Nursing Home Payment Adjustments Reflected in Cycles 2152 and 2153

Last week, the Department of Health (DOH) distributed a Dear Administrator Letter (DAL) regarding Medicaid adjustments reflecting the quality pool and supplemental payments. The DAL, available here, confirms that the payment adjustments related to five years of the Nursing Home Quality Initiative (NHQI) as well as the supplemental payment reflecting reinvestment of the .8 percent assessment will be made in Medicaid payment cycles 2152 and 2153.

The DAL outlines how the figures were calculated and provides links to backup documentation showing the data used in the calculations. Please note that while specialty units receive the supplement and are listed separately in the backup document, Continuing Care Retirement Communities (CCRCs) and specialty units are excluded from the NHQI.

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