New York Medicaid Change Rocking SNFs

Jun 28, 2019
The Bottom Line

The state of New York is proposing a change in the way it calculates the case mix that sets Medicaid reimbursements for skilled nursing facilities — with the goal of realizing $246 million in net savings.

If it is finalized, that could mean a significant cut in Medicaid reimbursements for nursing home providers, according to New York State Health Facilities Association (NYSHFA) president and CEO Stephen Hanse, reports Skilled Nursing News.

The methodology of how the state calculates reimbursement is proposed to change - from a snapshot method that uses an average case-mix index twice a year, to a review of all MDS assessments for six months. The new methodology has potential to make timely documention in the MDS of anything that might affect reimbursement.

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