Update: Nursing facility rate reduction extended

Update: Nursing facility rate reduction extended

As previously published in Indiana Health Coverage Programs (IHCP) Bulletin BT201529, the IHCP implemented a 3% reduction in reimbursement paid to nursing facilities effective January 1, 2014, through June 30, 2017. This reimbursement reduction will be extended through June 30, 2019.

This reduction will apply to nursing facility providers reimbursed under 405 IAC 1-14.6. The reduction applies to the Medicaid per diem rate before any patient liability or third-party liability (TPL) reduction is applied to the claim. This reduction applies to all IHCP nursing facility claims, including Medicare crossover claims.

Notice of a public hearing regarding the proposed extension was published in the Indiana Register on April 19, 2017.

Providers can see IHCP Bulletin BT201437 for information about the original rate reduction.