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Nursing home providers press for careful PDPM implementation and capital‑rate reform in Medicaid rates
Summary
Representatives of skilled nursing providers urged the Medicaid Committee to adopt an acuity adjustment focused on nursing under PDPM, allow a phased implementation with stop‑loss protections, and reform capital payments to better reflect facility condition and private rooms.
Chris Murray, CEO of the Academy of Senior Health Sciences and a representative for skilled‑nursing providers, told the House Medicaid Committee that House Bill 96’s proposed changes to how Medicaid adjusts direct‑care payments should rely on the nursing component of the Patient‑Driven Payment Model (PDPM) for long‑stay Medicaid residents.
Murray said Medicare’s PDPM divides facility reimbursement into five components — physical therapy, occupational therapy, speech, non‑therapy ancillaries and…
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