The Information Letter 2023-14 announces the ending of temporary emergency rate increases for the Nursing Facility (NF) program, including hospice services provided in the NF setting, effective during the COVID-19 Emergency Declaration. These rate increases were implemented to support access and safety during the emergency declaration and were made effective retroactively from April 1, 2020. The temporary rate increases will conclude at the end of the federally-declared Public Health Emergency (PHE) on May 11, 2023. The rate increases apply to Medicaid NF providers in both fee-for-service and managed care, including services delivered through STAR+PLUS and Dual Eligible residents served through Medicare-Medicaid Partnerships (MMP). The temporary emergency rate increases also apply to Medicaid hospice NF per diem rates. Providers should continue to bill their current services using their normal billing process but must split the claims into two details to avoid rejections. Nursing homes and healthcare facilities need to be aware of these changes and adjust their billing processes accordingly.
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