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ID HCR015
Concurrent Resolution
Status
2/25/2025
Primary Sponsor
Health and Welfare Committee
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AI Summary
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Idaho Department of Health and Welfare directed to convene a stakeholder council to revise the skilled nursing facility Medicaid reimbursement methodology before the CMS-mandated deadline of July 1, 2026
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Current upper payment limit (UPL) payments would be incorporated into the daily Medicaid rate paid to skilled nursing facilities
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Medicaid managed care organizations (MCOs) required to make payments to facilities as part of a minimum fee schedule
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Nursing fee assessment collection under Chapter 15, Title 56, Idaho Code would change from annual to quarterly basis
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Council or representative stakeholder organization must report findings, recommendations, and proposed legislation to the legislature by January 31, 2026
Legislative Description
States findings of the Legislature and directs the Department of Health and Welfare to convene a council to coordinate and develop revisions to the skilled nursing facility upper payment limit.
MEDICAID
Last Action
Reported Printed and Referred to Health & Welfare
2/26/2025