State Reconciles Nursing Home CRA Payments
(Aug. 5, 2025) Nursing homes should expect to see the impact of the 2023 Cash Receipts Assessment (CRA) reconciliation in Medicaid payments released on Aug. 27th (cycle 2503). The Department of Health (DOH) circulated a Dear Administrator Letter (DAL) on Aug. 4th (available here) that includes a correction request form for those who may need it. The backup calculations are scheduled to be posted this week in the “Cash Receipts Assessment” section of the Nursing Home reimbursement page here.
As part of the reconciliation, DOH recalculates the assessment reimbursement amount for each home and compares it to its current CRA reimbursement amount. The difference, which may be positive or negative depending on individual facility circumstances, is multiplied by Medicaid days billed since Jan. 1, 2023.
Please note that any correction requests should be emailed to NFRATES@health.ny.gov using the correction form attached to the DAL within 30 days of Aug. 4th.
Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841