HB 723 -- Medicaid Nursing Home Reimbursement

Co-Sponsors:  Jetton, Behnen, Sutherland, Crowell, Mayer, Lipke
(157), Stevenson, Munzlinger, Sander, Dixon, Wasson

This bill requires the Division of Medical Services to annually
recalculate the Medicaid per diem reimbursement rate of each
nursing home facility participating in the Medicaid program as a
provider.

The bill:

(1)  Requires the recalculation to be performed over three state
fiscal years and in three separate payments beginning July 1,
2003;

(2)  Requires the recalculation to be based on a facility's
reported costs which are filed with the division, beginning with
the facility's fiscal year ending in 2000;

(3)  Prohibits a recalculated Medicaid per diem reimbursement
rate for a facility from being less than $90 per day; and

(4)  Prohibits the division from applying to a recalculation a
minimum utilization adjustment factor.

The bill contains provisions pertaining to the factors used in
the recalculations which begin July 1, 2003.  Effective July 1,
2006, each facility will receive a full Medicaid recalculation
based on its 2003 Medicaid cost report of adjusted costs.

The bill contains an emergency clause.

Missouri House of Representatives
Last Updated July 25, 2003 at 10:12 am