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Medicaid

Medicaid

State Supreme Court Rules in Providers’ Favor on CMI Challenge

State must properly adopt case-mix regulations before applying them to nursing home rates.

January 19, 2021

Medicaid

LeadingAge NY Strongly Objects to OMIG Nursing Home Audits

Audits seek to disallow lab and x-ray costs included in Medicaid rates.

January 12, 2021

Medicaid

Assessment Reinvestment Payments and Quality Pool Adjustments Scheduled

Nursing home providers should see payment adjustments reflected in checks released in mid-January.

December 29, 2020

Medicaid

Nursing Home Roster Verification Deadline Is Dec. 31st

DOH requests that providers complete the process and submit the associated attestation as soon as possible.

December 22, 2020

Medicaid

Minimum Wage Surveys Due Dec. 18th

Nursing homes, ALPs, and hospice providers should submit their surveys to help ensure appropriate Medicaid minimum wage adjustments in 2021.

December 15, 2020

Medicaid

Roster Verification Deadline Is Dec. 31st

Nursing homes are urged to verify rosters and associated MDS data that will be used to establish July 2020 CMI without delay.

December 15, 2020

Medicaid

Nursing Home Minimum Wage Survey Due Dec. 18th

Data will be used to make Medicaid rate adjustments for homes outside of New York City.

December 5, 2020

Medicaid

PERM Medicaid Audits Being Conducted in New York State

Providers asked to provide documentation if contacted.

December 7, 2020

Medicaid

Roster Verification Enters Second Stage

Nursing homes should verify that the correct MDS assessment is matched to each resident in house on Jan. 29, 2020.

December 1, 2020

Medicaid

Data Verification Process for Determining July 2020 Case Mix Is Underway

Nursing homes have until Nov. 27th to file MDS data corrections with CMS and until Dec. 31st to verify that residents are matched to the correct assessment.

November 24, 2020
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