Nursing Home Medicaid Rates
DOH has posted preliminary 2014 nursing home and ADHC Medicaid rate sheets, operating and capital, on the Health Commerce System (HCS). A Dear Administrator letter accompanies the rate sheets.
Please note that the case mix adjustment reflected in the preliminary 2014 nursing home rate is still based on January 2012 roster-based CMI. It will eventually be updated to reflect a July 2013 roster-based CMI.
Because they are preliminary, the rates are not subject to appeal. However, DOH requests that providers notify them of significant errors using the email procedure outlined in their announcement.
The DOH note announcing the availability of the rate sheets is copied below.
Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841
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From: Linda Baker [mailto:ljd01@health.state.ny.us] On Behalf Of BLTCR NF RATES BML
Sent: Friday, November 01, 2013 2:34 PM
Subject: Draft Initial 2014 Nursing Home and ADHC Rates
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 and supporting documentation along with the associated Dear Administrator letter 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
For Nursing Home rate sheets:
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 Nursing Home Preliminary 2014 Rates" 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"
For ADHC rate sheets:
Health Commerce System Welcome Page - select "NH ADHC Rates" under the heading "My Applications"
NH ADHC Rates screen - select "2014 ADHC Rates Preliminary" from the drop-down list under "Nursing Home Rates Selection List"
If you believe your preliminary 2014 Capital Rate Sheet contains a significant error, please transmit information about the nature of the error by submitting an e-mail to BVAPR@health.state.ny.us. In the subject line of the email please type “2014 Preliminary Capital Rate”. Such submissions that affect only the ADHC rate such as arms-length rental of offsite day care property and errors in reported Schedule 18 information (such as visits) should also be submitted for processing to NFRATES@health.state.ny.us, with the subject line starting with “ADHC - 2014 Preliminary Capital Rate” and the facility name. If you believe your preliminary 2014 Operating Rate Sheet contains a significant error, please transmit information about the nature of the error by submitting an e-mail to NFRATES@health.state.ny.us . In the subject line of the email please type “2014 Preliminary Operating Rate”. All email requests for Operating and Capital must be received by the Department by December 2, 2013.