In Mass, there are no real incentives.
If an agency received Two Years with Distinction, you weren't audited in the next two years, instead the agency had a project that it can work on and report on versus having a full blown audit.
This process no longer occurs.
There is a new Audit system and process that has been developed in coordination with DDS and the ADDP providers.
Every Area Office that an Agency deals with may provide new referrals or opportunities for new supports and services if the agency does an exceptional job. However, it's suppose to be based on choice. It is the Service Coordinator that provides families and individuals with information about the list of possible providers, then the individual or family decides on who receives services.