State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Incentives for High Quality Care in Medicaid--Section 1919(h)(2)(F)


The Social Security Act describes the enforcement tools that may be used to promote compliance with requirements. One tool, for which federal funding is available, are state established public recognition programs to recognize facilities that provide the highest quality of care provided to Medicaid residents. According to the statute, "a state may establish a program to reward, through public recognition, incentive payments, or both, nursing facilities that provide the highest quality of care to residents..." The law indicates that expenses incurred in such incentive programs, "shall be considered to be expenses necessary for the proper and efficient administration of the state plan under this title." These costs are eligible for a 50 percent federal match.

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