MedicaidReimbursementLow impact
25-306 DHCS Will Provide Directed Payments to Facilities to Incentivize Workforce and Quality
Health Net·CA·Reimbursement
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
DHCS announced a new Skilled Nursing Facility Workforce and Quality Incentive Program (SNF WQIP) that provides directed payments to eligible SNF and adult subacute facilities for Medi-Cal managed care members. Health Net will process payments within 45 days of receiving data from DHCS or 30 days of receiving clean claims, whichever is later.
Action Required
Immediately: SNF WQIP-eligible network providers should contact Health Net's LTSS liaison Edward Mariscal (909-293-6974) for questions about responsible payer identification. Register for upcoming webinars on May 13, 2025 and October 21, 2025 to learn more about the program. Review quarterly summary reports from Health Net within 30 days of receipt and report any discrepancies for reconciliation.