Updating nursing facility payment rates effective October 1, 2022 as well as the "Lost COVID Occupancy" payment methodology.

Updates ICF/IID rates effective Jan. 1, 2022 using the most recent cost report information available and updated trend factor.

This plan amendment updates the Ambulatory Patient Group (APG) for Clinic Free Standing Clinics.

Updates the Public General Hospital Outpatient Supplemental Payment Adjustment for the state fiscal year beginning April 1, 2020 and ending March 31, 2021.

Hospital-Based Birthing Services Rate Increase

Updates the nursing facility reimbursement rate budget adjustment factor as well as the Class Line 504 amount.

Continues supplemental payment funding for an additional class of acute care general hospitals to promote
quality medical services to individuals enrolled in the Pennsylvania Medical Assistance Program and provide financial relief to hospitals during the coronavirus pandemic.

SFY23 Nursing Facility Rates