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Indiana Medicaid Clarifies How to “De-Attest” COVID-Ready Status - IHCA

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Indiana Medicaid Clarifies How to “De-Attest” COVID-Ready Status

Posted Jun 8, 20202 min Read

Payment & Reimbursement
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In May Indiana Medicaid announced a 2% rate increase for nursing facilities that attested to being COVID-Ready.  Since that time, several facilities have found that they either received the enhanced 2% rate without actually knowing they selected to be COVID-Ready or knowingly selected this option but later decided against it.  One of the main elements of concern of being COVID-Ready, thereby qualifying for the 2% rate enhancement, is the attestation that the facility will admit new COVID-19 positive residents even if the facility is COVID-free.

To “de-attest” to the COVID-Ready attestation, a nursing facility must email Derris Harrison, Director of LTC Reimbursement at Indiana Medicaid (Derris.Harrison@fssa.IN.gov) that the facility no longer wants to be designated as COVID-Ready.  This “de-attestation” will end the 2% rate increase, but when that rate increase would end depends on whether the selection of COVID-Ready status was a mistake or if the facility has changed its position on being COVID-Ready.   The process is as follows:

  • Mistaken Selection as COVID-Ready.  Nursing facilities that indicate to OMPP that their COVID-Ready selection was a mistake will have their rate adjusted with the 2% taken back to the effective date of the first 2% payment.  Facilities that made a COVID-Ready attestation in May were eligible for the 2% back to May 1st, and facilities that made the attestation in June or after get the 2% as of the attestation date.  OMPP will provide instructions on claims reprocessing, but the 2% would be taken back through an offset of a future remittance advice.
  • Facility Decides to not be COVID-Ready.  Nursing facilities that were once COVID-Ready but later decided to not be COVID-Ready, that facility must specify the end date in the communication to Derris Harrison.  That end date will be used to end the 2%, and depending on claims paid with the 2% an offset of a future remittance advice would take place from the election date to the selected end date.

Derris Harrison at Indiana Medicaid is available for specific and additional questions.

About the Author

Zach Cattell, President, Indiana Health Care Association