Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Phase One: Clinical and Educational Interventions

Guidance for Phase One: Clinical and Educational Interventions under the Initiative to reduce avoidable hospitalizations in Nursing Home residents.


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 09, 2020





On March 15, 2012, the Innovation Center and the Medicare-Medicaid Coordination Office (MMCO) announced a solicitation for applications aimed at implementing delivery system interventions that enhance the care, outcomes, and well-being of long-stay nursing facility residents who are enrolled in Medicare and Medicaid. These individuals account for approximately two-thirds of all nursing facility residents nationwide, or approximately 1 million beneficiaries. 

Through the initial solicitation, the Centers for Medicare & Medicaid Services (CMS) selected seven Enhanced Care and Coordination Providers (ECCPs) that are currently implementing evidence-based interventions in 143 Medicare-Medicaid certified LTC facilities. ECCPs were selected on September 24, 2012, and following a readiness review, began serving beneficiaries in February 2013.


Incentive Awards

On August 28, 2015 the Alabama Quality Assurance Foundation (AQAF) and the Curators of the University of Missouri were awarded performance-based supplemental funds to further enhance the Initiative in their partner facilities. AQAF aims to use its supplemental funds to improve executive leadership competencies and engagement as a strategy to achieve full deployment and sustainability of the AQAF model. The Curators of the University of Missouri seek to disseminate evidence-based practices that can be of help to the general public, nursing home staff and leaders, and public policy makers. 

Want regular email updates? Sign up by visiting this link.
We’re always looking for ways to improve the experience and usability of our webpages. If you’ve Feedback or issues to report, please contact us at

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.