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Resources: CMS Global PHE and KY Department for Medicaid Services PDPM
CMS Developed Global Public Health Emergency (PHE)
Some denial reasons are as follows:
CMS developed three applications to facilitate visitation and prevent the spread of COVID-19 infection. These one-time grants will continue beyond the PHE to allow all certified nursing facilities access to the products. CNFs can apply for all three programs for up to a total of $9,000.
Communicative Technology: Up to $3,000 for tablets and accessories to allow residents to communicate remotely with family and friends
Visitation I: Up to $3,000 for in-person visitation aids such as outdoor shelters and clear dividers
Visitation II: Up to $3,000 for portable fans and/or room air cleaners with HEPA filters (H-13, -14)
KY Department for Medicaid Services - Patient Driven Payment Model
The Kentucky Department for Medicaid Services will be implementing Patient Driven Payment Model (PDPM) rate methodology effective July 1, 2024. Myers & Stauffer has posted a report to the provider web portal.
The report includes a PDPM Medicaid average CMI for MDS assessments active during calendar year 2022. This is NOT the PDPM CMI that will be used for your July 1, 2024 rate. The report is only a snapshot from 2022 for your facility to use for comparison and rate calculation purposes.
PDPM Medicaid average CMI for rates effective 7/1/2024 will use MDS assessments active between 1/1/2024 through 3/31/2024.
The PDPM methodology will be phased in as follows:
As a reminder, rates effective January 1, 2024 and April 1, 2024 will be based on the 7/1/23 through 9/30/23 CMI. The 7/1/23 through 9/30/23 CMI will also be used during the phase in.
