R414-516-3. Quality Improvement Program Requirements of Participation

  (1) A program is required to earn quality improvement (QI) points to participate in the NF NSGO UPL Program. A program shall earn and document:

  (a) In Calendar Year 2018, 10 or more QI points with a minimum of five QI points from Section R414-516-6;

  (b) In Calendar Year 2019, 12 or more QI points with a minimum of six QI points from Section R414-516-6;

  (c) In Calendar Year 2020 and beyond, 14 or more QI points with a minimum of seven from Section R414-516-6.

  (2) QI points may be earned from any combination of the QI Program Categories as long as the minimum number of QI points are earned from Section R414-516-6.

  (3) When calculating compliance under Section R414-516-6, a program shall not count residents who are in the facility less than 14 days.

  (4)(a) Each program shall submit to the Division a compliance form, using the current Division form, on or before January 31 following the end of the calendar year, documenting that the program qualifies to earn points under the selected QI program categories.

  (b) A compliance form must be mailed or electronically mailed to the correct address found at https://health.utah.gov/stplan/longtermcarenfqi.htm.

  (c) In all cases, no additional compliance forms, documentation, unless requested as part of an audit, or explanation will be accepted if submitted after the annual submission deadline.

  (d) Any program that does not submit its compliance form by the deadline shall receive zero points for that program year.

  (5) The Division does not require a provider that enters the NF NSGO UPL program for only part of a calendar year, based on provider participation start date, to comply with the QI provisions of Section R414-516-3 in the first program calendar year.