State Comparison of Quality Rating Systems and Reimbursement

Tiered Strategies, Tiered Quality Strategies (TQS), and Tiered Quality Rating Strategies refer to a series of approaches States have developed to promote quality including tiered reimbursement, rated licensing, quality rating systems, and a combination of these strategies. Increasingly, States are combining their approaches and using more multi-level systems. As State practices have evolved, NCCIC has moved to reflect these changes, using the terminology Quality Rating Systems (QRS) and focusing on elements that make up QRS.