Reimbursement Unit

Long-Term Care Resources

For questions, contact
Kevin Bagley
Phone: 801-538-9184
Fax: 801-536-0179

Mailing information:

If you are unsure about an issue, please ask questions.

Nursing Facility:
 

Utah Medicaid Nursing Facility Rates - Rates for Utah Nursing Facilities for the period January 1 through March 31, 2012.
(Click here for historical rates)

Add-On Rate History - Listing of all Nursing Home add-on rates since 7/1/2004.

Case Mix Preview Report - Nursing homes may request a preview report of the MDS data used in upcoming quarter's case mix portion of the rate.  This section outlines how to request the report for your facility.

SFY 2012 QI Incentive Program Information

This program has been approved by CMS.  The Introduction letter below explains the program.

NH Introduction Letter

QII (1) Form    

Detail Spreadsheet  Include a spreadsheet with each form submitted below.

QII (2)(i) Nurse Call

QII (2)(ii) Patient Lift

QII (2)(iii) Bathing

QII (2)(iv) Life Enhancement

QII (2)(v) Quality Training

QII (2)(vi) Van    

QII (2)(vii) Info Systems

QII (2)(viii) HVAC

QII (2)(ix) Dining Enhancement

QII (2)(x) Outcome Proven Awards

QII (2)(xi) Worker Immunizations

April 11, 2011 Nursing Home Industry Presentation (Adobe Acrobat file).

SFY 2011 Bed Assessment Rates (Larry Tooley - 801-538-9078)

Historical and Current Bed Assessment Rates

Monthly Patient Day Report

Link to State Rule

ICF/MR:

ICF/MR Rates - for SFY 2012
(Click here for historical rates)

SFY 2011 QI Incentive Program Information

This program has been approved by CMS.  The Introduction letter below explains the program.

ICF/MR Introduction Letter

ICF-MR QII (1) Form

Miscellaneous:

Swing Bed Rates

For the period 1/1/2006 to 12/31/2006

For the period 1/1/2007 to 12/31/2007

For the period 1/1/2008 to 12/31/2008

For the period 1/1/2009 to 12/31/2009

For the period 1/1/2010 to 12/31/2010

For the period 1/1/2011 to 12/31/2011

Additional Resources:

Utah Medicaid RUG Weights

Record Selection and Case Mix Calculation (July 2007)

Fair Rental Value Sample Calculator (Excel, Fiscal Year 2012)

Utah State Rule R414-504 relating to nursing facility reimbursement

Utah State Plan Attachment 4.19-D relating to nursing facility reimbursement

Reporting

Facility Cost Profile Reports

FRV Data Reports