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You are Here: Home Page > Long-Term Care Medicaid Reimbursement > Dear Administrator: NHQIDP Award Rate Adjustments for January 1 through June 30, 2007  

Dear Administrator: NHQIDP Award Rate Adjustments for January 1 through June 30, 2007

May 30, 2007

Dear Administrator:

Chapter 1 of the Laws of 2002, which added section 2808-d of the Public Health Law, and Chapter 686 of the Laws of 2003 and Chapter 161 of the Laws of 2005, which amended this section, provide for payments to certain residential health care facilities (RHCFs) for the nursing home quality improvement demonstration program grant awards for the period April 1, 2002 through June 30, 2007. Additional funds were appropriated in the 2007-08 Appropriations Bill to provide funding for this program through June 30, 2007. Pursuant to this section, non-public RHCFs receive these payments as a reimbursable cost add-on to their rate.

The enclosed rates, for the period January 1, 2007 through June 30, 2007, include an adjustment to reimburse you for the amount awarded to your facility for this period. These awards were distributed on the same proportional basis as the most recent available distribution authorized through the Nursing Home Quality Improvement Demonstration Program. These rates reflect the distribution of all monies that have been appropriated for fiscal year 2007/2008 for these grant awards.

Pursuant to this legislation, after December 31, 2004, awardees may use the funds received for any of the following purposes, without restriction: 1) an increase in direct care staff, 2) increased training and education of direct care staff, 3) efforts to decrease staff turn-over and, 4) any other efforts related to the recruitment and retention of direct care staff that will effect the quality of care at such facility.

The attached schedule shows the detail of the calculation of the revised 1/1/07 Nursing Home Quality Improvement Award per diem. This adjustment is included on Schedule VII of the rate sheets as a Miscellaneous C adjustment. The rates containing the Nursing Home Quality Improvement add-on for 2007 have been forwarded to the Office of Health Insurance Programs for payment. If you have any questions regarding this calculation, please contact Dena Bannan of the Bureau of Long Term Care Reimbursement at (518) 473-4421.

You should be aware, these rates may contain an adjustment due to the implementation of the final 2001 WEF adjustments. While these adjustments have not been implemented statewide, there may be an impact reflected in the enclosed rates. You will be notified at a later date of all the rate adjustments applicable to the final 2001 WEF adjustments.

Sincerely,

John E. Ulberg, Jr.

Director

Division of Health Care Financing

Enclosure