# RCW 74.46.024: RCW 74.46.024: Pay-for-performance supplemental payment structure—Establishing procedures, principles, and conditions

> Washington · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S024

## Section

- **Citation:** RCW 74.46.024
- **Heading:** RCW 74.46.024: Pay-for-performance supplemental payment structure—Establishing procedures, principles, and conditions
- **Jurisdiction:** Washington
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Washington Code / Title 74 / Chapter 46 / Section 024

## Text

The department shall establish, by rule, the procedures, principles, and conditions for a pay-for-performance supplemental payment structure that provides payment add-ons for high performing facilities. To the extent that funds are appropriated for this purpose, the pay-for-performance structure will include a one percent reduction in payments to facilities with exceptionally high direct care staff turnover, and a method by which the funding that is not paid to these facilities is then used to provide a supplemental payment to facilities with lower direct care staff turnover.

## Nearby sections

- [RCW 74.46.010 RCW 74.46.010: Short title—Purpose—Finding.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S010.md)
- [RCW 74.46.020 RCW 74.46.020: Definitions.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S020.md)
- [RCW 74.46.022 RCW 74.46.022: Nursing facility medicaid payment system—Establishing procedures, principles, and conditions.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S022.md)
- [RCW 74.46.024 RCW 74.46.024: Pay-for-performance supplemental payment structure—Establishing procedures, principles, and conditions.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S024.md)
- [RCW 74.46.421 RCW 74.46.421: Purpose of part E—Nursing facility medicaid payment rates.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S421.md)
- [RCW 74.46.441 RCW 74.46.441: Public disclosure of rate-setting information.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S441.md)
- [RCW 74.46.475 RCW 74.46.475: Submitted cost report—Analysis and adjustment by department.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S475.md)
- [RCW 74.46.485 RCW 74.46.485: Case mix method implementation.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S485.md)
- [RCW 74.46.496 RCW 74.46.496: Case mix weights—Determination.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S496.md)
- [RCW 74.46.501 RCW 74.46.501: Average case mix indexes determined quarterly—Facility average case mix index—Medicaid average case mix index.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S501.md)
- [RCW 74.46.531 RCW 74.46.531: Department may adjust component rates—Contractor may request—Errors or omissions.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S531.md)
- [RCW 74.46.541 RCW 74.46.541: Skilled nursing facility safety net assessment—Reimbursement of medicaid share.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S541.md)
- [RCW 74.46.551 RCW 74.46.551: Facility-based payment rates—Comparative analysis—Rate add-ons.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S551.md)
- [RCW 74.46.561 RCW 74.46.561: Nursing home payment rates—System components—Quality incentive—Reimbursement of safety net assessment—Rate reductions or increases limited.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S561.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_WA_T74_C46_S024. Check the current official text before relying on it. Not legal advice.