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Medicaid

Medicaid

Nursing Home Reimbursement Update

DOH confirms payment cycles of upcoming rate adjustments, provides updates on other projects.

July 9, 2019

Medicaid

Hospitalization Bed Hold Elimination Effective May 29th

DOH is implementing the provision enacted in 2017 to eliminate nursing home bed reservation payments for hospitalized residents.

July 8, 2019

Medicaid

Nursing Home Case Mix Workgroup Submits Recommendations

Consensus recommendations call for freezing CMI for a year while charting a course toward a gradual shift to a 48-group, RUG-IV model.

July 1, 2019

Medicaid

RHCF Cost Reports Due July 29th

Nursing home providers should verify that staff who will file or certify cost reports have the required HCS permissions to ensure timely filing.

June 28, 2019

Medicaid

DOH Posts Revised Nursing Home Rates

Many homes likely to see rate adjustments in consecutive Medicaid payment cycles.

July 1, 2019

Medicaid

DOH Posts January NH Rates

Nursing home Medicaid rates have been posted to the HCS, but some will require correction.

June 25, 2019

Medicaid

Nursing Home CMI Workgroup Meets

DOH provides several clarifications on the July CMI methodology; workgroup members express concerns and discuss options going forward.

June 14, 2019

Medicaid

DOH Notifies Nursing Homes of Payment Adjustments

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

June 18, 2019

Medicaid

Refinancing Shared Savings Program Applications Due June 20th

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.

June 11, 2019

Medicaid

LeadingAge NY, Other Groups Raising Major Concerns About Case-Mix Proposal

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

June 4, 2019
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