powered by LeadingAge New York

Urge Elected Officials to Oppose a Cut to Case Mix Adjustments

Medicaid State Plan Amendment (SPA) #19-0033

The final 2019-20 state budget required the Department of Health to convene a Nursing Home Acuity Workgroup to consider possible changes to how Medicaid rates are adjusted for resident acuity (i.e., case-mix). At the first Workgroup meeting, DOH revealed that it planned to revise the case-mix determination for the July 1, 2019 rates by using all Medicaid resident assessments conducted between Aug. 8, 2018 and March 31, 2019, rather than using the longstanding approach of a snapshot of the Medicaid residents on a given date. DOH’s goal is to generate $246 million in Medicaid savings in the current fiscal year.

LeadingAge NY has reached out to the Centers for Medicare & Medicaid Services (CMS), the NY Congressional Delegation, and the entire NYS Legislature urging rejection of this approach. Now, we need LeadingAge NY member organizations, staff, and board members to reach out directly to their state lawmakers and ask them to urge Governor Cuomo to suspend this proposed cut to Medicaid payments to nursing homes!


Advocacy Tools

  • Please enter your information below to send a general email of opposition to your legislators. We ask that you also share this link with friends and colleagues that would like to take action.
  • We encourage you to send this more detailed letter and it's attachments to your legislators, including your facility name and the estimated fiscal impact the cut would have on your facility. (To assess the potential fiscal impact on your facility, use this Medicaid Rate Calculator and our How-To Guide).
  • Call your legislators, and vocalize your concerns using these talking points.

Enter your information below to contact your lawmakers, urging them to contact Governor Cuomo and oppose the Medicaid case-mix cut to nursing homes.