DOH Updates NH Medicaid Rates

DOH posted July 1, 2014 nursing home rate sheets reflecting the January 2014 Case Mix Index (CMI) and associated Dear Administrator Letter on the Health Commerce System (HCS). The announcement note sent by DOH with instructions on finding the rate sheets on the HCS is copied below.   

It is anticipated that the rate adjustments retroactive to July 1, 2014 will be reflected in Medicaid payment cycle #1944 with a check release date of Dec. 10. Please note that because this is a case mix update only, specialty rates (which are not subject to case mix updates currently) should not be impacted at this time.

Contact:  Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841

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TO ALL NURSING HOME HCS COORDINATORS:

This is to inform the administrator of your facility that the Medicaid rates for your facility effective January 1, 2014 (case mix) and supporting documentation along with the associated Dear Administrator letters are now available on the Health Commerce System (HCS). To access, please follow these instructions:

Go to Website - https://commerce.health.state.ny.us

Security Screen - enter your “HCS” id and password

Health Commerce System Welcome Page - select "NH Rate Sheets 4/2009-Forward" under the heading "My Applications"

Nursing Home Rates - 4/1/2009 and Forward screen – select NH July 2014 Case Mix Update Jan 2014  from the drop-down list under "Nursing Home Rates Selection List"

Identify your facility in the drop-down list under "Nursing Home Selection List" and then select "SHOW REPORTS"