Skilled Nursing Facility Workforce and Quality Incentive Program (SNF-WQIP)

Description of how payments will be processed:

Payments for SNF WQIP-eligible Network Providers for qualifying bed days within 45 calendar days of receiving the Per Diem Exhibits from DHCS or within 30 calendar days of receiving a Clean Claim from the provider, whichever is later.  The Plan will process payments through its Accounts Payable function to issue payments to the Provider by checks or ACH payments.

How to file a provider grievance:

Detailed instructions on filing a Provider grievance can be found here:  Grievances

Note:  Provider grievances may be submitted orally or in writing within 180 days of the date of occurrence. 

How to determine responsible payer:

SNF WQIP-eligible Network Providers with questions around how to determine the responsible payer of WQIP-eligible days can reach out to the CalViva Health WQIP Point of Contact.

Long Term Support Services (LTSS) Liaison Contact:

Daniel Maychen – WQIP Point of Contact
Chief Financial Officer
dmaychen@calvivahealth.org
Phone: 559-540-7846

Ltss_liaison@healthnet.com – secondary Point of Contact
Phone: 909-293-6974

Link to DHCS SNF WQIP site:

The DHCS SNF WQIP website is available at:
SNF WQIP – www.dhcs.ca.gov/services/Pages/SNF-WQIP.aspx

Upcoming SNF WQIP Webinars:

Webinar #1: Tuesday, May 13, 2025 2pm – 3pm
Click here to register for Webinar #1

Webinar #2: Tuesday, October 21, 2025  2pm – 3pm
Click here to register for Webinar #2