Gis Medicaid Rates
GENERAL INFORMATION SYSTEM
DIVISION: Office of Health Insurance Programs
| To: | Local District Commissioners. Medicaid Directors |
| From: | Judith Arnold, Director Division of Eligibility and Marketplace Integration |
| Subject: | Medicaid Regional Rates for Calculating Transfer Penalty Periods for 2018 |
| Effective Date: | January 1,2018 |
| Contact Person: | Local District Support Unit |
The purpose of this General Information System (GIS) message is to inform local departments of social services of the year 2018 Medicaid regional nursing home rates which must be used when calculating a transfer of assets penalty period for coverage of nursing facility services. This is in accordance with 96 ADM-8, "OBRA '93 Provisions on Transfers and Trusts" and 06 OMM/ADM-5, "Deficit Reduction Act of 2005 - Long-Term Care Medicaid Eligibility Changes." These rates are based on average private pay nursing home costs in each of the seven regions in the State. Districts must use the regional rate in effect as of the date of application or the date of request for an increase in coverage for the region in which the facility is located.
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