Important Annual Quality Assurance Supplement Reconciliation Details (SNF)
The Michigan Department of Health and Human Services (MDHHS) completed calculating the annual Quality Assurance Supplement (QAS) reconciliations for state fiscal years ending September 30, 2025, September 30, 2024, and September 30, 2023, for all providers. Reconciliations have been electronically loaded into your “Archived Documents” folder in CHAMPS. The department is not mailing a hard copy of the QAS reconciliation. Regardless of whether the net reconciliation (sum of the FY 2023, FY 2024 and FY 2025 reconciliations) results in funds due to the provider or the department, all reconciliations will be input into CHAMPS on December 9, 2025, with the scheduled Medicaid warrant pay date of December 18, 2025.
Providers that meet the provisions of Section 7.5, Cost Reporting and Reimbursement Appendix, Nursing Facility Chapter, Medicaid Provider Manual regarding a request for extended payment must submit their written request via the DCH–File Transfer Application for an extended repayment schedule by noon on December 4, 2025. Questions regarding the calculations can be shared via File Transfer, email or phone (517) 335-5356.
Important Reminder: If your facility’s Medicaid use rate creates more than a 5% difference in the facility’s total QAS payments for the year, you must contact the State Medicaid Agency for consideration of adjustment to the facility’s monthly QAS payment. Specifically, the Medicaid Provider Manual, Nursing Facility Chapter, Cost Reporting and Reimbursement Appendix, Section 10.7.A states:
A nursing facility that is experiencing a significant increase or decrease in its current rate year Medicaid utilization which will cause a difference of greater than five percent in the nursing facility’s total QAS payments for the year must contact the SMA for consideration of adjustment to the facility’s monthly QAS payment. Current year Medicaid resident census data must be provided to MDHHS to document the change in order to revise the monthly QAS payment amounts.