Cash Receipts Assessment Clarification
Members will recall that the Department of Health (DOH) recently made Medicaid payment adjustments to reflect the results of the Nursing Home Quality Initiative (NHQI) for 2013 through 2017 at the same time as it distributed $140 million in supplemental payments. DOH has clarified that NHQI payments that homes received in December are subject to the 6.8 percent Cash Receipts Assessment (CRA). While there has not been a final determination as to whether the supplemental payments are assessable, DOH is advising facilities to proceed as though the supplemental funding is not subject to the assessment. Please note that DOH did not issue this information directly – they requested associations to help spread the word, and members received a notice from us on Jan. 11th. The note that DOH sent to associations is copied below. Because of relatively high penalties and interest associated with non-payment of the CRA, we urge members to remain current with the assessment payments if possible. December 2018 CRA reports are due Jan. 15th.
On a related note, DOH has completed calculating the 2017 CRA reconciliation, which will likely be reflected in Medicaid payments in late January.
Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841
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DOH Notice:
With regards to the Nursing Home Quality Pool payments and the 1% supplemental funds received in December of 2018:
- The Nursing Home Quality Pool is assessable.
- With regards to the 1% NH supplemental funds, while the Department has not made an official decision as to whether these payments are assessable for the HFCAP program at this time; we have been advising facilities to proceed as though they are not subject to the assessment.