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PPS for Medicaid Approved

PPS for Medicaid Approved

As most of you may already know, the 2017-18 budget will implement the Nursing Home Prospective Payment System (PPS). The PPS Plan included in the budget places in statute the Senate PPS model with its quality components and transition period, with an implementation date of October 1, 2018. Although there are still several details to be determined, we wanted to briefly summarize for our readers some of the basics of the new system based on what is currently in the language.

Unlike the current system that calculates each provider’s rate based on their cost and current Fair Rental Value (FRV) calculation, the PPS model utilizes the following main components...

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