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Medicaid Nursing Home Reimbursement

Pension and Wage Increase

Enhanced Health Care and Pension Benefits for Nursing Facility Employees
Special Act 21-15 appropriated $15 million to the Department of Social Services, for Medicaid, for the fiscal year ending June 30, 2023 for the purpose of adjusting nursing home rates for facilities that provide enhanced health care and pension benefits for facility employees. Facilities that receive a rate adjustment for the purpose of providing enhanced health care and pension benefits for employees but do not provide such enhanced benefits may be subject to a rate decrease in the same amount as the adjustment by the Commissioner of Social Services. Total funding for the program is $30 million (state and federal). 
Available funding will be distributed pro-rata based on the cost of each facility’s enhancements, final amounts will be adjusted for the Medicaid percentage of the facility. All applications have been received and amounts have been calculated.

Final Distribution File

FAQ March 2022

July 28, 2021 Town Hall
Information related to the 4.5% rate increases effective July, 1, 2021. Increases are to be use to support staff wages. 

Nursing Home FAQ #1 - responses to questions from the industry regarding the SFY22 and SFY23 financials support for nursing homes provided in the state budget

Nursing Home FAQ #2 - responses to questions from the industry wide town hall held on July 28, 2021

July 1, 2019 Nursing Home Wage Increase

July 1, 2019 Nursing Home Rate Increase Information - June 27, 2019
Frequently Asked Questions - June 27, 2019

November 1, 2018 Nursing Home Wage Increase

The Secretary of the Office of Policy and Management recently approved a 2% increase on nursing home rates effective November 1, 2018. The increase will be implemented by the Department of Social Services and is specifically intended to support a permanent increase of no less than 2% to the compensation of employees directly employed by the nursing home. This page will be dedicated to providing information regarding the 2% increase.

Notice to Nursing Homes - September 17, 2018
Frequently Asked Questions #1 - September 27, 2018
Frequently Asked Questions #2 - October 12, 2018
Frequently Asked Questions #3 - November 13, 2018