Utah Administrative Code (Current through November 1, 2019) |
R414. Health, Health Care Financing, Coverage and Reimbursement Policy |
R414-516. Nursing Facility Non-State Government-Owned Upper Payment Limit Quality Improvement Program |
R414-516-4. Quality Awards
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(1) A program may earn QI points through achieving the following quality awards, certifications, and ratings:
(2) The AHCA National Quality Award;
(a) A program that has earned the Gold AHCA quality award may earn six QI points for the duration of the award;
(b) A program that has earned the Silver AHCA quality award may earn four QI points for the duration of the award;
(c) A program that has earned the Bronze AHCA quality award may earn two QI points for the duration of the award.
(3) The HealthInsight Quality Award;
(a) A program that has earned a HealthInsight Quality Award may earn two QI points for the year awarded.
(4) Eden Certification Milestones; and
(a) A program that achieves an Eden Certification Milestone at the time of implementation of this rule may receive QI points in the same formula for a program achieving the initial milestone;
(b) A program may earn, in the initial year of the achievement, one QI point for achieving milestone one;
(c) A program may earn, in the initial year of the achievement, three QI points for achieving milestone two and two QI points the following year;
(d) A program may earn, in the initial year of the achievement, five QI points for achieving milestone three, three QI points the following year, and two QI points the third year.