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2024 Nursing Home Budget Request

LeadingAge NY is urging NYS to reform and rationalize the nursing home Medicaid reimbursement methodology in the State Fiscal Year (SFY) 2024-25 budget, to ensure that Medicaid payments keep pace with rising costs and ensure access to quality care for those who need it. 


  • On average, NYS's nursing home Medicaid rates cover only 75 percent of the cost of care.
  • There is an $810 million (State-share) Medicaid funding gap for the nursing home care provided in NYS.
  • NYS's nursing home Medicaid reimbursement is among the worst in the country, according to an independent federal MACPAC report.
  • Inadequate Medicaid reimbursement significantly hinders provider ability to compete for, hire, and retain staff. 
  • Lack of staff directly impacts access to skilled nursing services for those who need them. 


  • NYS must reform and rationalize nursing home reimbursement with a downpayment of $510 million (State-share) in SFY 2024-25 and a commitment to fully fund, reform, and rebase rates by 2025.