Eligibility

ESRD Quality Incentive Program (QIP)

According to the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), facility eligibility for the ESRD QIP is based on whether the facility receives payment from Medicare as “a provider of services or a renal dialysis facility for renal dialysis services” under the ESRD PPS.

Eligibility for each payment year (PY) is determined by the standards established for each year. For PY 2018 (measuring 2016 performance), facilities need to be eligible for at least one clinical measure and one reporting measure to receive a Total Performance Score for the year. For PY 2019 (measuring 2017 performance) and subsequent years, facilities need to be eligible for at least one measure in the Clinical Measure Domain and one measure in the Reporting Measure Domain to receive a Total Performance Score for the year.

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