MedicaidReimbursementLow impact
25-308 DHCS Will Provide Directed Payments to Facilities to Incentivize Workforce and Quality
Health Net·CA·Prior Authorization
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 facilities for dates of service from Jan 1, 2023 through Dec 31, 2026. Health Net will process payments to qualifying SNF providers within 45 days of receiving exhibits from DHCS or 30 days of receiving clean claims.
Action Required
SNF billing teams should identify if their facility is WQIP-eligible and contact Edward Mariscal at 909-293-6974 for questions about responsible payer identification. Register for upcoming webinars on May 13, 2025 and October 21, 2025 to learn about the program requirements and payment processes.