Nursing facilities receive a per diem (a single comprehensive payment per day per resident). The per diem is specific to each facility and is the sum of three separately calculated components – nursing, support and capital.
Support and capital rates are set based on information provided by facilities through cost reports submitted to the Department. The nursing component is a function of the health care needs of the facility’s residents, as measured by the Minimum Data Set (MDS) completed by each facility. The MDS-based reimbursement methodology goes into effect January 1, 2007.
2023
- Medicaid Rate List for Nursing Facilities, County Nursing Facilities, and SMHRFs Effective April 1, 2023 (pdf) (xls)
- CNA Data Collection History Chart (xls) (pdf)
- CNA Pay Scale Enrollment Form for All Quarters (pdf)
- Nursing Facility Estimated Quality Incentive Payment Listing for April 1, 2023 (pdf) (xls)
- Nursing Facility Quality Incentive Payment Listing by Payor for January 1, 2023 (xls) (pdf)
- Nursing Facility CNA Incentive Payments by Payor for January 1, 2023 (xls) (pdf)
- Medicaid Rate List for Nursing Facilities, County Nursing Facilities, and SMHRF's Effective January 1, 2023 (xls) (pdf)
- Staffing Add-Ons and Medicaid Utilization Add-Ons Effective January 1, 2023 (xls)
- CNA Pay Scale Enrollment Form for January 1, 2023 (pdf)
- Provider Assessment Rates for Calendar Year 2023 (pdf) (xls)
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Nursing Facility Quality Incentive Payment Listing for January 1, 2023 (pdf) (xls)
