RI QIPP
Rhode Island requires a minimum of 3.58 HPPD across 11 qualifying job categories, calculated quarterly.
HPPD = Total Qualifying Hours ÷ Total Resident Days
Minimum Staffing Compliance Program
11 Qualifying Job Categories
Fine of 3% of Medicaid reimbursements applied in the following quarter
30-day corrective notice; payment reductions if not corrected
Penalties for Non-Compliance
Waiver Eligibility
Fines may be waived if the facility meets any one of:
No quality of care/immediate jeopardy deficiencies in last 3 survey cycles
Nursing Case-Mix Index in lowest 25% of Medicaid-participating facilities
Achieved compliance for at least 75% of operating days in the quarter
