Reimbursement Update
Reminder: MDHHS Extends QAA and QMI Invoice Due Dates
The Michigan Department of Health and Human Services (MDHHS) reports that, since the Change Healthcare cyber-attack situation is not yet resolved, the department extended the... Read MoreQuality Measures Initiative Payments will be Delayed
On April 15, the Michigan Department of Health and Human Services (MDHHS) Long-Term Care Reimbursement and Audit Division announced that the Quality Measures Initiative (QMI) Payments for... Read MoreCMS Releases New Medicaid Managed Care Final Rule
On April 22, The Centers for Medicare and Medicaid Services (CMS) released the Medicaid Managed Care final rule, marking a substantial update in the framework governing... Read MoreNon-Available Bed Plan Policy Extended through September 30, 2025 (SNF)
The Michigan Department of Health and Human Services (MDHHS) released bulletin MMP 24-13, which extends the flexibilities for Non-Available Bed Plans (NABP) under Medicaid Bulletin MSA 21-43,... Read MoreUpcoming CHAMPS and File Transfer Outages
CHAMPS: Due to monthly maintenance, the CHAMPS system will be unavailable between 6 p.m. ET, April 20, through 9 a.m. ET April 21, 2024. This... Read MoreMDHHS Awards Comprehensive Health Care Program Contracts
The Michigan Department of Health and Human Services (MDHHS) awarded Comprehensive Health Care Program contracts for Michigan’s Medicaid health plans, which serve nearly 2 million... Read MoreChange Healthcare Update: MDHHS Extends QAA and QMI Invoice Due Dates
The Michigan Department of Health and Human Services (MDHHS) reports that, since the Change Healthcare cyber-attack situation is not yet resolved, the department extended the... Read MoreCMS Enhances Medicare Advantage Beneficiary Protections
The Centers for Medicare & Medicaid Services (CMS) announced significant enhancements to beneficiary protections within the Medicare Advantage (MA) program, as outlined in the Contract... Read MoreReminder: MDHHS Offering Initial Settlements for Fiscal Year 2023
As a reminder, the Michigan Department of Health and Human Services (MDHHS) will offer initial settlements for FY 2023, as they did for FY 2022,... Read MoreApril SNF Touchpoint Meeting
The Michigan Department of Health and Human Services (MDHHS) is hosting a series of monthly touchpoint meetings with nursing facility providers. Previously known as the... Read MoreTemporary Relief Available for Providers Impacted by Change HealthCare Security Breach
The Centers for Medicare & Medicaid Services (CMS) reports that, as of March 27, National Government Services (NGS) may grant extensions for responses to additional... Read MoreMDHHS Durable Medical Equipment Presentation
On March 20, the Michigan Department of Health and Human Services (MDHHS) hosted a webinar on Medicaid Coverages for Durable Medicaid Equipment (DME) in Nursing Facilities. The... Read MoreMDHHS SNF Cost Report Preparation Webinar Recording Now Available
The Michigan Department of Health and Human Services (MDHHS) Nursing Facility Cost Report Preparation Webinar that took place on February 28, 2024, is now available to... Read MoreCMS FY 2025 SNF Proposed Payment Rule Has Financial and Regulatory Impact
As we shared on March 29, the Centers for Medicare & Medicaid Services (CMS) issued the proposed rule for the skilled nursing facility prospective payment system (PPS) for... Read MoreUpcoming CHAMPS Outage
Due to monthly maintenance, the CHAMPS system will be unavailable between 7 p.m. Friday, March 22, through 11 a.m. Saturday, March 23, 2024. This outage... Read MoreLevel of Care Determination Reminders for SNF
The Michigan Department of Health and Human Services (MDHHS) Provider Support reports that skilled nursing facility provider inquiries related to Level of Care Determinations (LOCDs)... Read MoreNursing Facility Bed Isolation Exception Request Update
The Michigan Department of Health and Human Services (MDHHS) released policy MMP 24-03, effective April 1, 2024, to introduce a new form and process for nursing facilities... Read MoreUpdate on Change Healthcare’s Cybersecurity Breach
In February, Change Healthcare — a subsidiary of UnitedHealth Group Inc. — announced that its systems were adversely affected by a security incident, and HCAM... Read MoreNext Nursing Facility Touchpoint Meeting is March 14
The Michigan Department of Health and Human Services (MDHHS) is hosting a series of monthly touchpoint meetings with nursing facility providers. Previously known as the... Read MoreNon-Available Bed Plan Extension Policy Public Comments Due March 11 (SNF)
On February 6, the Michigan Department of Health and Human Services (MDHHS) issued a proposed policy for updating the current non-available bed plan flexibilities. The proposal: (1) Extends... Read MoreAHCA Webinar: Payroll Based Journal Best Practices for Submitting Data
AHCA recently released a webinar recording on best practices for submitting data to the Payroll Based Journal (PBJ). Speakers included two members of the AHCA... Read MoreRegister for 2023 CON Annual Survey Webinars
Today, March 6, 2024, is the target launch date for the 2023 Certificate of Need (CON) Annual Survey. Participation in the annual survey is a... Read MoreManaging Cash-Flow Strategies After Change Healthcare’s Cybersecurity Breach
In a member update, HCAM alerted you on February 28 that Change Healthcare — a subsidiary of UnitedHealth Group Inc. — announced that its systems... Read MoreMDHHS Issues Letter to Clarify Cost Report, Audit and Reimbursement Policy Changes
On February 13, the Michigan Department of Health and Human Services (MDHHS) issued Numbered Letter L 24-08, Principal Payment Nursing Facilities to clarify various cost report,... Read MoreNon-Available Bed Plan Extension Policy Issued
On February 6, the Michigan Department of Health and Human Services (MDHHS) issued a proposed policy for updating the current non-available bed plan flexibilities. The proposal: Extends the current... Read MoreMDHHS Nursing Facility Cost Report Preparation Webinar
The Michigan Department of Health and Human Services (MDHHS) LTC Reimbursement and Audit Division is offering a Nursing Facility Cost Report Preparation webinar on February... Read MoreHCAM Member-Only Webinar on NEW Reimbursement Proposed Models
Don't miss this free session on February 27 at 11 a.m. Since 2022, HCAM has worked closely with the Michigan Department of Health and Human... Read MoreWhat to Know About the Independent Contractors Final Rule
Last month, the U.S. Department of Labor published a final rule, entitled Employee or Independent Contractor Classification Under the Fair Labor Standards Act, which takes effect... Read MoreMDHHS Nursing Facility Reimbursement Update
On Wednesday, January 31, the Michigan Department of Health and Human Services (MDHHS) hosted a Nursing Facility Reimbursement Update webinar. MDHHS discussed a number of reimbursement... Read MoreNon-Available Bed Plan Extension Policy Issued
Yesterday, February 6, the Michigan Department of Health and Human Services (MDHHS) issued a proposed policy for updating the current non-available bed plan flexibilities. The proposal: Extends the current... Read MoreMDHHS FTS Portal Downtime
Due to scheduled maintenance, the Michigan Department of Health and Human Services (MDHHS) File Transfer Service (FTS) portal will be unavailable Sunday, January 28, 2024, from... Read MoreNursing Facility LOCD Passive Redetermination (SNF)
The Michigan Department of Health &Human Services (MDHHS) identified an issue with implementing the Level of Care Determination (LOCD) Passive Redetermination file after changes were... Read MorePlease Complete HCAM’s 2024 Wage Survey (SNF)
HCAM tracks staff wage compensation to share with you to help with workforce strategies and advocate on your behalf with the legislature, administration and state... Read MoreMDHHS Skilled Nursing Facility Reimbursement Presentation on January 31 (SNF)
The Michigan Department of Health and Human Services (MDHHS) is hosting a virtual presentation on various skilled nursing facility reimbursement topics Wednesday, January 31, 2024,... Read MoreReimbursement Now Available for Paxlovid
Reimbursement for Paxlovid for Medicare beneficiaries is now covered under Part D. However, not all residents are covered by Part D: Approximately 20% of Medicare... Read MoreMedicaid Recordkeeping Reminder
All Medicaid-reimbursed services are subject to review for conformity with accepted medical practice and Medicaid coverage and limitations. The Michigan Department of Health and Human... Read MoreCMS Updates CLIA Waived Tests Effective January 1
The Centers for Medicare and Medicaid Services (CMS) recently issued revised guidance to its Medicare Administrative Contractors to inform them of new Clinical Laboratory Improvement Amendments of... Read MoreSNF Consolidated Billing CY 2024 Code Updates
The Centers for Medicare & Medicaid Services (CMS) recently posted the updated Skilled Nursing Facility (SNF) Consolidated Billing Calendar Year 2024 HCPCS codes on its website in... Read MoreCMS Posts Information About Medicaid Revalidation Dates
The Centers for Medicare and Medicaid Services (CMS) recently posted an updated Medicare Revalidation List for providers to find out in advance of an official notice if... Read MoreCMS Issues Proposed Rule on Beneficiary Appeal Process for Reclassified Hospital Stay
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on December 27, 2023, which establishes an appeals process for Medicare beneficiaries whose inpatient hospital... Read MoreAHCA Provides Medicare Billing Guidance for Respiratory Vaccines
AHCA reports that long-term care facilities can bill Medicare for four common respiratory vaccines: RSV, Influenza, Pneumococcal and COVID. Additional details include the following: All... Read MoreGood News: VA Significantly Boosts SNF VCA Rates
The Veterans Administration (VA) recently posted updated Veterans Care Agreements (VCAs) rates for participating skilled nursing facility (SNF) providers. This is great news for the profession: The... Read MoreFile Transfer Reminders
The Michigan Department Health and Human Services (MDHHS) reminds providers that File Transfers are the department's standard way to communicate; therefore, it's important to review... Read MoreMDHHS Partnership Presentation Announcement
MDHHS will host a virtual LTC Partnership presentation on various LTC reimbursement and audit topics on January 31, 2024, from 9 to 10:30 a.m. Registration... Read MorePRF Reporting Period 6 Opens January 1
The Provider Relief Fund (PRF) Reporting Period 6 (RP6) opens January 1, 2024, and will remain open through March 31, 2024, at 11:59 p.m. ET.... Read MoreMDHHS Cost Report Audit and DCW Review Reminders
The Michigan Department of Health and Human Services (MDHHS) recently provided updates on cost report audits and direct care wage (DCW) reviews, including the following... Read MoreMDHHS Initial Settlements Update
The Michigan Department of Health and Human Services (MDHHS) recently provided updates on initial settlement payments, including the following information: FY22 Normal Initial Settlements: MDHHS reports... Read MoreQMI Payment Update
The Michigan Department Health and Human Services (MDHHS) actuarial team is currently calculating the amount of the monthly Quality Measure Initiative (QMI) payment. MDHHS is... Read MoreAttention! Review Your QAAP Assessment by January 2
The Michigan Department Health and Human Services (MDHHS) loaded into each provider’s “Archived Documents” area via CHAMPS the provider’s annual Quality Assurance Assessment Program (QAAP) assessment... Read MoreUpcoming CHAMPS Outage
Due to monthly maintenance activities, combined with a system release, the CHAMPS system will be unavailable between 7 p.m. ET, Friday, December 15, through 2... Read MoreDeadline to Make Initial Settlement Request is December 15
Reminder: The Michigan Department of Health and Human Services (MDHHS) reports that Initial Settlements are only calculated and processed at the request of the provider.... Read MoreMDHHS is Hosting a 2023 Year in Review Webinar (SNF)
The Michigan Department of Health and Human Services (MDHHS) Michigan Medicaid Provider Outreach and Provider Support invites providers to its 2023 Year in Review webinar. This webinar... Read MoreMI Health Link Public Listening Session is Tomorrow, November 30 (SNF/AL)
Michigan Medicaid Provider Outreach in collaboration with the MI Health Link (MHL) team invites providers, advocates and community partners to a MI Health Link webinar.... Read MoreCMS Finalizes Additional SNF Transparency Requirements Regarding Ownership, Disclosable Parties, and Public Reporting (SNF)
On November 15, the Centers for Medicare and Medicaid Services (CMS) issued a copy of a final rule, which requires nursing homes to disclose additional ownership... Read MoreProposed Nursing Facility Bed Isolation Exception Request Form (SNF)
The Michigan Department of Health and Human Services (MDHHS) recently released a new proposed form and process for nursing facilities to request approval for Medicaid residents to... Read MoreIncreases Expected when MDHHS Calculates QAAP and QMI Rates (SNF)
The Quality Assurance Assessment Program (QAAP), often referred to as the provider tax, is the Michigan Medicaid assessment that provides funding for the Quality Assurance... Read MoreInitial Settlements Update (SNF)
The Michigan Department of Health and Human Services (MDHHS) is finalizing an updated policy for provider’s FY21, FY22 and FY23 Initial Settlement payments to increase... Read MoreMDHHS Nursing Facility Partnership Presentation Now Available for Viewing
The Michigan Department of Health and Human Services (MDHHS) conducted a “Nursing Facility Partnership Presentation” on October 31, 2023. The presentation is available for viewing... Read MoreNew MDHHS Website Created to Address MI Health Link Transition
The Centers for Medicare & Medicaid Services (CMS) released a final rule, CMS 4192-F, that allows state Medicare-Medicaid Plans (MMPs), including Michigan’s MI Health Link (MIHL)... Read MoreIncreases Expected when MDHHS Calculates QAAP and QMI Rates
The Quality Assurance Assessment Program (QAAP), often referred to as the provider tax, is the Michigan Medicaid assessment that provides funding for the Quality Assurance... Read MoreMore Good News: Update on Payout of Remaining 20% of Initial Settlements
In March 2023, the Michigan Department of Health and Human Services (MDHHS) offered nursing facilities the opportunity to file for initial settlements for fiscal year... Read MoreNovember SNF Touchpoint Meeting
The Michigan Department of Health and Human Services (MDHHS) is hosting a series of monthly Touchpoint meetings with nursing facility providers. Previously known as the... Read MoreCMS Issues Corrections to FY24 SNF PPS Final Rule Impacting Rates
The Centers for Medicare & Medicaid Services (CMS) issued a Correction Notice that applies to the Fiscal Year (FY) 2024 Skilled Nursing Facility Prospective Payment System (SNF... Read MoreMDHHS Provides Update on Several Important Reimbursement Issues
As we shared yesterday, the Michigan Department of Health and Human Services (MDHHS) held a Nursing Facility Reimbursement Presentation on October 31, 2023, providing several... Read MoreReminder: Provider DCW Pass Through Reimbursement Form for FY 2024 Available
With the October 1, 2023, changes to the direct care worker wage increase, the Michigan Department of Health and Human Services (MDHHS) published the form that facilities need... Read MoreCMS Releases 2024 Medicare Coinsurance and Deductibles
On October 12, 2023, the Centers for Medicare & Medicaid Services (CMS) released the 2024 premiums, deductibles and coinsurance amounts for the Medicare Part A... Read MoreMDHHS File Transfer Service Downtime
Due to scheduled maintenance, the Michigan Department of Health and Human Services (MDHHS) File Transfer Service (FTS) portal will be unavailable Sunday, October 8, 2023,... Read MoreMDHHS Issues Bulletin to Correct Income-Related Medicaid Asset Policy
On October 2, Michigan Department of Health and Human Services (MDHHS) released a Michigan Medicaid Policy Bulletin, MMP 23-58, to correct current policy on how to... Read MoreProvider DCW Pass Through Reimbursement Form for FY 2024 Available
With the October 1, 2023, changes to the direct care worker wage increase, the Michigan Department of Health and Human Services (MDHHS) published the form that facilities need... Read MoreMDHHS Provides Update on COVID Relief Facility Designation
On September 27, 2023, the Michigan Department of Health and Human Services (MDHHS) released numbered letter L 23-58 to provide guidance and clarification to eligible SNFs on... Read MoreRecord-Keeping Reminder for Providers
As a reminder, all Medicaid-reimbursed services are subject to review for conformity with accepted medical practice and Medicaid coverage and limitations. The Michigan Department of... Read MoreProposed Skilled Maintenance Policy Change (SNF)
The Michigan Department of Health and Human Services (MDHHS) issued a proposed policy that modifies the billing requirements for skilled maintenance therapy and updates benefit maximums... Read MoreMDHHS Releases Updated Wage Pass Through FAQs (SNF/AL)
The Michigan Department of Health and Human Services (MDHHS) released updated FAQs regarding the direct care worker and non-clinical staff wage increase effective October 1, 2023. Beginning... Read MoreUpdates from the Michigan Department of Health and Human Services
Updates from the Michigan Department of Health and Human Services The Michigan Department of Health and Human Services (MDHHS) issued three updates and scheduled a... Read MoreNew Training Available on Data Collection and LTC Trend Tracker for Assisted Living
Assisted living communities understand the importance of telling their story. But have you stopped to consider how your narrative might improve using data storytelling? AHCA/NCAL recently... Read MoreSummary of FY 2024 SNF Final Payment Rule
On July 31, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled... Read MoreMedicare Advantage Feedback Requested
As Medicare Advantage plan enrollment continues to grow in Michigan, HCAM is requesting feedback from members on the biggest issues providers face in dealing with... Read MoreMedicare Advantage Plan Challenges
With more than half or more of Medicare beneficiaries being enrolled in Medicare Advantage (MA) plans instead of traditional Medicare, several issues arise for skilled... Read MoreUpdates on Medicaid Coverage Renewals
Redetermination of Medicaid coverage restarted this year due to federal legislation after it had been paused during the COVID-19 pandemic. Medicaid and Healthy Michigan Plan... Read MoreMDHHS Meetings with Nursing Facility Providers (SNF)
The Michigan Department of Health and Human Services (MDHHS) is hosting a series of monthly touchpoint meetings with nursing facility providers. Previously known as the... Read MoreReminder — Quality Measure Index (QMI) Resident Satisfaction Surveys Due August 17
Effective for the rate year beginning October 1, 2023, an adjustment will be made to QMI payments for the submission of resident satisfaction survey data... Read MoreReminder — Quality Reporting Program: Non-Compliance Letters for FY 2024 APU
CMS is providing notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2022, which will... Read MoreSummary of FY 2024 SNF Final Payment Rule
On July 31, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled... Read MoreUpcoming Outages
Upcoming Champs Outage Due to CHAMPS system maintenance, the CHAMPS system will be unavailable between 7 PM EST, Friday, July 28 through 7 AM EST... Read MoreLOCD End Date Reminder from MDHHS (SNF)
The Michigan Department of Health and Human Services reports that there are many Level of Care Determinations (LOCDs) records on file in CHAMPS nearing their... Read MoreReminder: COVID-19 Lab-Related Reimbursement Requests Due August 1 (SNF)
On April 6, 2023, the Michigan Department of Health and Human Services (MDHHS) issued a memo extending the period for which providers must submit supporting documentation for... Read MoreReminder: Quality Measure Index (QMI) Resident Satisfaction Surveys Due August 17
Effective for the rate year beginning October 1, 2023, an adjustment will be made to QMI payments for the submission of resident satisfaction survey data... Read MoreQuality Reporting Program: Non-Compliance Letters for FY 2024 APU
CMS is providing notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2022, which will... Read MoreDon't Miss This HCAM Webinar: Reimbursement and State Budget – MDHHS Update
This hour-long webinar will explain the changes in rate setting, initial and final settlements, QAS reconciliation state fiscal year 2022, QAS payments and related limits... Read MoreMDHHS Meetings with Nursing Facility Providers (SNF)
The Michigan Department of Health and Human Services (MDHHS) is hosting a series of monthly touchpoint meetings with nursing facility providers. Previously known as the... Read MoreMichigan Medicaid Renewals Update (SNF)
On July 10, the Michigan Department of Health and Human Services (MDHHS) unveiled an online dashboard available to the public that will show data on the renewal... Read MoreChange in Non-Routine Therapy Prior Authorization Requirements for Medicaid Beneficiaries Residing in a Nursing Facility (SNF)
The Michigan Department of Health and Human Services (MDHHS) recently released the following bulletin, MMP 23-45, announcing a change in non-routine therapy prior authorization requirements for... Read MoreAutomation of CORE Password Expiration Emails: Billing Agents
As part of the upcoming CHAMPS release, CHAMPS will begin to send automated emails to billing agents prior to their CORE password expiration date. To... Read MoreQMI Resident Satisfaction Surveys Due August 17
Effective for the rate year beginning October 1, 2023, the Behavioral and Physical Health and Aging Services Administration (BPHASA) will adjust Quality Measure Index (QMI) payments... Read MoreCOVID-19 Lab-Related Reimbursement Requests Due August 1 (SNF)
On April 6, 2023, the Michigan Department of Health and Human Services (MDHHS) issued a memo extending the period for which providers must submit supporting documentation for... Read MoreUpcoming CHAMPS Outage
Due to monthly maintenance and a system release, the Community Health Automated Medicaid Processing System (CHAMPS) will not be available between 7 p.m. EST Friday, June... Read MoreFile Transfer Service Downtime
Due to scheduled maintenance, the Michigan Department of Health and Human Services (MDHHS) File Transfer Service (FTS) portal will be unavailable on Sunday, June 18, 2023,... Read MoreLOCD 201 Webinar Recording (SNF)
Michigan Medicaid Provider Outreach and Provider Support offered a Level of Care Determination 201 webinar in May. The webinar offered an LOCD refresher providing quick... Read MoreMedicare Crossover Files Issue
As a result of another state erroneously loading Medicare beneficiary data to a Michigan Medicaid CMS file, the Michigan Department of Health and Human Services... Read MoreCMS Initiates National SNF 5-Claim Probe and Educate Review beginning June 5 (SNF)
The Centers for Medicare and Medicaid Services (CMS) reissued transmittal instructions for Medicare Administrative Contractors (MACs) to perform a 5-claim probe and educate medical review on every... Read MoreCOVID-19 Lab-Related Reimbursement Requests (SNF)
On April 6, 2023, the Michigan Department of Health and Human Services (MDHHS) issued a memo extending the period for which providers must submit supporting documentation... Read MoreFacility Interim Rate Claim Adjustment Payments Begin May 18
Providers will see a 2% increase to the current Medicaid interim rate — from 2.5% to 4.5% — retroactively applied to January 1, 2023. The... Read MoreNursing Facility Medicaid Billing Rates
As a reminder, it is important to regularly review and update your Nursing Facility Medicaid billing rates. For Medicaid, facilities should bill their usual and customary... Read More2% Increase to Interim Rates Retro to January 1, 2023 (SNF)
As a reminder, providers will see a 2% increase to the current Medicaid interim rate — from 2.5% to 4.5% —retroactively applied to January 1,... Read MoreMDHHS to Offer Initial Settlements for FY 2022 Cost Reports (SNF)
As we have reported, the Michigan Department of Health and Human Services (MDHHS) agreed to an HCAM proposal to distribute initial settlements for providers’ fiscal... Read MoreMI Choice Provider Monitoring (SNF/AL)
During the public health emergency (PHE), the state placed restrictions on access to adult foster care, homes for the aged, assisted living communities, and nursing... Read MoreUpdates to Nursing Facility Providers Level of Care Determination (LOCD) Door 0 Claims Process (SNF)
During the COVID-19 public health emergency (PHE), providers were instructed to not to create Door 0 Level of Care Determinations (LOCDs) in the Community Health... Read MoreUpcoming File Transfer Service Downtime
Providers and billing agents should note that, due to scheduled maintenance, the File Transfer Service (FTS) portal will be unavailable Sunday, April 23, 2023, from... Read MoreCMS Issues FY 2024 SNF Proposed Payment Rule
Yesterday, April 4, the Centers for Medicare & Medicaid Services (CMS) issued the proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS)... Read MoreCMS Issues FY 2024 SNF Proposed Payment Rule
Yesterday, April 4, the Centers for Medicare & Medicaid Services (CMS) issued the proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS)... Read MoreCMS Issues FY 2024 SNF Proposed Payment Rule
Yesterday, April 4, the Centers for Medicare & Medicaid Services (CMS) issued the proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS)... Read MoreUpdates to the MDHHS Medicaid Provider Manual
The Michigan Department of Health and Human Services (MDHHS) has completed the April 2023 update of the online version of the MDHHS Medicaid Provider Manual.... Read MorePHE Unwind and Michigan Medicaid Policies
As you know, the U.S. Department of Health and Human Services is planning for the federal Public Health Emergency (PHE) for COVID-19, declared under Section... Read MoreGood News: MDHHS Agrees to Two Significant Adjustments to Help Providers
Yesterday we shared a member update announcing that the Michigan Department of Health and Human Services (MDHHS) has agreed to offer Quality Assurance Assessment Program... Read MoreMDHHS Nursing Facility Reimbursement Webinar (SNF)
The MDHHS LTC Reimbursement and Audit Division is offering a Nursing Facility Reimbursement webinar on March 15, 2023. The webinar will be held from 9:30... Read MoreCHOW Bulletins (SNF)
MDHHS recently released the following final bulletins regarding a nursing facility Change of Ownership (CHOW): Final Bulletin MMP 23-11 — Effective April 1, this policy clarifies... Read MoreMDHHS 2022 CON Annual Survey (SNF)
The Michigan Department of Health and Human Services (MDHHS) 2022 Certificate of Need (CON) Annual Survey is now available for completion and is due by April 28,... Read MoreMDHHS Medicaid Provider Alert
As a reminder, MDHHS is experiencing delays for claims suspending for Other Insurance Review (CARC 22). MDHHS asks that, as they diligently work to reduce... Read MoreMedicaid LOCD Webinar Recording
During the federal COVID-19 Public Health Emergency (PHE), many changes were made to the Medicaid program’s eligibility, administration, and policies to ease rules for providers... Read MoreLevel of Care Determination Webinar
Michigan Medicaid Provider Outreach and Provider Support invites providers from nursing facilities, the MI Choice Waiver Program, the Program of All-Inclusive Care for the Elderly... Read MoreMDHHS Update on 2023 Covid Relief Facility Application Process (SNF)
On February 6, MDHHS issued MSA L 23-13 which provides guidance and clarification to eligible Skilled Nursing Facilities on the Fiscal Year 2023 annual Nursing Facility application... Read MoreMDHHS Issues Proposed Policy on LOCDs Post CHOW
The Michigan Department of Health & Human Services (MDHHS) issued a proposed policy to clarify Level of Care Determinations during a change of ownership (CHOW) for nursing... Read MoreHRSA Begins Provider Relief Fund Repayment Notification
Health Resources and Services Administration (HRSA) began transmitting emails to providers who, based on Provider Relief Fund (PRF) Reporting Period 1 submissions, will receive a... Read MoreNursing Facility Infection Control Grant Overview
The Michigan Department of Health and Human Services will provide an in-depth overview of how to apply for the second round of Infection Control Grants... Read MoreUPDATE: MDHHS Releases Medicaid Rates Effective October 1, 2022
The Michigan Department of Health and Human Services (MDHHS) released the Medicaid rates for nursing facilities effective October 1, 2022. The rates are located in... Read MoreMDHHS Provides Reminder Regarding COVID Relief Facilities (SNF)
The Michigan Department of Health and Human Services (MDHHS) is reconfirming the recent changes for COVID Relief Facilities (CRF). MDHHS put a hold on the... Read MoreTPL Talks – Third Party Liability
MDHHS periodically releases TPL Talks regarding various issues that pertain to all providers. The release below deals with closing cases and managed care plans. It... Read MoreMI Health Link Website
MI Health Link (MHL) provides updated information on services provided by this program. MHL also releases a bulletin highlighting various program services, policies, and staff. The... Read MorePreparing for the Public Health Emergency (PHE) Ending in 2023
The Michigan Department of Health and Human Services (MDHHS) continues to prepare for the eventual end of the PHE, which is currently extended until January... Read MoreMDHHS Advances QAS and QMI Payments for FY 2023 First Quarter (SNF)
To assist members in managing rising operating costs, HCAM has advocated that the Michigan Department of Health and Human Services (MDHHS) advance Medicaid funds. We’re happy... Read MoreCMS PDPM Rates Effective October 1, 2022 (SNF)
Just a reminder to update your billings to the PDPM rates effective October 1, 2022. The Centers for Medicare and Medicaid services released the final rates... Read MoreCMS Releases 2023 Medicare Coinsurance and Deductibles (SNF/AL)
On September 27, 2022, the Centers for Medicare & Medicaid Services (CMS) released the 2023 premiums, deductibles, and coinsurance amounts for the Medicare Part A... Read MoreMDHHS Releases Grant for Nursing Facility Room Conversion Pilot Projects (SNF)
On September 28, 2022, the Michigan Department of Health and Human Services (MDHHS) released a grant proposal through their EGrAMS for converting nursing facility rooms... Read MoreMI-Choice Waiver Info (AL)
MDHHS recently revised its Statewide Transition Plan based on feedback from CMS. After clicking the link, scroll about half way down the page to reach the Statewide... Read MoreNursing Facilities and Debt Collection Practices (SNF)
CMS Administrator Chiquita Brooks-LaSure and Rohit Chopra, Director of Consumer Financial Protection Bureau, recently issued a letter to all nursing homes and debt collectors regarding debt collection... Read MoreAHCA/NCAL Webinar HUD Section 232 Program (SNF/AL)
AHCA/NCAL wanted to share a HUD webinar occurring next week we are hosting entitled, Recent 232 Asset Management Issues and How Operators Can Address Them. More... Read MoreFree Respiratory Fit Kits for Nursing Facilities, Assisted Living Facilities, and other Long-Term Care Facilities (SNF/AL)
The Michigan Department of Health and Human Services (MDHHS) will be providing free qualitative fit testing apparatus kits and Michigan Occupational Safety and Health Administration... Read MoreMDHHS Releases Infection Control Grant Application – Due September 12 (SNF)
MDHHS released the application to obtain infection control and prevention devices as established in Public Act (PA) 9 of 2022. The PA created a funding mechanism... Read MoreMDHHS Requesting Testing Documentation – Due September 30 (SNF/AL)
MDHHS reached out to HCAM regarding the need to request documentation regarding the testing reimbursement costs. MDHHS has to report and document the reimbursement to the... Read MoreMDHHS Release QMI Survey Notice – Due Sept 20 (SNF)
MDHHS in L letter 22-36 announced the date for Quality Measure initiative (QMI) annual resident satisfaction survey is due on September 20, 2022. The notice did... Read MoreMDHHS Updates Recruitment, Retention and Training Grant – Applications Due August 31
On August 4 MDHHS updated the previously released grant program implementing Public Act 9 of 2022. The only changes were to a regulatory reference on page... Read MorePhase 4 and ARP Rural Distributions - Payment Status (SNF)
Approximately $14.5 billion of Phase 4 Payments has been distributed to more than 89,000 providers and 98 percent of applications have been processed. To date,... Read MoreMDHHS Updates Recruitment, Retention and Training Grant – Applications Due August 31
On August 4 MDHHS updated the previously released grant program implementing Public Act 9 of 2022. The only changes were to a regulatory reference on page... Read MorePhase 4 and ARP Rural Distributions - Payment Status (SNF)
Approximately $14.5 billion of Phase 4 Payments has been distributed to more than 89,000 providers and 98 percent of applications have been processed. To date,... Read MoreReminder - MDHHS Releases Infection Control Grant Application (SNF)
MDHHS released the application to obtain infection control and prevention devices as established in Public Act (PA) 9 of 2022. The PA created a funding mechanism... Read MoreGovernor Whitmer Signs Fiscal Year 2023 Budget (SNF/AL)
Included in the budget are two items of note directly impacting association members. Read MoreCDC Updates Guidance on Enhanced Barrier Precautions for Nursing Homes (SNF/AL)
The CDC has updated its guidance on enhanced barrier precautions (EBP) for all health care settings, including nursing homes. Read MoreMDHHS Releases Infection Control Grant Application (SNF)
MDHHS released the application to obtain infection control and prevention devices as established in Public Act (PA) 9 of 2022. Read MoreMDHHS Requesting Testing Documentation (SNF/AL)
MDHHS federal partners are requesting that MDHHS submit documentation to support all testing reimbursements that have occurred. Read MoreMDHHS Requesting Testing Documentation (SNF/AL)
MDHHS will be contacting providers to request documentation to support all COVID-19 testing related lab billings that have been submitted to the department for services... Read MoreCHAMPS 102 Webinar Series (SNF)
MDHHS is offering a three-part CHAMPS 102 Webinar Series. Read MoreReview of CON Annual Survey Data (SNF)
MDHHS CON staff have notified all nursing facilities regarding the data submitted on the CON Annual Survey for 2021. Read MoreEmployee Retention Tax Credit (ERTC) – An Overview and Insights on Updated Program Eligibility (SNF/AL)
You will need your AHCA/NCAL website username and password to access the pre-recorded webinar located here. Read MoreMACPAC Responds to CMS on Staffing Levels (SNF)
The Medicaid and CHIP Payment and Access Commission (MACPAC) responded to the Centers for Medicare & Medicaid (CMS) Request For Information (RFI) regarding establishing minimum staffing ratios for nursing facilities. Read MorePHE Unwinding (SNF)
CMS has begun to communicate with stakeholder partners to raise awareness and prepare for the eventual unwinding of the PHE. Read MoreMDHHS Closing 2021 Census Fund Requests August 1st (SNF)
Eligible members who have not yet submitted requests for funds are advised to prepare and submit requests prior to August 1, 2022. Read MoreMDHHS Issues Proposed Policy for When PHE Ends (SNF)
MDHHS is preparing for the end of waivers that held Medicaid eligibility and renewals in a pause mode during the pandemic. Read MoreMDHHS Announces Testing Reimbursement for Calendar 2021 Ending (SNF)
Reimbursement continues for testing conducted in 2022. Read MoreMedicaid Non-Available Bed Plans (NABP) (SNF)
For providers with existing NABP that are due to expire on June 30, 2022 information has been obtained from Medicaid regarding how to handle these plans. Read MoreMedicaid Cost Report Attestation for COVID Relief Facility Reporting (SNF)
Your facility’s file transfer inbox contained detailed information regarding filing for providers with any beds designated as a COVID Relief Facility. Read MoreMDHHS Allows Cost Report Filing Extension Requests (SNF)
If a facility does not request an extension prior to the filing deadline (before May 31) your December 2021 cost report will be delinquent and payment termination will ensue. Read MoreMDHHS Issues Request for Proposals for Nursing Facility Enrichment (SNF)
Grant applications must be submitted electronically through the EGrAMS program by 3 p.m., June 27, 2022. Read MoreMDHHS Request for COVID Relief Facility (CRF) Notices (SNF)
All requests for FY21 CRF program records must be submitted by Friday, May 27, 2022. Read MoreMessage from Mark Parkinson - Submit Comments on the SNF Payment Rule to CMS (SNF)
The comment deadline is June 10, 2022, at 5 PM Eastern. Read MoreCMS Releases Proposed Medicare Eligibility and Coverage Changes (SNF/AL)
The NPRM includes proposed changes to Medicare eligibility, including elimination of the Medicare coverage waiting period under specific circumstances, as well as new SEP. Read MoreReminder - MDHHS CMP Funds for Visitation (SNF)
The grant will be available until May 31. Read MoreWebinar Recording: Tips for Submitting Comments to CMS on the FY23 Payment Rule (SNF)
The archived recording of Tips for Submitting Comments to CMS on the FY23 Payment Rule is now available. Read MoreMDHHS Changes QAS Payment for MHL ICO (SNF)
MDHHS released two L letters, L 22-17 and L 22-18, regarding the QAS payment to the MHL ICO for beneficiary services. Read MoreTips for Commenting to CMS on the FY 2023 SNF Proposed Payment Rule (SNF)
AHCA/NCAL will host a webinar for all members on Thursday, April 21 at 3 PM Eastern to provide tips for drafting and submitting your comments Read MoreCMS Issues FY 2023 SNF Proposed Payment Rule (SNF)
CMS issued the proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS) fiscal year (FY) 2023 update. Read MorePreparing for the PHE Ending and Policy Changes (SNF/AL)
The PHE is currently scheduled to end April 16, 2022. Read MoreMDHHS Releases CHOW Proposed Policy Change (SNF)
MDHHS released a proposed policy regarding Medicaid provider agreement assignment with a CHOW. Read MoreMEDPAC Medicare Payment Report Recommends SNF Payment Reduction (SNF)
The goal of Medicare payment policy is to obtain good value for the program’s expenditures, which means maintaining beneficiaries’ access to high-quality services while encouraging efficient use of resources. Read MoreReminder: MDHHS CON Annual Survey Due April 29 (SNF)
The launch date for the 2021 CON Annual Survey was Wednesday, March 9, 2022. Read MoreSave the Date! Billers Forum 2022 (SNF)
Thursday, April 21 Read MoreReminder: MDHHS Non-Available Bed Policy Treatment of COVID-19 Residents (SNF)
MDHHS Health and Aging Services Administration (HASA) released on February 11 an update (HASA 22-04) to the nursing facility non-available bed policy related to treating COVID residents. Read MoreMDHHS Medicaid Rate Claims Adjustments (SNF)
MDHHS is in the process of adjusting the previously paid claims to the recently released October 1, 2021 rates for nursing facilities. Read MoreMDHHS QAS and QMI Payments (SNF)
MDHHS issued the FY 2022 proposed QAS and QMI payments to be made monthly. Read MoreMDHHS Releases QAS Reconciliations FY 2021 and FY 2020 (SNF)
Nursing facility providers received notice by email from MDHHS that the QAS reconciliations have been completed for state fiscal year 2021 and recomputed for state fiscal year 2020. Read MoreState Plan Amendment Approved - Michigan Medicaid Releases Rates (SNF)
Medicaid Annual Provider Reimbursement Rates Effective for dates of service on or after October 1, 2021, have been calculated. Read MoreUpdate on Phase 4 Provider Relief Fund and ARP Rural Payments (SNF)
HRSA provided updated information on the status of Provider Relief Funds (PRF) Phase 4 and American Rescue Plan (ARP) Rural Payments. Read MoreHRSA Phase 4 Funding Released (SNF)
HHS announced the distribution of approximately $9 billion in Provider Relief Fund (PRF) Phase 4 payments to health care providers who have experienced revenue losses and expenses related to the COVID-19 pandemic. Read MoreQAAP, QMI and Medicaid Rate Notices (SNF)
The QAAP and QMI notices and payments are in process. Read MoreMDHHS Provider Tax Rates
HCAM met with MDHHS regarding the Quality Assurance Assessment Program (QAAP) and Quality Measure Initiative (QMI) program to review the proposed rates for state fiscal year 2022. Read MoreUpdate: MDHHS Announces New File Transfer Service (SNF)
All current File Transfer Service (FTS) customers are welcome to use the new FTS URL. Read MoreMDHHS Releases Lump Sum Payments (SNF)
MDHHS released the payments appropriated in the FY 2022 budget bill. Read MoreHRSA Releases ARP Rural Distribution (SNF/AL)
HRSA began releasing the $7.5 billion American Rescue Plan (ARP) Rural Distribution on Tuesday November 23. Read MoreCMS Releases 2022 Medicare Coinsurance and Deductibles (SNF)
CMS released the 2022 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2022 Medicare Part D income-related monthly adjustment amounts. Read MoreMDHHS Releases Notice on FY 22 Medicaid Rates and More (SNF)
MDHHS has issued L letter 21-70 providing updates regarding the FY 22 Medicaid rates, QAS payments and lump sum payments. Read MorePRF Reporting and Phase 4 Impact (SNF)
HRSA is notifying providers who have not yet submitted their Reporting Period 1 reports that they will not receive their Phase 4 distributions until the reports are submitted. Read MoreCMS Final Physician Payment Rule CY 2022 (SNF/AL)
CMS issued the final Physician Payment rule effective for calendar year 2022. Read MoreMedicaid Rates Effective October 1 and Billing October Services (SNF)
MDHHS continues to work on the Medicaid rates effective October 1, 2021. Read MoreMDHHS Revises Non-Available Bed Plan Policy (SNF)
MDHHS released changes to the non-available bed plan policy to allow flexibility to assist in addressing the low census. Read MoreRural CHOW Guidance (SNF/AL)
The Health Resources & Services Administration (HRSA) provided AHCA/NCAL with guidance on changes of ownership. Read MoreHRSA Releases Additional Phase 4 and Rural Distribution Details: Portal Opens September 29
The Health Resources and Services Administration (HRSA) recently released additional details on the $25 billion September 10th announcement composed of the $17 billion Phase 4 distribution and the $8.5 billion rural distribution.
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