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KY Medicaid $29 Add-On

HB192 includes a proposed $29 Medicaid Rate Add-On. Our state healthcare associations worked diligently to assure a State Plan Amendment was filed by March 31 requesting the add-on. These are the 4 areas covered:

•    The add-on will be for all price-based nursing facility providers and will be effective January 1, 2021, once the SPA is approved and continue through the last day of the quarter in which the PHE ends or 12/31/21.
•    The add-on will be applied to bed reserve days and, once the SPA is approved by CMS, days will be computed by increasing the facility rates by the $29 per day add-on, and then adjusting bed reserve rates by 50% or 75%, depending on the facility occupancy criteria.
•    Providers will attest to expenditures only being used for PPE, COVID-19 testing, and staffing costs. Additional issues that may arise will be discussed in a future TAC meeting.
•    The July 1st inflationary adjustment to the urban and rural price will be calculated first, followed by the addition of the $29 add-on to determine rates for Medicaid fiscal year 2022.
 

Do you have questions about what this means for your facility? Call us with your questions at (270) 726-4033.

Blog by Sarah McIntosh, Director of Operations