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Providers press DHS over assisted‑living Medicaid rate study; committee leaves rule 'not reviewed' and DHS will withdraw to consult
Summary
DHS proposed raising an assisted‑living Medicaid waiver per‑diem to $68.51 based on a Milliman cost study; assisted‑living providers said the actuary's calculations and raw data did not reconcile, warned the proposed rate won't cover higher wages, and sought an outside review. The committee allowed DHS to withdraw the rule for further stakeholder work.
The Department of Human Services presented an amendment to the 'Living Choices' Medicaid waiver that would change the assisted‑living per‑diem previously set to an ultimate $62.89 to a revised $68.51, citing a second cost survey and an actuary review by Milliman.
Mark White of DHS told the Senate Public Health committee that Milliman conducted the actuarial review and that the agency followed a second industry cost survey to re‑evaluate the rate. The proposal also…
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