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Medicare Advantage Quality Improvement Program Plan

Guidance for Medicare Advantage Quality Improvement program plan.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 01, 2020

Quality Improvement Program Plans (QIPPs) outline the elements of a Medicare Advantage organization’s QI Program and provide a framework for how a plan will execute the QI program requirements at 42 CFR 422.152.

QIPPs are submitted to CMS as part of the contract and SNP application processes. QIPP templates are included in both the contract applications and SNP applications.     

SNP QIPPs must also include information about the additional SNP specific QI Program requirements at 42 CFR 422.152(g).

For further information on this topic, please submit an inquiry to the Medicare Part C Policy Mailbox, located at: https://dpap.lmi.org/dpapmailbox.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.