MedicaidReimbursementMedium impact
Provider Bulletin 03-31-2025 Summary of the Skilled Nursing Facility Workforce and Quality Incentive Program (SNF WQIP) and Webinar Information APL 25-002 IE SAC SD
Molina Healthcare·CA·Quality Measures
Effective date
Jan 1, 2023
We identified it
Jun 19, 2026
Summary
Molina Healthcare California has implemented the Skilled Nursing Facility Workforce and Quality Incentive Program (SNF WQIP) providing performance-based payments to eligible SNFs for Medi-Cal patients from 2023-2026. SNFs must submit clean claims for qualifying bed days and monitor CDPH citations that can affect payment eligibility.
Action Required
Immediately: SNF billing teams must ensure all qualifying Medi-Cal bed day claims are submitted as clean and complete claims to Molina. Monitor any Class AA or A citations from CDPH as these will result in payment penalties or exclusions. Reconcile data provided by Molina with facility records and report discrepancies to MHC-SNF-WQIP@MolinaHealthcare.com within 30 days. Register for the mandatory webinar on April 30, 2025 at 10 AM PT using the provided Teams link.