State, Payor Recognitions for Value-Based Contracting with Nursing Homes
National Payor Recognitions
Large national payors increasingly use Joint Commission Nursing Care Center Accreditation as a quality metric to allow network participation, contract eligibility or higher rates of reimbursement.
Joint Commission Accreditation can effectively boost reimbursement for plan participants meeting various quality measures in the following states: CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA and WI.
Curious if your payor(s) recognize Joint Commission accreditation? Contact us!
Florida – Medicaid Reimbursement for Florida’s Prospective Payment System (PPS)
Georgia – Medicaid Quality Improvement Initiative Program
Georgia-based nursing homes that have achieved Joint Commission accreditation can earn the maximum, 2% quality incentive adjustment under the recently updated Quality Improvement Initiative Program.
Illinois - Network Participation
Massachusetts - Network Participation
Michigan - Accreditation Requirements for Neurological Rehabilitation Facilities
Tennessee – Points for TennCare Quality Improvement in Long Term Services and Supports (QuILTSS)
Ohio – Quality Improvement Project for Ohio Department of Aging State Medicaid
Discounts on Insurance Premiums
Manchester Specialty Programs Inc. Worker's Compensation Program
Manchester Specialty Programs, Inc., offers insurance premium savings (where state regulators allow and based on each individual account) with scheduling credits on Workers’ Compensation insurance to Joint Commission accredited nursing homes.