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Pay for Performance (P4P) Incentive Payments

Pay for performance incentive payments will be made to qualifying county
nursing facilities each quarter of the fiscal year based on the following:

A county nursing facility will qualify for the pay for performance incentive if
both of the following criteria are met:

(A) The facility is a county nursing facility at the time of payment.

(B) The facility's MA (Medical Assistance) case mix index (CMI) for the
picture date is higher than its facility MA CMI for the previous picture date.

Pay for Performance                                                                                                          Previous
Payment Period                                         Picture Date                                                  Picture Date

1st Qtr, July 1 - September 30                     August 1                                                          May 1
2nd Qtr, October 1 - December 31               November 1                                                    August 1
3rd Qtr, January 1 - March 31                      February 1                                                      November 1
4th Qtr, April 1 - June 30                              May 1                                                             February 1

The total quarterly funds available for the pay for performance incentive
payment is divided by the total MA days for all county nursing facilities
meeting the qualifying criteria. The MA days used for each county nursing
facility will be the paid MA days identified on the most recent PROMISe data
file used to determine eligibility for disproportionate share payments.

P4P July 2013

P4P October 2013

P4P January 2014

P4P April 2014

P4P July 2014

P4P October 2014

P4P January 2015

P4P April 2015