Notice of Nursing Facility per Diems to Use In Submitting DMAS-225

The following information was provided to us by the Department of Medical Assistance Services (DMAS):

When submitting the DMAS-225 to the local DSS (Department of Social Services), nursing facilities are required to enter the Medicaid per diem rate.  After the change in the reimbursement methodology effective November 1, 2014, each resident has his or her own per diem rate based on the RUGS score instead of a facility rate applicable to all residents. To assist nursing facilities in completing the DMAS-225, DMAS has posted a rate file with the per diem rate for each RUGS score by each facility.  The rate file is posted on the DMAS website  under Provider Services, Rate Setting Information, Nursing Facilities, SFY 2015 Price-Based Rates, RUG Adjusted Nursing Facility Price-Based Reimbursement Rates Effective November 1, 2014 through June 30, 2015 or here.