Final Revised Nursing Home Billing Rates — 2022 Cost Report Update
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Announces final revised nursing home billing rates effective July 1, 2024 based on the audited 2022 Medicaid cost report and explains appeal and access processes for affected Medicaid nursing facility providers.
Final nursing home billing rates were calculated using the audited 2022 Medicaid cost report and are effective July 1, 2024.
Case mix index and BIMS scores from corrected PDPM 'Listing of Residents' for March 31, 2024 were used in rate calculations.
Appeal procedure and deadline: documentation per Appendix I must be submitted to DCH by August 2, 2024 to contest the revised rate.
Reimbursement Rate Conditions
Reimbursement rate conditions
Conditions and administrative actions related to the final revised nursing home billing rates:
PDPM / BIMS Inputs
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What Providers Must Do / How to Access Revised Rates
Access revised rates and corrected PDPM listings
Access the Department of Community Health website to download your facility’s revised billing rate sheet and download the corrected PDPM “Listing of Residents” from the Myers and Stauffer web portal. If you have not successfully accessed the Web Portal prior to this mailing, contact the Office of Reimbursement at nhpassword@dch.ga.gov for access assistance. You will receive an email from Myers and Stauffer when your corrected listing is available for download.
- Revised billing rate sheet: https://dch.georgia.gov/providers/provider-types/nursing-home-providers/reimbursementrates
- Corrected PDPM 'Listing of Residents' available for download via Myers and Stauffer web portal; an email notification will be sent when available
- Contact nhpassword@dch.ga.gov if unable to access the Web Portal
Appeal submission deadline and method
Submit an appeal following the procedures in Appendix I of the Policies and Procedures for Nursing Services manual and email the required documentation and supporting materials to nh.appeals@dch.ga.gov by August 2, 2024. Appeals submitted after that date will not be considered and DCH’s calculation will stand.
- Follow Appendix I procedures in the Policies and Procedures for Nursing Services manual
- Email appeal requests and supporting documents to nh.appeals@dch.ga.gov
- Deadline: documentation must be submitted to DCH by August 2, 2024
Key Terms
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