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Quality Assurance and Performance Improvement (QAPI) – Rule Promulgation Update

The target release date of the Notice of Proposed Rulemaking (NPRM) is December, 2013. The publication of the proposed rule allows the public to submit written comments for consideration before publishing of the final rule. You may visit for more information at

Section 6102(c) of the Affordable Care Act requires that all nursing homes develop Quality Assurance and Performance Improvement (QAPI) programs. To learn more about QAPI, visit the Centers for Medicare & Medicaid Services (CMS) at

Primaris is Missouri’s federally designated Quality Improvement Organization (QIO).  QAPI information is available online at

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