DAL - Dear Administrator Letter

October 1, 2026

Dear Administrator,

This letter provides you with information regarding the implementation of the 2024 Nursing Home Quality Pool (NHQP) for your nursing home.

The NHQP is an annual budget-neutral pool that was established in accordance with section 2802(2-c)(d) of the Public Health Law. The amount of the pool is $50 million and was created to incentivize nursing homes across New York State to improve the quality of care for their residents, and to reward homes for quality based on their performance. As a reminder, the methodology for administering the quality pool is attached.

The processing for the 2024 NHQP will take effect in cycle 2563, with a check release date of October 21, 2026.

If you have any questions regarding these payments and liabilities, please email bimamail@health.ny.gov. For questions regarding the calculation of the NHQP, please email NFRates@health.ny.gov.

Sincerely,

Laura Rosenthal, Director
Bureau of Nursing Home and Long-Term Care Rate Setting
Division of Finance and Rate Setting
Office of Health Insurance Programs

Attachment

Nursing Home Quality Pool Award 2024

  • Each nursing home was ranked into 5 quintiles by utilizing the methodology as set forth by the State. The methodology and individual nursing home quintile rankings can be found on this link: Nursing Home Quality Initiative
  • To fund the $50 million pool, EVERY nursing home's contribution is calculated as follows:
      Calendar Year Promulgated Rate x MA Days x $50,000,000
      Statewide NH Total MA Revenue
  • Only facilities who are ranked in quintiles 1, 2 or 3 will receive a share of the $50 million NHQP. The distribution method is as follows:
    • Award Amounts:
      • Quintile 1: MA Revenue x 3
      • Quintile 2: MA Revenue x 2.25
      • Quintile 3: MA Revenue x 1.5
    • Share of the $50 million award:
        Quintile 1, 2, or 3 Award Amount X $50,000,000
        Total of Statewide Awards
  • Facilities who receive a J/K/L Health Inspection Deficiency receive no award, regardless of their Quintile scoring

For the summary and calculation of the NHQP for 2023, please refer to: Nursing Home Rates