The Office of Medicaid Policy and Planning (OMPP) recently announced two new temporary rate adjustments related to COVID-19:
These enhanced rates are in addition to the 4.2% increase for all NFs that became effective March 1, 2020.
To receive these enhanced rates, NFs can either:
COVID-19 Ready Enhanced Rate
If a NF attests to the COVID-19 readiness of their facility in May, the effective date of the enhanced rates will be applied retroactively to May 1, 2020. NFs that submit their attestation in June or later will receive the 2% higher rate beginning with the date of attestation.
COVID-19 Resident Add-on
The facility must bill claims for COVID-19 positive residents with the primary diagnosis code of U07.1. The $115 per resident day add-on is limited to 21 days per resident.
The temporary 2% rate increase and the temporary $115 per patient per day add-on will remain available until the earlier of (1) the end of the National Public Emergency or (2) August 31, 2020.
If you have questions about the new COVID-ready enhanced rates, please do not hesitate to contact Elizabeth Eichhorn at firstname.lastname@example.org.