Policy Change Regarding Medicaid Extension Requests
We have been notified of a major policy change regarding Medicaid pending cases. A case will no longer be able to pend for longer than 60 days from the application date. If all verification is not provided within 60 days, the case will deny.
Extensions cannot be allowed for more than 15 days per request and may not exceed more than 30 days total. Extensions have to be requested 5 days prior to the Request For Information (RFI) due date. Our office will be lobbying with our Associations for a favorable change to this policy.
Reference section 1470 of the Division of Family Support Operation Manual HERE
July 1, 2018 Medicaid Rates:
In a meeting yesterday in Frankfort, the Kentucky Association of Health Care Facilities (KAHCF) was notified by the Department for Medicaid Services (DMS) that nursing facility Medicaid rates will receive an inflationary adjustment of .1% effective July 1, 2018. This inflationary rate is identical to the inflationary adjustment paid to nursing facility providers in the last four (4) years.
Check Your CASPER folders in QIES for SNF QRP Non Compliance Letters from CMS:
CMS is providing notifications to facilities that were determined to be out of compliance with Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) requirements for CY 2017, which will affect their FY 2019 Annual Payment Update (APU). Non-compliance notifications were mailed by the Medicare Administrative Contractors (MACs) and have been placed into facilities' CASPER folders in QIES on July 9, 2018. Facilities that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59pm PST, August 7, 2018. If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification letter and on the SNF Quality Reporting Reconsideration and Exception & Extension webpage.
Recertification for Fiscal Intermediaary Standard System (FISS) User Access:
The recertification period starts in August for Part A providers. Failure to recertify will result in the termination of the DDE/PPTN services. Please complete the form as soon as possible . Click here for form.
My CGS Medical Record Dashboard:
CGS has introduced the new dashboard that will allow