2015 and 2016 audit rate adjustments have been made; adjustments to November 2018 rates expected in July.

Nursing homes that have entered into an eligible refinancing arrangement since April 2015 should not miss the opportunity to apply for a share of the resulting Medicaid savings.

Groups communicate concerns about lack of data and impact of July 2019 case-mix change.

Refinancing shared savings applications are due by June 20^th, while the Medicaid cost report deadline is July 29^th.

Based on first meeting of case-mix workgroup established under final SFY 2019-20 budget, LeadingAge NY most concerned about DOH's plans to implement July 1, 2019 change in methodology.

Nursing homes have until June 4^th to review their results, after which the information will be finalized and posted.

Homes with approved refinancing arrangements that were entered into after March 31, 2015 should submit the required form by June 20^th to participate in the program.

Several rate adjustments are awaiting final approval.