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Cash Receipts Assessment

The 2013-14 state budget extended the two percent across-the-board cut to Medicaid providers originally enacted as part of the 2012-13 budget. It also extended the opportunity for provider types to negotiate an alternative to the cut that would result in the same amount of savings to the state. In 2012, nursing home providers opted for a 0.8 percentage point increase in the assessment rate on all non-Medicare cash receipts in lieu of the two percent across-the-board cut. This substitution continues this fiscal year as well, meaning that the assessment rate will remain 6.8 percent at least through March 31, 2014. While the six percent assessment remains Medicaid reimbursable, the additional 0.8 percent is not.   

This provision should not be confused with a second continuing nursing home Medicaid cut that was also originally enacted in the 2012-13 budget. The second cut, an across-the-board cut reflected on each homes' Medicaid rate sheet, was imposed because reductions to bed hold payments did not yield a legislatively required $40 million savings. DOH recently issued new April 1, 2013 rate sheets, which updated this cut amount.

Contact:  Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841