All facilities should have received notice of their July 1, 2018 Medicaid Rate through the Myers and Stauffer portal. These rates include rebasing with Cost Report data for 2015-2017 with partial inflation through 7/31/18. They also include changes to the incentives.
The changed incentives include a change from turnover to staffing measures and retention. Providers that maintain a case mix adjusted staffing ratio at or above the 75th percentile will earn a $3.00 per diem add-on. Providers that fall below the 75th percentile staffing ratio but improve their staffing ratio by 10% or more will earn a $0.50 per diem add-on. Providers that achieve a staff retention rate at or above the 75th percentile will earn a $2.50 per diem add-on as long as contracted labor costs do not exceed 10% of the provider’s total direct health care labor costs. Providers that have a staff retention rate lower than the 75th percentile but that increase their staff retention rate by 10% or more will receive a per diem add-on of $0.50 as long as contracted labor costs do not exceed 10% of the provider’s total direct health care labor costs.
There is also a new incentive for Quality Measures which is based on the long-term measures from CMS. LeadingAge Kansas is working on getting more detail from KDADS about the Quality Measures Incentive and how it is calculated.
Lastly, the incentive amounts for PEAK were changed in the new incentive package.
For a full description of the incentives go to the Kansas Registry at http://www.kssos.org/pubs/register/2018/Vol_37_No_25_June_21_2018_pages-675-704.pdf.
