Michigan Department of Health and Human Services
Program Policy Division
L 24-22
CAPITOL COMMONS
•
400 SOUTH PINE
•
LANSING, MICHIGAN
48913
www.michigan.gov/mdhhs
•
800-292-2550
PO Box 30809
Lansing MI 48909
May 14, 2024
<Provider Name>
<Provider Address 1>
<Provider Address 2>
<Provider City> <State> <zipcode5-zipcode4>
Dear Provider:
RE: Nursing Facility Quality Measure Initiative Resident Satisfaction Survey Data
Pursuant with section 10.7.D. Nursing Facility Quality Measure Initiative (QMI) of the Nursing
Facility Cost Reporting & Reimbursement Appendix of the MDHHS Medicaid Provider Manual,
the Behavioral and Physical Health and Aging Services Administration (BPHASA) has
established the nursing facility (NF) QMI. The QMI provides payments to NFs based on their
average Nursing Home Compare (NHC) quality measure domain star ratings and factors in
the submission of resident satisfaction survey data.
Effective for the rate year beginning on October 1, 2024, an adjustment will be made to QMI
payments for the submission of resident satisfaction survey data from recently performed
surveys. Per-bed QMI payments will be multiplied by 100% for NFs that submit acceptable
resident satisfaction survey data and documentation. Payments will be multiplied by 85% for
providers who do not submit acceptable data and documentation (i.e., a provider who submits
the resident satisfaction survey data will receive their standard QMI payment while a provider
who does not will receive 85% of their standard payment).
In order for a provider to receive credit for submitting resident satisfaction survey data,
BPHASA will require the following data and documentation*:
• A copy of all the questions from the survey.
• A summary of the survey response results.
• The number of residents residing at the NF at the time of the survey.
• The number of residents who received the survey.
• The number of completed surveys:
o The number or percentage of surveys completed by residents,
o The number or percentage of surveys completed by the residents guardian or
designee on the residents behalf,
o The total number of surveys completed.
L 24-22
Page 2 of 2
• The survey date range (i.e., the date the survey was sent out, through the deadline for
submission).
• The survey frequency (i.e., annually, quarterly, monthly, etc.).
• The entity that conducted the survey (i.e., the facility, an organization independent from
the NF, etc.)
• The survey data collection methods (phone, mail, live interview, etc.).
• An explanation of how the provider uses the survey results to improve the quality of
resident care.
*The survey, survey responses, and survey checklist must not include any protected health
information.
BPHASA does not require the resident satisfaction survey to be completed in a specific method
(e.g., the survey does not have to be a live interview, the survey does not have to include a
specific set of survey questions chosen by BPHASA, etc.). However, the survey must be a
resident satisfaction survey and not another type of survey (i.e., family satisfaction survey data,
employee satisfaction survey data, etc.), and will not be accepted in place of a resident
satisfaction survey. The survey must have occurred no earlier than June 28, 2023, and the
survey data must not be from survey data submitted for prior year QMI payments. NFs that
have completed multiple surveys within that time period should submit data from the most
recent survey.
The resident satisfaction survey data and documentation must be submitted electronically to the
BPHASA Long Term Care Operations Section via email as an attachment to MDHHS-
[email protected] by August 16, 2024. The attachments are encouraged to be in the form of
a PDF, Word, or Excel document. Links to cloud platforms or Sharepoint sites will not be
accepted. Additional data or information requested by the BPHASA Long Term Care Operations
Section relating to a resident satisfaction survey data submission must be submitted within five
(5) business days of August 16, 2024, for the submission to be accepted.
You will receive an automatic reply upon submission. This automatic reply is your receipt that the
documentation was submitted. If you do not receive an automatic reply, please verify that the
documentation was submitted correctly and resubmit. Please note: Scan to email submissions
will not render an automatic reply. It is the provider's responsibility to assure the documentation
was received.
To assist providers with the data and documentation submission, a checklist has been included
with this letter. Any questions regarding this letter should be directed to MDHHS-
Sincerely,
Meghan E. Groen, Director
Behavioral and Physical Health and Aging Services Administration
Attachment
Michigan Department of Health and Human Services
Nursing Facility Quality Measure Initiative Resident Satisfaction Survey Data
Submission Checklist
Facility Contact Information
Facility Name:
Facility NPI:
Facility CCN #:
Facility License #:
Has there been a change of
ownership in the last 18
months? If yes, please list
the name of the previous
facility:
Facility Address:
Facility Contact:
Contact’s Email:
Contact’s Phone Number:
Submission Date:
This checklist has been developed to assist providers with the submission of resident
satisfaction survey data and documentation to the Long-Term Care Operations Section.
Resident Satisfaction Survey Checklist
Copy of Survey Questions:
Summary of Survey Responses:
This Survey Submission Does Not
Include Protected Health Information:
Number of Residents at the Facility at
the Time of the Survey:
Number of Residents Who Received
the Survey:
Number or Percentage of Surveys
Completed by Residents:
Number or Percentage of Surveys
Completed by the Residents’ Guardian
or Designee on the Residents’ Behalf:
Total Number of Surveys Completed:
Survey Date Range:
Survey Frequency:
Entity That Conducted the Survey:
Survey Data Collection Method(s):
Explanation of How the Survey Results
Will be Used to Improve Resident
Care:
A completed checklist, any accompanying documentation and data should be submitted
to the Long-Term Care Operations Section email [email protected].
Authority: Title XIX of the Social Security Act Completion: Is Voluntary
The Michigan Department of Health and Human Services is an equal opportunity employer, services and programs provider.
Last updated April 2024
< Select Option >
< Select Option >
< Select Option >
