Payment & Reimbursement

Your Guide to Payment & Reimbursement Policy

Navigating payment and reimbursement policy for Indiana’s senior living sector.

Obtaining payment for the important services provided to Indiana’s elderly and disabled is critical to the success of communities and the hands-on care provided each and every day. IHCA/INCAL has led the way in the development of Medicaid policy and advocacy, while AHCA/NCAL concentrates on policy and advocacy in the Medicare program, to help skilled nursing facilities and assisted living communities to receive compensation for their services.

Medicaid

Indiana’s Case Mix reimbursement system is complex and frequently changing. We track and provide guidance on a range of matters from Quality Assessment Fee to Payment Add-ons to Value based Purchasing to Cost Reports and Audits.

We also engage in policy development and expansion of Medicaid Long Term Services and Supports, Medicaid Waiver and Home and Community Based Services.

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Medicare

The intersection of quality and payment in the Medicare program continues to advance at a rapid pace. We help members learn and adapt to these changes. Data and guidance on the Patient Driven Payment Model, Skilled Nursing Facility Value-Based Purchasing, Quality Reporting Program, and more are available for members to access.

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I have appreciated the support of IHCA/INCAL for many years. Long-term and post-acute healthcare is complex and is constantly changing. The association provides a larger voice to the issues that plague our profession and hinder our ability to thrive. It also facilitates the needed tools, training and support for survival and success.

Mary Pankey RN HFA

Revenue Cycle Director, CarDon and Associates, Inc.

Riverwalk Communities is privileged to be a member of IHCA/INCAL. The Association provides unparalleled expertise, and excellent leadership and representation, most notably in the complicated areas of long term care reimbursement and regulatory matters at the federal, state and local level.

Mike Weber

CEO, Riverwalk Communities

The rate of recoveries is a reason for optimism, but the battle is not over. The deaths that have occurred in long term care facilities are tragic, but because of the fearless dedication of our heroic caregivers, the vast majority of residents who have tested positive for the virus have fully recovered, and we hope that the recovery trend continues to rise.

Zach Cattell

President, Indiana Health Care Association

IHCA/INCAL are widely respected and leaders of LTC associations. With the leadership of President Zachary Cattell and every Director in place to meet member and partner needs, they are not just another association. They demonstrate their belief that they can make a difference for all of us in the LTC industry. Of all the partner relationships Success Development Inc. has experienced, IHCA/INCAL is particularly appreciated, as they consistently model capability, honesty, and integrity.

Vivian Wright-Defrees, MA, MBA, HFA, FACHCA

President/CEO, Success Development Inc.

I am proud to give back to this organization by serving on the IHCA/INCAL Board of Directors. It has been an eye opening education to see all of the different levels that the Indiana Health Care Association works to serve the residents, families and staff of the long term care facilities in Indiana.

Yvonne Tanner, RN

Vice President of Clinical Operations, Golden LivingCenters

Being a part of IHCA/INCAL has been a wonderful experience and has brought so many learning opportunities to our company. I have been fortunate enough to be a part of the Workforce Development Committee for several years and am now the Co-chair. I’ve really enjoyed the opportunity to share ideas with other members, which allows us all to grow and learn for the betterment of the industry as a whole.

Amber Iskander

Executive Director of Human Resources, CarDon & Associates

I have more than 25 years’ experience with the Indiana Health Care Association. I started out as a nurse at a facility, moved up to serve as a Director of Nurses position followed by serving as a consultant to multiple facilities, and I am currently serving as the vice president of clinical operations for 23 buildings. Throughout each of the steps in my journey, the IHCA/INCAL has provided excellent education to support my career development and further strengthen my leadership skills.

Yvonne Tanner, RN

Vice President of Clinical Operations, Golden Living Centers

IHCA/INCAL provides a larger voice to the issues that plague our profession and hinder our ability to thrive. The collaboration of multiple providers is more powerful than any isolated efforts and the Association provides a means to collectively work as providers to establish communication on critical issues and facilitate change.

Mary Pankey RN HFA

Revenue Cycle Director, CarDon and Associates, Inc.

Workforce recruitment and retention is one of the most pressing challenges confronting long term care providers today. We are laser-focused on giving our members the tools they need to address this shortage while equipping tomorrow’s workforce with resources they need to launch a successful career in this rapidly growing field.

Zachary I. Cattell

President, Indiana Health Care Association