DOH Processes 2024 Nursing Home Medicaid Rate Appeals
(July 29, 2025) The Department of Health (DOH) notified nursing homes that the Department has resolved Medicaid rate appeals for 2024. Payment of processed appeals will be reflected in Medicaid payment cycle 2503, scheduled for Aug. 27th release. The associated Dear Administrator Letter (DAL) is available here. Appeal materials, including calculations and summaries of affected appeals, are posted on the Healthcare Financial Data Gateway section of the Health Commerce System (HCS) under the title “2024 Appeals Processed July 2025.” The Department’s regulations allow associated hearing rate appeals to be filed within 30 days from the date of the letter. The publication date of July 28, 2025 must be used to file a hearing appeal. Only hearing appeals related to the items and rates covered in the appeals will be considered valid appeal items.
Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841