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Medicaid

Medicaid

RHCF Cost Report Software Correction

The RHCF cost report software originally posted had errors.  DOH is in the process of posting corrected software.  Those who downloaded the software prior to May 24 are encouraged to download the corrected version (when available).

May 28, 2013

Medicaid

RHCF Cost Report Software Available

DOH has posted the 2012 RHCF cost report software on the Health Commerce System (HCS).  The reports and associated certifications are due by August 16th.  Click the title to access the RHCF-4 cost report “Dear Administrator” letter.

May 17, 2013

Medicaid

Medicaid to Implement New Claims Editing

New edits, effective June 21, will place stricter controls on patient responsibility and applied income amounts.

May 21, 2013

Medicaid

State Enforcing 90-Day Medicaid Claiming Limit

Medicaid providers are reminded that the state has begun enforcing the 90-day limit for filing Medicaid claims more strictly. 

May 14, 2013

Medicaid

DOH Issues Quality Pool Materials

Nursing homes can now access their facility-level sample benchmark reports showing the quality pool scoring calculation based on previous year's data.   

May 14, 2013

Medicaid

Interpreting Quality Pool Facility-level Benchmark Reports

DOH guidance aimed at helping providers understand their facility-level quality pool benchmark reports.

May 13, 2013

Medicaid

NHQP Methodology (May 2013)

This DOH documnet describes how the quality pool scoring works and how the qulity pool funding will be distributed. 

Medicaid

Quality Pool DAL (May 2013)

This "Dear Administrator" letter provides instructions to nursing homes on accessing their facility-specific quality pool benchmark report.

Medicaid

DOH and OMIG Update on Initial MDS Audit Results

DOH expects to calculate the financial impact of initial MDS audit results by the end of May and determine how to proceed with final July 2012 rates.

May 14, 2013

Medicaid

Nursing Home Medicaid Update

Most of the recent meeting between nursing home representatives and DOH was spent discussing the transitioning of nursing home residents into managed care. 

May 7, 2013
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