I'm looking for the average daily Medicaid reimbursement rates for
nursing home patients in each of the fifty states. Is there anywhere
on-line that this data has already been collected, or does each state
have a site that would provide this information? 2001 or 2002 data
would be preferable. |
Request for Question Clarification by
revbrenda1st-ga
on
15 Nov 2002 14:56 PST
I'm working on this, but don't want to duplicate your previous
searches. Have you checked out the government website
<<http://www.medicare.gov>>?
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Clarification of Question by
mbw620-ga
on
15 Nov 2002 21:08 PST
I checked out the American Health Care Association, but they wouldn't
tell me anything unless I was a member, and I looked with the
Association of State Medicaid Directors, who was equally helpful.
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Request for Question Clarification by
revbrenda1st-ga
on
16 Nov 2002 08:57 PST
Hello again, mbw620,
Okay, I'll give you an idea of what I'm dealing with here. It would
seem that Medicaid rates do vary greatly from state to state. Within
each state there are qualifiers that affect rates, as well. Here's an
article which deals with Medicaid and mental health treatment:
Long-term care: dire need for services, inadequate pay for ...
http://www.apa.org/monitor/julaug00/longterm.html
Now here's an example of what I found for Massachusetts. To truly
understand all the things that affect rates, read the whole file (four
pages). It provides definitions which you'll need to understand the
rate breakdowns. This a .pdf file, so you'll need the free Adobe
Acrobat Reader to view it. These rates came are effective October 1,
2000.
Another thing you'll notice is that location plays a factor. I'll
paste in the figures by counties.
Essex, Norfolk, Middlesex, Plymouth, Bristol, Worcester and Suffolk
Counties
Routine Home Care: $116.70 /per diem
Continuous Home Care: 28.36 /hour
Inpatient Respite: 123.51 /per diem
General Inpatient Care: 514.00 /per diem
Hampden and Hampshire Counties
Routine Home Care: $111.62 /per diem
Continuous Home Care: 27.12 /hour
Inpatient Respite: 119.15 /per diem
General Inpatient Care: 492.97 /per diem
Franklin, Dukes and Nantucket Counties
Routine Home Care: $116.78 /per diem
Continuous Home Care: 28.38 /hour
Inpatient Respite: 123.58 /per diem
General Inpatient Care: 514.34 /per diem
Barnstable County
Routine Home Care: $131.21 /per diem
Continuous Home Care: 31.88 /hour
Inpatient Respite: 135.94 /per diem
General Inpatient Care: 574.05 /per diem
In your original question, you wondered "does each state have a site
that would provide this information." Would you be satisfied with an
answer that links you to such pages where you can get the information
yourself? I've come to the conclusion that by the time I ferret out
each rate for each medical area of each state's nursing homes, I'll be
ready for a home myself. :)
Massachusetts:
http://www.state.ma.us/dhcfp/pages/pdf/114.3_43.pdf
Regards,
revbrenda1st
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Clarification of Question by
mbw620-ga
on
18 Nov 2002 11:55 PST
What I have in front of me is a chart prepared by BDO Singerman for
AHCA. It is titled Calculation of 2000 Weighted Average Medicaid
Shortfall. My task is to update the rate column. What I just found
out is that the rate listed is defined through the following: "The
rates and costs are weighted averages calculated by multiplying the
per diem rates and costs of each facility by their respective Medicaid
days and dividing the result by total Medicaid days of the facilities
in the statewide database."
Does a more recent chart of this sort exist, or is more recent raw
data available through which I could duplicate this process? If so,
where would I find it?
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Request for Question Clarification by
revbrenda1st-ga
on
19 Nov 2002 06:25 PST
Well, mbw620, I did a search for "Calculation of 2000 Weighted Average
Medicaid
Shortfall" and found a .pdf file with the information.
< www.ahca.org/brief/seidman/seidmanstudy0207.pdf >
I know that's the same thing you have in front of you, but I was
taking a chance that perhaps if I altered the year in my search from
2000 to 2001 and 2002, I might find what you need. It wasn't to be,
though. I got no results for either subsequent year. Then I noticed
the date on your report -- it was prepared in July of this year. That
indicates to me that there is no official report any more up-to-date
than that, at least not on-line.
I found a .ppt presentation at
< http://www.ncsl.org/programs/health/vsmith/VSmith-final%20final.PPT
> with charts and graphs related to Medicaid but it's a general
report, not broken down by state. It might come in handy in another
area of your work.
Then I found this report from Texas' Medicaid Office:
< http://www.cms.gov/medicaid/stateplans/state_data/TX/spa/TX01_010a.pdf
> It's long and BORING, but that's the nature of such things, I guess.
I found a few regarding hospitals. For example: "Children's hospital
are weighted at 1.25." A closer, full read might give you at least
what Texas is using as per the date on the report, which is September,
2001.
Now, what I CAN do is give you a list of all on-line state Medicaid
websites, from which you can contact the appropriate department. Such
sites have e-mail addresses and usually a toll-free number. Would that
be acceptable to you as answer?
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Clarification of Question by
mbw620-ga
on
19 Nov 2002 08:21 PST
I have come to the reluctant conclusion that the only way to get what
I want is to call each state Medicaid driector. I have the list
provided by NASMD at http://medicaid.aphsa.org/members.htm. Unless
you can offer me a better list than that, I'd say go ahead and post
the latest clarification as an answer and I will close the question
out. Thanks for all your help.
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Request for Question Clarification by
revbrenda1st-ga
on
19 Nov 2002 09:11 PST
I'm sorry. No, I can't do better than your list, but I just came
across this and thought I'd pass it on to you.
Federal Medicaid Assistance Percentages (FMAP)
< http://www.geocities.com/CapitolHill/5974/fmappage.htm >
Wish I could have been more helpful.
Regards,
revbrenda1st
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