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NF Day-Weighted Case Mix Index (CMI) Methodology Changes and Trainings In 2021, the Iowa Legislature directed Iowa Medicaid to evaluate the technical aspects of the case mix reimbursement system and rebasing processes. A workgroup, which included LAI, was established in July 2021 to review existing processes and identify mechanisms to reduce or eliminate retrospective payments during the bi-annual nursing facility rebasing process. The workgroup identified and evaluated pros and cons associated with each of these components. That information was utilized to develop comprehensive recommendations to improve the nursing facility rate setting and payment process. The budget-neutral changes will help to modernize the case mix system and increase efficiencies in the rebasing processes. The updates will assist in stabilizing swings in nursing facility rates and significantly reduce impacts of retrospective rates. The changes include:
Iowa Medicaid will conduct virtual provider training sessions regarding the NF day-weighted CMI methodology via Zoom. The Zoom training will be conducted monthly from March through December 2022, to allow providers the opportunity to attend one or multiple training sessions. Training sessions will cover:
A frequently-asked question (FAQ) document will be developed from questions received during the live presentation. The FAQ document and PowerPoint materials will be posted on the DHS website at a later date. Dates and Times:
To register for this training session, please complete the registration form found here. Zoom meeting login credentials will be sent to the email address provided on the registration form. Questions regarding this training opportunity should be directed to Iowa Medicaid at [email protected]. |