Nursing Home Rates

  • Letter is also available in Portable Document Format

November 21, 2022

Dear Health Plans:

This provides you with information regarding the July 1, 2022 Benchmark Rates. Facility-specific benchmark rates are updated and published on the DOH Public Website.

The July 1, 2022 Benchmark rates have been updated to reflect the following changes:

  • Operating Components:. The July 2022 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 of October 1, 2022 through March 31, 2022.

Please note, the following documents are located on the aforementioned website that outlines Benchmark Rate requirements:

  • Attachment A
  • Attachment A-1
  • Attachment A-2
  • Attachment B

If you have any questions regarding the posting of the 2021 Benchmark Rates, please send an email to nfrates@health.ny.gov with Benchmark Rates in the subject line and staff will respond to your inquiry. Questions regarding Managed Care Premiums should be addressed to MLTCRS@heath.ny.gov.

Sincerely,

Laura Rosenthal Director
Bureau of Nursing Home and Long Term Care Rate Setting
Division of Finance and Rate Setting
Office of Health Insurance Programs