Nursing Home Rate Appeals

Nursing Homes have until July 7, 2015 to file appeals to their initial 1/1/15 Medicaid rates.  DOH has clarified that homes filing appeals should enter March 9, 2015 as the rate publication date in the electronic appeal system.  Please keep in mind that DOH only reviews capital appeals.  Appeals to the operating portion of the rate are only reviewed if they require correction of DOH computational errors or data omissions.  

None of the long-pending rate updates (quality pool adjustments, CMI update, 2013 assessment reconciliation) have been issued.   LeadingAge NY is addressing these with DOH leadership and will provide updates as soon as more information is available.

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