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.

Payment Information

The outcome payment amounts vary amongst the different opportunities and are identified within the specific outcome details; payments will then be distributed quarterly to eligible providers, and paid within the next quarter following the successful completion of the specific project criteria.

General Eligibility

  • 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, please see additional details by following the associated link to the right.
  • 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.

Additional Resources