Dear Administrator Letter
- Letter is also available in Portable Document Format (PDF)
October 5, 2021
Dear Administrator:
This letter provides you with information regarding your Residential Health Care Facility reimbursement rates effective July 1, 2021. The all-inclusive rate sheets are provided on Health Commerce System, via the Healthcare Financial Data Gateway.
The July 1, 2021 rates have been updated to include a case mix adjustment which was calculated using all assessment data submitted to Centers for Medicare and Medicaid Services for the time period October 1, 2020 through March 31, 2021. Please note no discharge or tracking Minimum Data Sets were used, and no default scores were assigned to any assessments. The July 1, 2021 rates also eliminated the 5% cap on case mix changes greater than plus or minus 5%.
The payment for July 1, 2021 rates will be made in cycle 2304 with a check release date of 11/3/2021. If you have any questions regarding the rates, please send an email to nfrates@health.ny.gov and we will respond to your inquiry.
Sincerely,
Laura Rosenthal Bureau Director
Bureau of Residential Health Care Reimbursement
Office of Health Insurance Programs
