Myers and Stauffer recently posted the announcement below about the release of July 1, 2019 rates on its website. IHCA has communicated our members’ concerns about the delayed rate release to the Indiana Medicaid Agency (OMPP). OMPP responded that the SPA was filed on September 16th and that CMS has approved SPAs for Indiana within 35 days on average. OMPP also noted that since the amended Schedule X did not collect staffing data used in the old methodology this year, Myers and Stauffer does not have all data elements they would need to calculate rates—and so they need to await CMS approval of the new methodology. We are monitoring closely and will keep our members updated if we receive new information.
OMPP is holding the release of the July 1, 2019 annual nursing facility rates until the State Plan Amendment (SPA) related to the new reimbursement methodology for the changes to value based purchasing is approved by CMS. Shortly after the SPA is approved by CMS, the July 1, 2019 rates which are available and not awaiting additional information will be released. Any quarterly updates may also be impacted by this delay and will be released as available after the July 1, 2019 rate.