November 1 Medicaid Rate Reminder

November 1 is right around the corner.  As you know, effective for dates of service on or after November 1, Medicaid reimbursement for nursing facilities shifts from a facility case mix adjusted rate to individual RUGs weights based on the assigned RUGs weight – this is true for both Fee-for-Service and payment by the MMPs under the CCC Program.  Base rates and RUGs rates have been posted, scroll to “NURSING FACILITIES”), as have Frequently Asked Questions (same link).  Further, a Medicaid Memo providing billing guidance was posted September 26th (choose 2014, fourth down as of this publication).