Md. Code Regs. 10.09.10.16

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.09.10.16 - Pay-for-Performance - Scoring Methodology

A. Facilities that are eligible for pay-for-performance under Regulation .14 of this chapter shall receive a score for each quality measure described in Regulation .15 of this chapter.

B. For the quality measures described in Regulation .15B-E of this chapter, a facility is ranked and awarded points as follows:

(1) The highest ranked facility receives 100 percent of the points available;

(2) The median score, weighted by total days of care, receives 50 percent of the points available;

(3) Zero points would be received by any facility whose raw score is below the median by an amount equal to or greater than the difference between the highest score and the median score; and

(4) All other facilities will receive points proportionate to where the score falls within the range between the highest and zero.

C. Points for each quality measure are summed.

Md. Code Regs. 10.09.10.16

Regulation .16A, B amended effective August 17, 1981 (8:16 Md. R. 1365)
Regulation .16D amended effective April 5, 2010 (37:7 Md. R. 570)
Regulations .16E and G, and .17J amended effective April 4, 1991 (18:9 Md. R. 1004); adopted permanently effective July 22, 1991 (18:14 Md. R. 1609)
Regulations .16E and G amended effective January 1, 1991 (18:2 Md. R. 146); emergency status expired April 8, 1991 (18:9 Md. R. 1005)
Regulation .16E amended effective September 27, 2004 (31:19 Md. R. 1432); October 14, 2013 (40:20 Md. R. 1652)
Regulation .16F amended effective March 17, 2003 (30:5 Md. R. 366)
Regulation .16F amended as an emergency provision effective July 1, 2003 (30:15 Md. R. 990); emergency status expired December 31, 2003
Regulation .16F amended effective February 16, 2004 (31:3 Md. R. 207); December 9, 2005 (32:24 Md. R. 1904); April 6, 2009 (36:7 Md. R. 523); December 27, 2010 (37:26 Md. R. 1787); November 28, 2011 (38:24 Md. R. 1502)
Regulation .16G amended effective June 3, 1996 (23:11 Md. R. 810)
Regulations .16 amended effective 42:7 Md. R. 567, eff.4/13/2015; amended and recodified from .11-3 effective 45:13 Md. R. 664, eff. 7/2/2018