AGING AND DISABILITY SERVICES ADMINISTRATION

2005 NH "Dear Administrator" Letters

September 30, 2005

ADSA: NH #2005-031
OCTOBER 1, 2005 MEDICAID PAYMENT RATE

Dear Nursing Facility/Home Administrator:

The Rate Computation Worksheet for your facility’s October 1, 2005 Medicaid payment rate is enclosed.

Except for the different quarter RUG data, the department calculated your facility’s October 1, 2005 rate using the same data used to calculate your facility’s Medicaid payment rate for July 1, 2005. The department calculated your facility’s October 1, 2005 rate using your facility’s Medicaid Average Case Mix Index (with defaults) from the 2nd Quarter of 2005 (April through June 2005) final RUG report. The department calculated your facility’s July 1, 2005 rate using your facility’s Medicaid Average Case Mix Index (with defaults) from the 1st Quarter of 2005 (January through March 2005) final RUG report.

If a timely appeal of your July 1, 2005 Medicaid rate is pending, when it is resolved, any changes made to adjustments because of this appeal will be brought forward to the facility’s October 1, 2005 Medicaid rate.

Enclosed you will also find a 2nd Quarter 2005 final RUG report.

Under WAC 388-96-901 (2) (f), the quarterly updates of a facility’s resident case mix are not subject to review under WAC 388-96-904.

Please call your Medicaid rate analyst or Ken Callaghan, Nursing Home Rates Section Manager, at (360) 725-2469 if you have any questions about this letter.

Sincerely,

Tom Kearns, Chief
Office of Rates Management