Dear Administrator Letter

  • Letter is also available in Portable Document Format (PDF)

November 17, 2022

Dear Administrator:

This letter provides you with information regarding your Residential Health Care Facility reimbursement rates effective July 1, 2022. The all-inclusive rate sheets are provided on the Health Commerce System, via the Healthcare Financial Data Gateway.

The July 1, 2022 rates have been updated to include a case mix adjustment which was calculated using all assessment data submitted to the Centers for Medicare and Medicaid Services for the time period October 1, 2021 through March 31, 2022. Please note no discharge or tracking Minimum Data Sets were used, and no default scores were assigned to any assessments.

The payment for July 1, 2022 rates will be made in cycle 2362 with a check release date of 12/14/22. 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, Director
Bureau of Nursing Home and Long Term Care Reimbursement
Division of Finance and Rate Setting
Office of Health Insurance Program