About The Program
Residential Outcome Payments are part of Inclusa’s Residential Rate Methodology (RRM). These outcomes allow Residential Providers to receive an additional payment when meeting certain criteria designed to promote member success. Payments are based on offering an additional level of care not captured within other areas of the RRM. The Residential Outcome Payments were created in partnership with residential providers as a way to build a reimbursement model to compensate for residential cares and create opportunities for providers who offer an additional level of care not captured within other areas of the RRM.
This year we will be introducing new Outcome Payment opportunities as well as providing more tools and resources to help residential providers ensure success within their individual projects. The projects place a greater emphasis on member outcomes specifically in the areas of Community Living and Competitive Integrated Employment.
The outcome payment amounts vary amongst the different opportunities and are identified within the specific outcome details; payments will then be distributed to eligible providers in the first quarter of the following year, with the exception of the Transition and Diversion opportunities found within Community Living.
- Residential Outcome Payment opportunities are available to only those contracted residential providers utilizing the Inclusa’s RRM; some exceptions will be made regarding the Competitive Integrated Employment Outcome opportunity.
- All eligible providers must remain in good standing with Inclusa throughout the project year as determined by Inclusa, and any payments may be offset to providers who have an outstanding balance.
2021 Project Calendar
Download PDF Version of Calendar