DHS Extends PIPP Application Deadline
On March 17, 2020 by Jeff Bostic
The Minnesota Department of Human Services (DHS) is delaying the application deadline for the 2020 Performance Incentive Payment Program (PIPP) Request for Proposal (RFP) until May 1, so nursing home staff can focus on COVID-19 emergency preparedness.
DHS still intends to complete the PIPP contracting process by Nov. 15, 2020, so that PIPP awards from this round will be reflected in the 2021 rate notices. Members should be aware that the following changes that were instituted in 2019 will continue to be followed in the selection process:
- Proposals should address topics where facility baseline data supports the topic as a problem area. This is especially important for collaborative proposals. Nursing homes participating in a collaborative project must address a topic area that is a shared common problem among all participating sites. Existing collaborative or chain organizations may submit more than one proposal which splits member settings into groups that share a common problem area(s).
- Nursing homes are highly encouraged to choose validated outcome measures such as those on the Minnesota Nursing Home Report Card. Projects relying on process measures as a means for determining achievement of project goals will be less competitive. For example, a count of employees completing a training program or achieving a certain competency level are considered process measures.
- Projects that clearly benefit nursing home residents will be given priority. Proposals seeking PIPP funding to address nursing home staffing or services that a site is already responsible for will be less competitive. For example, a training program for staff to meet new regulatory compliance guidelines is a basic requirement of participation in the Medicaid program.
- DHS will negotiate the portion of project funding at risk if project outcomes are not achieved. The amount at-risk will vary depending on the scope and complexity of the project, the baseline data and the outcome measures proposed.
- DHS will determine collaborative project outcome performance based on a combination of individual site performance and average collaborative performance. For example, each provider participating in a collaborative project will have an at-risk portion tied to the collaborative average performance as well as an at-risk portion tied to their own performance on the selected outcome measures.
- A nursing home may not submit multiple proposals that in total exceed 5% or participate in submissions of multiple collaborative proposals that total more than the maximum 5% rate increase. In addition, nursing homes with existing contracts for the maximum 5% increase for rate year beginning Jan. 1, 2021, are not eligible to apply.