Nursing facility rates to be published by October 1, 2015

Contrary to earlier Indiana Health Coverage Programs (IHCP) publications, nursing facility (NF) rates for the quarter beginning July 1, 2015 are still being determined. These rates will be finalized and posted on the Public Notices page of the Myers and Stauffer LC website at by October 1, 2015.

Over the past several years, a number of changes have affected the schedule for setting NF rates. With the change to the Value-Based Purchasing (VBP) methodology, final cost report data is now a prerequisite to finalizing rates because cost report data is used to support many of the VBP measures. Additionally, many facilities now qualify as Non State Government Owned (NSGO) facilities, which means the fiscal year for most NF providers now ends December 31. This change resulted in an increase in the number of cost reports being received for review at the same time of year. Historically, cost reports were received throughout the year. These and other changes have modified the NF rate-setting schedule such that rates for any given quarter may not be available until the beginning of the following quarter.