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
- Resident Roster Webinar Update (January 2020)
- Resident Roster Webinar Presentation (December 2019)
- Time-Weighted CMI Resident Roster User Guide
- Web Portal User Guide
- Web Portal User Registration Form
Provider Notifications
All provider notifications are sent via the Web Portal. Please check your portal account for the most current notification.
- February 10, 2020 - Q4 2019 Preliminary Time-Weighted Resident Listing Reports
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.