Complete Story
05/25/2016
ODM Finalizes Medicaid Prices
ODM Finalizes Medicaid Prices
Terry Moore from the Department of Medicaid (ODM) released final prices based upon updated inflation factors and a detail audit from Myers & Stuffer, LLP. The good news is all prices are higher than the originally projected prices released in December. If you use the SWA average Medicaid case mix of 2.6500, the increased prices average $1.53 per day. Below details the differences:
If you were able to remove (sell or give back) unused beds to drop to Peer Group 3, there still is a price advantage using the final prices but the differential did drop for Peer Groups 1 and 3:
Terry Moore also released preliminary rates for 930 nursing facilities. The reason they are preliminary is the rates do not include the final quality adjustments. If we exclude 10 providers where rates do not look correct, rebasing for the entire industry has increased rates from a straight average of $177.31 per day to $191.79 per day. Below is the average Medicaid rates per peer group compared to 1/1/2016 rates. While many individual rates may vary, only Peer Group 1-L appears to have a negative impact as a whole.
Leading Age Ohio will be sending you your individual rates within a week. If you have any questions, please email Nisha Hammel @ nhammel@leadingageohio.org . Special thanks to Chris Joos, Plante Moran for this analysis and information.