Medicaid Nursing Home Reimbursement Modernization Acuity Based Methodology

Resources

Value Based Purchasing Program Development

CMS Quality and PBJ Data Published in January 2024
Quality Period: April 1, 2024 - June 30, 2024

2020 Monthly Reporting Calendar


Resident Roster Information


Provider Notifications
All provider notifications are sent via the Web Portal. Please check your portal account for the most current notification.


Case Mix Implementation and Overview
On September 3, 2019, the Department hosted a public meeting to discuss implementation and overview of case mix reimbursement.


Components of the CMI
On November 22, 2019 the Department hosted a webinar on the components of the CMI. CMI is a weight assigned to a specific Resource Utilization Group (RUG) which reflects the diversity, clinical complexity, and resource needs of all residents within a nursing facility.


CMS Resources
The CMS PDPM website includes a variety of educational and training resources to assist in understanding the Medicare PDPM method.