Tuesday, August 4, 2015
RUGs IV 48 Grouper
IHCA has received a number of questions about the RUGs IV 48 grouper change that is set to occur on July 1, 2016. Many questions are being generated by the recent release of CMI rosters with the residents converted to the RUGs IV 48, and many facilities are seeing drops in both the all facility and Medicaid only CMIs. In discussions with the State and Myers & Stauffer, the projections given to providers in late 2014 are still on track in that the RUGs IV 48 grouper will add a small amount of reimbursement to the overall system (approx. $6.9M). Projected Medians for the RUGs IV 48 grouper are due to be released by August 31st, and once released payment modeling will be able to be performed more accurately.