This amendment provides comprehensive updates for rate year (RY) 2022 reimbursement methods and standards for nursing facilities.

This plan amendment allows for the addition of procedure codes to the Ambulatory Surgical Center (ASC) grouper rate methodology, per the recommendation in the 2019 Medicaid Provider Rate Review Advisory Committee (MPRRAC) Recommendation Report.

This amendment revised the methodology used to calculate fair rental value (FRV) rate components and to initiate the transition from the Point-in-Time Case Mix Index (CMI) reporting method to the Time-Weighted CMI reporting methodology

This amendment adjusted payment rates for the Primary Home Care (PHC) program to support the PHC base wage of $8.11.

This amendment updates the Personal Care Assistant (PCA) rates.

2022 Institutional Provider Reimbursement Changes

Continued use of the budget adjustment factor (BAF) for county nursing facility payment rates for the 2022-2023 through 2025-2026 rate years.

Continues use of the budget adjustment factor (BAF) for nonpublic nursing facility payment rates for the 2022-2023 through 2025-2026 rate years.

Increases Nursing Facility Rates for State Fiscal Year (SFY) 2023.