IGT/UPL Distribution Methodology is Changing

On September 10, 2013, CMS approved Indiana Medicaid’s State Plan Amendment to change the way supplemental payments are distributed to non-state government operated or owned nursing facilities (i.e. county or city hospital owned nursing facilities).  The new methodology will calculate supplemental payments based on each facility’s Medicare Rate and adjusted Medicaid rate – in other words, it will be a facility-specific calculation.  Prior to this new methodology, the supplemental payment was an average amount that was paid to all participating hospitals.  This change results in some hospitals gaining and some losing supplemental payment funds.  Click here to read CMS’s approval letter.

If you have any questions, or need specific calculation information on the new methodology, please contact Zach Cattell at 317-616-9001 or zcattell@ihca.org.