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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 




July, 2018

June, 2018

May, 2018

April, 2018

Bed Hold Census Sheet

March, 2018

January Billing Update, 2018

January Tax Update, 2018

January, 2018

Novmember, 2017

October, 2017

September, 2017

August, 2017

CON Changes--Urgent

July, 2017

June, 2017

April, 2017

January, 2017

September 30, 2016

August 31, 2016

Medicaid Meeting, 2016

August, 2016

Anthem Medicare Replacement B Claims

June, 2016

May, 2016

April, 2016

March, 2016

February, 2016

January, 2016

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