MedicaidReimbursementMedium impact
Provider Bulletin 02 17 2025 Summary of the Skilled Nursing Facility Workforce and Quality Incentive Program IE LA SAC SD
Molina Healthcare·CA·Quality Measures
Effective date
Jan 1, 2023
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has implemented the SNF Workforce and Quality Incentive Program (SNF WQIP) providing performance-based payments to eligible skilled nursing facilities for Medi-Cal patients from 2023-2026. Providers must submit clean claims for qualifying bed days and monitor CDPH citations that could disqualify facilities from payments.
Action Required
Immediately: SNF providers must submit clean and complete claims for all qualifying Medi-Cal bed days to Molina. Monitor any Class AA or A citations from CDPH as these disqualify facilities from payments. Reconcile bed day data provided by Molina with facility records and report discrepancies to MHC-SNF-WQIP@MolinaHealthcare.com within 30 days of receiving reports. Attend bi-annual webinars hosted by Molina for program updates.