd Qtr, October 1 - December 31 November 1 August 1
3rd Qtr, January 1 - March 31 February 1 November 1
4th Qtr, April 1 - June 30 May 1 February 1
The total quarterly funds available for the pay for performance incentive
payment is divided by the total MA days for all county nursing facilities
meeting the qualifying criteria. The MA days used for each county nursing
facility will be the paid MA days identified on the most recent PROMISe data
file used to determine eligibility for disproportionate share payments.